Rapid Message Testing with Healthcare Professionals - Search and Rescue Website (CDER)

OMB Control No. 0910-0695

Expiration date: 2/28/2021

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0910-0695 and the expiration date is 2/28/2021. The time required to complete this information collection is estimated to average 3 minutes per response, including the time for reviewing instructions and completing and reviewing the collection of information.

FDA RAPID – MESSAGE #23

Search and Rescue Website

Introduction

The U.S. Food and Drug Administration, or FDA, hired Westat to help them get opinions about a website related to prescription opioid misuse, abuse, and addiction. WebMD Professional/Medscape is helping Westat and FDA find healthcare professionals who may be interested in being interviewed about this website. To make sure you are a good fit for the interview, please take about 3 minutes to answer the questions below.

1. What is your age?

 Under 18  INELIGIBLE

 18 to 24

 25 to 34

 35 to 54

 55 or older

2. Are you a physician, physician assistant, nurse practitioner, or pharmacist?

 Yes, physician  GO TO Q3

 Yes, physician assistant  INELIGIBLE

 Yes, nurse practitioner  INELIGIBLE

 Yes, pharmacist  INELIGIBLE

 No  INELIGIBLE

3. What is your area of practice?

 Primary care/family practice/general medicine/internal medicine  PRIMARY CARE

 Neurology  SPECIALIST

 Anesthesiology  SPECIALIST

 Emergency Medicine  SPECIALIST

 Surgery  SPECIALIST

 Orthopedics  SPECIALIST

 Other  INELIGIBLE

4. Do you, or does any member of your household or immediate family work…?

1. For a market research company  INELIGIBLE

2. For an advertising agency or public relations firm  INELIGIBLE

3. In the media (TV, radio, newspapers, magazines)  INELIGIBLE

4. In the pharmaceutical industry  INELIGIBLE

5. None of the above  GO TO Q5

5. Are you an…?

1. Employee of the U.S. Department of Health and Human Services, or any of its agencies including the Food and Drug Administration, Centers for Disease Control and Prevention, and National Institutes of Health INELIGIBLE

2. Employee of a state or local health department INELIGIBLE

3. None of the above  GO TO Q6

6. On average, for about how many patients per month do you prescribe opioid analgesics for non-cancer pain?

 0  INELIGIBLE

 1 to 4  INELIGIBLE

 5 to 10

 11 to 20

 21 or more

 Don’t Know  INELIGIBLE

7. How many years have you been in practice post-residency? If you did not do a residency, how many years have you been in practice?

 Less than 10 years

 10-19 years

 20-29 years

 30 years or more  INELIGIBLE

8. What is your sex?

 Female

 Male

9. Are you of Hispanic, Latino, or Spanish origin?

 Yes

 No

10. What is your race? Please select one or more.

□ White

□ Black or African-American

□ American Indian or Alaska Native

□ Asian

□ Native Hawaiian or other Pacific Islander

11. Would you consider your primary practice location to be…?

 Urban

 Suburban

 Rural

12. In what state do you practice most often? [DROP DOWN LIST OF US STATES, INCLUDING “OUTSIDE OF THE US”] [“OUTSIDE OF THE US”  INELIGIBLE]

Request for Contact Information

C1. Thank you for answering the questions. Based on your answers, you may be selected for a 45-minute interview. If selected and you finish it, you will get [$100 (Primary care) OR $150 (Specialists)]. At the start of the interview, the interviewer will ask if it’s okay to audio record it. This helps Westat to make sure they correctly hear everything you say.

As stated earlier, WebMD Professional/Medscape is helping Westat and FDA identify physicians interested in providing opinions about a website. Westat will be conducting the interviews using online conference software. If you are chosen for an interview, you will need to log on to the Internet using a laptop or desktop computer so that you can see a screen that our interviewer will share with you. At the same time, you will need to be able to talk with our interviewer using a cell phone or landline.

Do you have access to both a computer and a phone?

 Yes

 No  INELIGIBLE

C2. If you are chosen for an interview, Westat will send you an email with instructions about how to join the interview. When it is time for the interview please follow the instructions to log on. Is it okay with you for WebMD Professional/Medscape to share your contact information with Westat?

 Yes

 No  INELIGIBLE

Thank and Terminate

Thank you for taking our survey. Unfortunately, based on your responses, you are not eligible for this study. However, we appreciate you taking the time to answer our questions today.

Contact Information

C3. In the space below, please provide us with your contact information, including phone number and email address. Please know that Westat will not share your information with anyone else. Your personal information will be deleted upon completion of the research project.

Name ______________________________________________________________________

Phone Number _______________________________________________________________

Email Address ________________________________________________________________

Closing

Thank you for your answers to these questions. If you are chosen for an interview, someone will contact you within the next 1-2 days.