[Federal Register Volume 82, Number 4 (Friday, January 6, 2017)]
[Notices]
[Pages 1742-1744]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2017-00004]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-17-17JA; Docket No. CDC-2016-0122]
Proposed Data Collection Submitted for Public Comment and
Recommendations
AGENCY: Centers for Disease Control and Prevention (CDC), Department of
Health and Human Services (HHS).
ACTION: Notice with comment period.
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SUMMARY: The Centers for Disease Control and Prevention (CDC), as part
of its continuing effort to reduce public burden and maximize the
utility of government information, invites the general public and other
Federal agencies to take this opportunity to comment on proposed and/or
continuing information collections, as required by the Paperwork
Reduction Act of 1995. This notice invites comment on the Evaluation of
``Effectiveness of Teen Pregnancy Prevention Programs Designed
Specifically for Young Males: Columbia University Young Men's
Project''. The main goal of this study is to adapt, implement, and
evaluate an innovative computer-assisted motivational interviewing
(CAMI-TPP) intervention to engage young males in behaviors that prevent
unintended teen pregnancy.
DATES: Written comments must be received on or before March 7, 2017.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2016-
0122 by any of the following methods:
Federal eRulemaking Portal: Regulations.gov. Follow the
instructions for submitting comments.
Mail: Leroy A. Richardson, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE., MS-D74, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. All relevant comments received will be posted
without change to Regulations.gov, including any personal information
provided. For access to the docket to read background documents or
comments received, go to Regulations.gov.
Please note: All public comment should be submitted through the
Federal eRulemaking portal (regulations.gov) or by U.S. mail to the
address listed above.
FOR FURTHER INFORMATION CONTACT: To request more information on the
proposed project or to obtain a copy of the information collection plan
and instruments, contact the Information Collection Review Office,
Centers for Disease Control and Prevention, 1600 Clifton Road NE., MS-
D74, Atlanta, Georgia 30329; phone: 404-639-7570; Email: [email protected].
SUPPLEMENTARY INFORMATION: Under the Paperwork Reduction Act of 1995
(PRA) (44 U.S.C. 3501-3520), Federal agencies must obtain approval from
the Office of Management and Budget (OMB) for each collection of
information they conduct or sponsor. In addition, the PRA also requires
Federal agencies to provide a 60-day notice in the Federal Register
concerning each proposed collection of information, including each new
proposed collection, each proposed extension of existing collection of
information, and each reinstatement of previously approved information
collection before submitting the collection to OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
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; (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; and (e) estimates of capital or start-
up costs and costs of operation, maintenance, and purchase of services
to provide information. Burden means the total time, effort, or
financial resources expended by persons to generate, maintain, retain,
disclose or provide information to or for a Federal agency. This
includes the time needed to review instructions; to develop, acquire,
install and utilize technology and systems for the purpose of
collecting, validating and verifying information, processing and
maintaining information, and disclosing and providing information; to
train personnel and to be able to respond to a collection of
information, to search data sources, to complete and review the
collection of information; and to transmit or otherwise disclose the
information.
[[Page 1743]]
Proposed Project
Evaluation of ``Effectiveness of Teen Pregnancy Prevention Programs
Designed Specifically for Young Males: Columbia University Young Men's
Project''--New--National Center for Chronic Disease Prevention and
Health Promotion (NCCDPHP), Centers for Disease Control and Prevention
(CDC).
Background and Brief Description
The Division of Reproductive Health, Centers for Disease Control
and Prevention (CDC), is seeking OMB review and approval for a new
information collection to carry out an evaluation of the Columbia
University Young Men's Teen Pregnancy Prevention project funded by the
``DP15-007 Effectiveness of Teen Pregnancy Prevention Programs Designed
Specifically for Young Males'' cooperative agreement. Approval is being
requested for three years (Years 2-4) of a 5-year project. During Year
3, a request will be made for an extension of information collection to
cover Years 4-5.
Although teen birth rates (defined as live births per 1,000 15-19-
year-old U.S. females) are declining, the U.S. teen birth rate remains
higher than in other developed countries (Penman-Aguilar, Carter,
Snead, & Kourtis, 2013). Furthermore, geographic, socioeconomic, and
racial/ethnic disparities in teen birth rates persist. In 2012, non-
Hispanic black and Hispanic teen birth rates were still more than two
times higher than birth rates for non-Hispanic white teens (Martin,
Hamilton, Osterman, Curtin, & Mathews, 2013).
