[Federal Register Volume 78, Number 221 (Friday, November 15, 2013)]
[Notices]
[Pages 68846-68848]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2013-27372]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60-Day-14-14CJ]
Proposed Data Collections Submitted for Public Comment and
Recommendations
In compliance with the requirement of Section 3506(c)(2)(A) of the
Paperwork Reduction Act of 1995 for opportunity for public comment on
proposed data collection projects, the Centers for Disease Control and
Prevention (CDC) will publish periodic summaries of proposed projects.
To request more information on the proposed projects or to obtain a
copy of the data collection plans and instruments, call 404-639-7570 or
send comments to Leroy Richardson, 1600 Clifton Road, MS D-74, Atlanta,
GA 30333 or send an email to [email protected].
Comments are invited on: (a) Whether the proposed collection of
information is necessary for the proper performance of the functions of
the agency, including whether the information shall have practical
utility; (b) the accuracy of the agency's estimate of the burden of the
proposed collection of information; (c) ways to enhance the quality,
utility, and clarity of the information to be collected; and (d) ways
to minimize the burden of the collection of information on respondents,
including through the use of automated collection techniques or other
forms of information technology. Written comments should be received
within 60 days of this notice.
Proposed Project
Racial and Ethnic Approaches to Community Health (REACH)
Demonstration Projects: Evaluation Study--New--National Center for
Chronic Disease Prevention and Health Promotion (NCCDPHP), Centers for
Disease Control and Prevention (CDC).
Background and Brief Description
In the United States, chronic conditions such as heart disease,
obesity and diabetes are among the leading causes of death and
disability. The devastating effects of these conditions can be reduced
by adopting healthy behaviors such as eating nutritious foods, being
physically active and avoiding tobacco use.
CDC has supported a variety of programs aimed at promoting
evidenced-based strategies to improve public health. However, despite
indications of progress in overall population health, disparities in
health status persist for many minority groups.
[[Page 68847]]
In fiscal year 2012, CDC received Affordable Care Act (ACA) funding
to support Racial and Ethnic Approaches to Community Health (REACH)
demonstration projects in two sites (Boston, Massachusetts, and Los
Angeles, California). The sites are implementing culturally-tailored
policy, systems, and environmental (PSE) strategies aimed at reducing
rates of obesity and hypertension, and promoting health equity.
CDC plans to assess the effectiveness of the REACH demonstration
projects through the ``REACH Demonstration Projects: Evaluation Study
(RES).'' The RES is designed to examine the health impact of PSE
strategies for promoting health. As required by the ACA, the evaluation
will specifically assess changes in weight, proper nutrition, physical
activity, tobacco use prevalence, and emotional well-being. Information
collected for the RES will consist of targeted surveillance data,
biometric measures, and information about health and life style
decision making at the REACH demonstration program sites and one non-
intervention comparison site (Atlanta, Georgia). Information will also
be collected about key cultural and contextual factors that affect
health and lifestyle decision-making. This information will provide
insights about the barriers and facilitators that affect the adoption
of healthy behaviors.
The specific aims of the RES include the following: (1) Examine
trends of risk factors for chronic disease using behavioral and
biometric indicators. (2) Examine the reduction in health disparities
within targeted populations for obesity and hypertension. (3) Identify
factors that contribute to the decision-making process for individual
change in health-related behavior and lifestyle change through the
REACH health and lifestyle decision-making domain (HD).
The RES uses a cross-sectional design and will be conducted over a
period of two years, collecting survey and biometric data in two cycles
of data collection approximately 12 to 15 months apart. Respondents
will be representative samples of adults who are 18 years of age or
older, and youths between the ages of 9 and 17 years of age, who reside
in the two REACH Demonstration sites or the comparison site. An
address-based sampling (ABS) approach will be used to select the sample
for each site. The sampling design will oversample households
containing Black and Hispanic persons (targeted populations) and
youths. For each REACH demonstration site, this will result in a sample
of up to 1,800 adults and 400 youths for each cycle of data collection.
The sample for the comparison site will consist of 2,400 adults and 800
youth for each cycle of data collection.
The information collection plan and instruments for the RES are
modeled on the instruments and procedures developed by CDC for
Community Transformation Grant (CTG) awardees (Targeted Surveillance
and Biometric Studies for Enhanced Evaluation of CTGs, Office of
Management and Budget (OMB) No. 0920-0977, exp. 8/31/2016). For the
RES, a Health and Lifestyle Decision-Making domain has been added to
the Adult Targeted Surveillance Survey (ATSS) to assess individual
change in health-related behavior and lifestyle. The Health and
Lifestyle Decision-Making domain was developed by an expert panel that
convened to conceptualize and operationalize the survey items based on
the literature and existing instruments.
The RES will enable CDC to compare data across the three sites at
two time periods and to use these data for comparisons with other
sources of information, such as state-based behavioral risk factor
surveys and the National Health and Nutrition Examination Survey
(NHANES, OMB No. 0920-0237, exp. 10/31/2013). In addition, the added
REACH Demonstration health and lifestyle decision-making domain will
identify key contextual factors, such as perceived discrimination,
perceived neighborhood safety, mistrust, and other concerns or issues
that could potentially serve as mediating and moderating variables that
impact health and lifestyle decisions.
The study will use computer-assisted personal interviewing
technology. The names of respondents will not be included in any data
sets or reports prepared from this project. Office of Management and
Budget approval is requested for two years. Participation is voluntary,
and there are no costs to respondents other than their time.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response Total burden
respondents respondent (in hrs) (in hrs)
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Adults >= 18 years of age in Adult Telephone/ 8,000 1 3/60 400
REACH Demonstration Program In-person 6,000 1 45/60 4,500
Sites or the Comparison Site. Recruitment
Screener.
Adult Targeted
Surveillance
Survey with HD
Module.
Adult Biometric 2,400 1 30/60 1,200
Measures.
Youth ages 9-17 years in REACH Youth Targeted 1,600 1 20/60 533
Demonstration Program Sites Surveillance 1,600 1 20/60 533
or the Comparison Site. Survey.
Youth Biometric Measures......
�������������������������������
Total..................... ................ .............. .............. .............. 7,166
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[[Page 68848]]
Leroy A. Richardson,
Chief, Information Collection Review Office, Office of Scientific
Integrity, Office of the Associate Director for Science, Office of the
Director, Centers for Disease Control and Prevention.
[FR Doc. 2013-27372 Filed 11-14-13; 8:45 am]
BILLING CODE 4163-18-P