Form
Approved
OMB
No. 0920-1154 Exp
Date 3/31/26
Recruitment and Consent Scripts (English)
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?
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.
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?
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).
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.
ELECTRONIC
CONSENT: Please select your choice below.
○ Agree
○ Disagree
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.
Recruitment and Consent Scripts (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?
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.
Spanish translation versions not needed.
Training is currently available in English-only.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Flynn, Mike (CDC/NIOSH/DSI/SSTRB) |
File Modified | 0000-00-00 |
File Created | 2025-05-19 |