Expedited Review Form_HMTS GenIC Request

Expedited Review Form_MSM_Shigella_MessageTesting 31OCT2018.pdf

CDC and ATSDR Health Message Testing System

Expedited Review Form_HMTS GenIC Request

OMB: 0920-0572

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

Sexual Health Study for Gay and Bisexual Men

2. Study Population: (Discuss study population and explain how they will be selected/recruited.)

Adults (18 years of age or older) who self-identify as a man, report having had sex with another man in the
past 3 months, and can speak and understand English. Georgia State University will passively recruit
participants by advertising through various community outlets, social media outlets, and service providers.
Respondent characteristics:
Number of subject: 60

Number of males:

60

Age range: older than 18 years

Number of females: 0

Racial/ethnic composition: all races (e.g., African American, Hispanic, and Caucasian)
Special group status: (e.g., risk group, health care providers)
Type of group(s): who self-identify as a man, report having had sex with another
man in the past 3 months, and can speak and understand English
Geographic location(s): Atlanta, Georgia metropolitan area

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

Focus group participants will receive a monetary gift of appreciation for their participation. It is assumed
that many of these participants will be taking time either during work hours or personal time to complete
the focus groups. Therefore, the monetary gift may serve to offset costs related to participating in the study
in the amount of $40 for participation in the 60-minute focus group.

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.)

Examine knowledge, attitudes, and perceptions of shigellosis and to identify preferences for health
communication materials. The results of these focus groups will be used to develop health communication
messages and concepts for educational posters.

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.)
Despite the data linking shigellosis to sexual behavior, few data exist to guide shigellosis prevention
campaigns among men who have sex with men (MSM), and existing campaigns to prevent transmission of
sexually transmitted non-enteric infections may not fully apply to shigellosis prevention among MSM.
This project examines knowledge, attitudes, and perceptions of shigellosis and will be used to identify
preferences and ways to improve shigella prevention health communication materials among MSM.

8. Number of burden hours requested: 94

BURDEN HOURS
No. of
Participation
Respondents Time

Category of Respondent

Burden

Men who have sex with men (screening form)

400

5/60 hours

34 hours

Men who have sex with men (Focus Groups)

60

1 hour

60 hours

Totals

400

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

94 hours

Yes

If yes, please list the item number(s) for questions used from the question bank separated by a comma.
(e.g., 1a, 3c, 130d)
44E, 1D, 33D, 28D, 29D, 6E, 5E, 110D, 112D, 113D, 114D, 116D, 120D, 7D, 32D, 1E

*** Items below to be completed by Office of Associate Director for Communication (OADC)***
1. Number of burden hours remaining in current year's allocation: 7210
2. OADC confirmation of time-sensitivity:
Yes:
No:

Dawn B. Griffin
Project Officer
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