#6_Gen IC Form_RiskPerception

#6_Gen IC Form_RiskPerception.doc

A Generic Submission for Theory Development and Validation (NCI)

#6_Gen IC Form_RiskPerception

OMB: 0925-0645

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GENERIC SUB-STUDY SUBMISSION – 0925-0645-06


DATE OF REQUEST: August 15, 2013


SUB AGENCY (I/C): NIH/NCI/DCCPS


TITLE OF SUB-STUDY: Validating scale to assess cancer-related risk perceptions


GENERIC CLEARANCE UNDER OMB #0925-0645-06 EXP. DATE: 12/31/2014

TOTAL BURDEN APPROVED: 6,000 hours

BURDEN APPROVED TO DATE: 1,234 hours

BURDEN FOR THIS REQUEST: 625 hours


ABSTRACT:

The goal of National Cancer Institute’s (NCI) Behavioral Research Program (BRP) is to increase the breadth, depth, and quality of behavioral research in cancer prevention and control. BRP conducts varying programs of formative research to develop and validate cancer-related behavioral theories. This formative survey research refines and validates questionnaires necessary to test a theory regarding the nature of risk perceptions. Three questionnaires are designed to assess three aspects of risk perception (deliberative, affective and intuitive risk perception) across three health conditions (cancer, diabetes and heart disease). Participants will complete either a survey about cancer risk perceptions, diabetes risk perceptions, or a survey about heart disease risk perceptions. An internet sample (N = 1500), will be drawn from Amazon mTurk (https://requester.mturk.com/). mTurk is an internet service that allows researchers to gather survey data (mTurk also supports other purposes related to “crowd-sourcing”).


IS RACE AND ETHNICITY DATA COLLECTED AS REQUIRED?

_____YES _X____NO_______N/A


IS PERSONALLY IDENTIFIABLE INFORMATION (PII) BEING COLLECTED?

_____YES _X____NO_______N/A

OBLIGATION TO RESPOND:

__X__ VOLUNTARY

______ REQUIRED TO OBTAIN OR RETAIN BENEFITS

______ MANDATORY


TYPE OF COLLECTION/RESEARCH?

_____ CUSTOMER SATISFACTION

_____ USABILITY TESTING

_____FOCUS GROUPS

_____PRETESTING

__X__FORMATIVE RESEARCH

_____QUESTIONNAIRE DEVELOPMENT

_____ OTHER: _________________________

HOW WILL THIS SURVEY BE OFFERED?

__X__ WEB SITE

_____ TELEPHONE INTERVIEW

_____ MAIL RESPONSE

_____ IN PERSON INTERVIEW

_____ OTHER: _________________________


CONTACT INFORMATION:

NAME: Rebecca Ferrer

TELEPHONE NUMBER: (301)-594-0427

EMAIL ADDRESS: ferrerra@mail.nih.gov


File Typeapplication/msword
File TitleSUBMISSION OF INFORMATION COLLECTION
AuthorNina Goodman, MHS
Last Modified ByVivian Horovitch-Kelley
File Modified2013-08-19
File Created2012-03-23

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