[NIOSH] Increasing the Impact of NIOSH Heat Stress Products in Outdoor Worker Populations

[OS] CDC/ATSDR Formative Research and Tool Development

Attmt G-Recruitment_Consent_Form_English_Spanish 7-13-2023

[NIOSH] Increasing the Impact of NIOSH Heat Stress Products in Outdoor Worker Populations

OMB: 0920-1154

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Form Approved

OMB No. 0920-1154

Exp Date 3/31/26



Recruitment and Consent Scripts (English)

Focus Group Recruitment Script

My name is _________________. We are calling you today on behalf of the CDC, the Centers for Disease Control and Prevention. I would like to invite you to participate in an upcoming discussion about heat stress-related issues at the workplace and educational products that could be used to prevent heat-related illnesses, like heat stroke and heat exhaustion at the workplace. If qualified, you will be invited to participate in a 60 to 90-minute focus group discussion. For your participation, you will receive a monetary gift of $40 incentive for participating. Would you be interested in participating in this study?

Focus Group Consent Script

Thank you for agreeing to participate in this research study on heat stress that is being conducted by the Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH). Your participation in the research is voluntary. I will ask you some questions about your opinions about heat stress-related materials and tools that could be used at your job which takes about 90 minutes to answer. You will receive $40 today as a token of appreciation for your participation. Your responses will be kept private (confidential) to the extent permitted by law and you can stop participating at any time. There is a small risk that your participation or the information you provide us will not remain confidential. To avoid loss of confidentiality, we will keep your information secure at all times. There is no direct benefit to you, except that your help may improve heat stress awareness and understanding for outdoor workers and their employers. There will be no costs to you, other than your time involved. If you have any questions or concerns regarding this study, you may contact Brenda Jacklitsch at 513-533-8369. Do you have any questions? Let’s begin.

Training Evaluation with Pre/Post Test Recruitment Script

My name is _________________. We are calling you today on behalf of the CDC, the Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health (NIOSH). I would like to invite you to participate in an upcoming evaluation of a draft online heat stress training for employers of outdoor workers. Qualifying study participants will be sent a link to a pre-test via email prior to being sent a link to the online training. After viewing the online training, participants will be invited to participate in a post-test. About six weeks later, participants will be sent a link to a second post-test. This second post-test will be used to determine how much heat stress information you retained from the online training. In both pre‐ and post‐tests, there will be questions asking participants about heat-related illnesses and using heat stress prevention recommendations. In total, it will take approximately 60 minutes to participate. For your participation, you will receive $40 as a token of appreciation for your participation. Would you be interested in participating in this study?







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Public reporting burden of this collection of information is estimated to average 10 mins per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS H21-8, Atlanta, Georgia 30333 ATTN: PRA (0920-1154).





Training Evaluation with Pre/Post-Test Consent
(available electronically with link to pre- and post-tests)


Thank you for agreeing to participate in this research study on heat stress that is being conducted by the Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH). Please read this information carefully and email questions about anything that you do not understand.

WHAT IS THE PURPOSE OF THIS RESEARCH STUDY?
The purpose of this study is to evaluate an in-development Heat Stress Prevention Training for Employers of Outdoor Workers online training to determine if learning objectives have been met and participant knowledge on heat stress and heat-related illnesses improved and was retained


WHO WILL BE IN THIS RESEARCH STUDY?
About 45 outdoor employers in construction or landscaping will be asked to take part in this study. You may be in this study if you work as an outdoor employer in construction or landscaping and at least 18 years of age.


WHAT WILL YOU BE ASKED TO DO IN THIS RESEARCH STUDY, AND HOW LONG WILL IT TAKE?
You will be asked to complete a test. It will take about 20 minutes. The research will take place online.

If you have any questions or concerns regarding this study, you may contact Brenda Jacklitsch at 513-533-8369.

ARE THERE ANY RISKS TO BEING IN THIS RESEARCH STUDY?
Your responses will be kept private (confidential) to the extent permitted by law and you can stop participating at any time. There is a small risk that your participation or the information you provide us will not remain confidential. To avoid loss of confidentiality, we will keep your information secure at all times and destroy your identifiers at the end of the study. There will be no costs to you, other than your time involved.


ARE THERE ANY BENEFITS FROM BEING IN THIS RESEARCH STUDY?
There is no direct benefit to you, except that your help may improve heat stress awareness and understanding for employers of outdoor workers.


WHAT WILL YOU GET BECAUSE OF BEING IN THIS RESEARCH STUDY?
We will pay you $40 today as a token of appreciation for participating.

DO YOU HAVE CHOICES ABOUT TAKING PART IN THIS RESEARCH STUDY?
Your participation in the research is voluntary.


BY TURNING IN YOUR COMPLETED TEST YOU INDICATE YOUR CONSENT FOR YOUR ANSWERS TO BE USED IN THIS RESEARCH STUDY.

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ELECTRONIC CONSENT: Please select your choice below.

Clicking on the "agree" button below indicates that:

• you have read the above information;
• you voluntarily agree to participate;
• you are at least 18 years of age.

If you do not wish to participate in the survey, please decline participation by clicking on the "disagree" button.

Agree

Disagree



Recruitment and Consent Scripts (Spanish)

Focus Group Recruitment Script (Spanish)

Me llamo _________________. Lo llamamos hoy en nombre de los CDC, los Centros para el Control y la Prevención de Enfermedades. Me gustaría invitarlo a participar en una próxima discusión sobre problemas relacionados con el estrés por calor en el lugar de trabajo y productos educativos que podrían usarse para prevenir enfermedades relacionadas con el calor, como la insolación y el agotamiento por calor en el lugar de trabajo. Si reúne los requisitos, se le invitará a participar en un grupo de discusión de 60 a 90 minutos. Por su participación, recibirá un obsequio monetario de incentivo de $ 40 por participar. ¿Estaría interesado en participar en este estudio?

Focus Group Consent Script (Spanish)

Gracias por aceptar participar en este estudio de investigación sobre el estrés por calor que están realizando los Centros para el Control y la Prevención de Enfermedades (CDC), el Instituto Nacional de Seguridad y Salud Ocupacional (NIOSH). Su participación en la investigación es voluntaria. Le haré algunas preguntas acerca de sus opiniones acerca de los materiales y herramientas relacionados con el estrés por calor que podrían usarse en su trabajo, el cual toma alrededor de 90 minutos para responder. Le pagaremos $ 40 hoy como incentivo por participar. Sus respuestas se mantendrán privadas en la medida en que lo permita la ley y puede dejar de participar en cualquier momento. Existe un pequeño riesgo de que su participación o la información que nos proporcione no permanezca confidencial. Para evitar la pérdida de confidencialidad, mantendremos su información segura en todo momento y destruiremos sus identificadores al final del estudio. No hay ningún beneficio directo para usted, excepto que su ayuda puede mejorar la conciencia y la comprensión del estrés por calor para los trabajadores al aire libre y sus empleadores. No habrá ningún costo para usted, aparte del tiempo involucrado. Si tiene alguna pregunta o inquietud con respecto a este estudio, puede comunicarse con Brenda Jacklitsch al 513-533-8369. ¿Tiene usted alguna pregunta? Vamos a empezar.

Training Evaluation with Pre/Post Test Recruitment and Consent Scripts

Spanish translation versions not needed.

Training is currently available in English-only.


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorFlynn, Mike (CDC/NIOSH/DSI/SSTRB)
File Modified0000-00-00
File Created2025-05-19

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