Pilot Testing on New NHANES 2009-10 Content

Attachment J.

Protocol for Physical Activity Monitor (PAM) Pilot Study (ages 6+)

National Health and Nutrition Examination Survey (NHANES)

Physical Activity Monitor (PAM) Pilot Study

OMB no. 0920-0237

Expires: 12/31/2011

Assurance of confidentiality – All information which would permit identification of an

individual, a practice, or an establishment will be held confidential, will be used for

statistical purposes only by NCHS staff, contractors, and agents only when required and with necessary controls, and will not be disclosed or released to other persons without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 USC 242m) and the Confidential Information Protection and Statistical Efficiency Act (PL-107-347).

Public reporting burden of this collection of information is estimated to average 5 minutes 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, MS D-74, Atlanta, GA 30333. ATTN: PRA (0920-0237).

Physical Activity Monitor (PAM) Study Protocol:

Eligibility: Sample persons aged 6 years or older are eligible for the Physical Activity Monitor (PAM) Pilot Study.

Informed Consent: Informed consent will be obtained as a part of standard NHANES consenting procedures.

Exclusion Criteria: Respondents who do not have arms will not be able to participate in the component, since the device must be worn on the wrist.

Study Design: A trained technician in the Mobile Examination Center (MEC) will demonstrate the wearing of the PAM by the respondent. The PAM is about the size of a wrist watch. The technician will attach the PAM to participants’ wrists with a wrist band and instruct that the participant conduct their normal daily routine for the next 7 days. After the 7th day the participant will remove the PAM and mail it back to NHANES for processing.

Data Collection: NHANES participants will be given instructions about wearing the PAM and the PAM will be put on the participants’ wrists in a NHANES Mobile Examination Center (MEC) room. The participant will then wear the device for the next 7 days. The device will automatically record the participant’s daily physical activity for 7 days. At the end of this time period, participants will mail the device back to NHANES in a preaddressed and stamped envelope.

Report of Findings: Results will not be reported to the participant.