African American HTMS Expedited Review Form

Health Message Testing System Expedited Review Form
1. Title of Study: (Please append screener and questionnaire)

African American Health Disparities Social Marketing Research Project (see attachments 1-4: consent,
invitation and reminder e-mail scripts, screener, and survey)
2. Study Population: (Discuss study population and explain how they will be selected/recruited.)

Study participants will be 500 African American men and 50 African American women, between the ages
of 18 and 30 . The study sample will be recruited via an online panel survey vendor.

Respondent characteristics:
Number of subject: 550

Number of males:

500

Age range: 18 to 30

Number of females: 50

Racial/ethnic composition: 100% African American or Black
Special group status: (e.g., risk group, health care providers)
Type of group(s): N/A
Geographic location(s): US

3. Incentives: (State what incentive will be offered and justify proposed incentives to be used in study.)

CDC will not provide incentives to study participants. The online survey vendor may provide points (with
no cash value, but redeemable for merchandise online) as part of their pre-established agreements with
their survey panelists or other participants recruited to participate. These points are particularly warranted
to maintain or recruit a panel of young African American men who online survey vendors report to be
difficult to recruit into research studies.

4. Study method: (Please check one below)
Central location intercept interview:
Online Interview:
Telephone interview:
Other (describe):

Focus group:
Individual in-depth interview (cognitive interview):

(CATI used: yes or no):

5. Purpose of the overall communication effort into which this health message(s) will fit:
(Please provide 2-3 sentences below.)

The overall communication effort primarily seeks to reduce the incidence and prevalence of STDs among
African American men ages 18 to 30 in the US, and secondarily among a small sample of African
American women, also 18 to 30. The messages will promote positive sexual health, including partner
communication, information seeking and sharing, testing, condom use, partner respect, personal
responsibility and responsibility to community. We will also test for unintended effects of the messages.
6. Category of time sensitivity: (Please check one below)
Health emergency:
Time-limited audience access:
Press coverage correction:
Time-limited congressional/administrative mandate:
Trend Tracking
Ineffective existing materials due to historical event/social trends:
7. Describe nature of time sensitivity: (Please provide 2-3 sentences below.)
The funding mechanism for this project will soon expire. Audience feedback on the draft communication
concepts is critical before they are packaged into template materials that can be shared and disseminated
with CDC's prevention partners.

8. Number of burden hours requested: 302

BURDEN HOURS
Category of Respondent

No. of
Participation
Respondents Time

Burden

General Public (Screener)

809

2/60

27 hours

General Public (Web based survey)

550

30/60

275

Totals
9. Are you using questions from the approved question bank?

302

No

If yes, please list the item number(s) for questions used from the question bank separated by a comma.
(e.g., 1a, 3c, 130d)
N/A

*** Items below to be completed by Office of Associate Director for Communication (OADC)***
1. Number of burden hours remaining in current year's allocation: 5,590.5
2. OADC confirmation of time-sensitivity:
Yes:
No:

Sarah Lewis
Project Officer
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