In 2014 teen fatherhood occurred at a rate of 11.3 births per 1,000
men aged 15-19 (Hamilton, Martin, Osterman, Curtin, & Mathews, 2015)
and resulted in approximately 156,000 births. According to the 2006-
2010 National Survey of Family Growth, 15% of males fathered a child
while younger than age 20 and rates of fathering a child were highest
among non-Hispanic Black and Hispanic teens (Martinez, Daniels, &
Chandra, 2012). Data suggest that teen fathers attend fewer years of
school and are less likely to graduate from high school than teens who
are not fathers (Fletcher & Wolfe, 2012). In addition, males just
beyond their teen years (aged 20-24) father a higher proportion of
children born to teen mothers than males aged 19 and younger (Elo,
King, & Furstenburg, 1999; Males, 1995). Thus, it is important to reach
both teenage as well as young adult males in their early twenties
(hereafter collectively referred to as ``young men'') in teen pregnancy
prevention efforts.
Initiatives to prevent teen pregnancy have focused primarily on the
role of female teens; however, young men can also play an important
role and should be actively engaged in preventing teen pregnancy.
Partner involvement in contraceptive decision making can increase use
of effective methods of pregnancy prevention, including the use of dual
protection (i.e., using condoms plus hormonal methods to prevent both
pregnancy and sexually transmitted infections [STIs]) (Kerns 2003,
Harper 2004, Kraft 2010, Cox and Cox 2010). Increased use of effective
contraception may be based on improved contraception-related
communication, joint responsibility and decision making between
partners, as well as male partners' knowledge and attitudes about
contraceptive methods (including condoms), support for use of
moderately or highly effective methods, and desire for pregnancy
prevention. Nevertheless, few interventions have focused on young men
or been shown to be effective in reducing teen pregnancy. The HHS Teen
Pregnancy Prevention Evidence Review, (http://tppevidencereview.aspe.hhs.gov/ReviewProtocol.aspx) conducted in 2012
by Mathematica Policy Research on behalf of the HHS (U.S. Department of
Health and Human Services, 2012) and updated in 2014 identified 35
rigorously evaluated interventions found to have an impact on sexual
risk behaviors, teen pregnancy, and/or STIs. Most interventions were
evaluated among young male and female participants; only one
intervention was designed and evaluated specifically for males (Magura,
Kang, & Shapiro 1994). Most of the 35 interventions were designed as
HIV/STI prevention interventions and provide participants with
information about condoms but little about other contraceptive options.
They also do not address the shared responsibility of contraceptive
decision making or sexual and reproductive health services.
While programs that address male-specific risk and protective
factors for teen pregnancy (e.g., Gottesgen & Philiber, 2001; Ricardo,
Nascimento, Fonseca & Segundo, 2010; Smith, Weinman, Buzi, & Benton,
2004; Tello, Cervantes, Cordova, & Santos, 2010) have been developed,
there are no published results from rigorous evaluations of these
interventions. If found to be efficacious, this study will add a male-
focused program to the evidence review. This information collection
request aims to address this gap in the literature through a randomized
controlled trial (RCT) of a computer-assisted motivational interviewing
application for mobile phones to prevent fathering an unintended
pregnancy (CAMI-TPP) by males aged 15 to 24 years in comparison to a
control group (CAMI-Fitness).
CAMI will be conducted in a racially and ethnically diverse
population of young males aged 15 to 24 years in New York City, NY.
Young males will be recruited at 3 sites in New York City: The Young
Men's Clinic in Washington Heights and among students at the school-
based health centers of two inner-city NYC high schools--George
Washington Educational Campus in Washington Heights and John F. Kennedy
campus in the Bronx. Participants will be assessed at baseline,
immediately post-intervention (12 weeks), and at three follow-ups (24
weeks, 36 weeks, and 60 weeks) after participation in the 12-week
intervention. Participants will also complete weekly online check-ins
for 60 weeks from the time of enrollment in the project. Weekly check-
ins have been used in past studies to increase retention during the
study period and are very brief.
The knowledge generated from this project will inform the HHS Teen
Pregnancy Prevention Evidence Review. If the intervention is found to
be efficacious, it will provide Teen Pregnancy Prevention grantees of
the Office of Adolescent Health, CDC, and Administration for Children
and Families with a new intervention to reduce the number of young men
who father a teen pregnancy.
OMB approval is requested for three years. Participation is
voluntary and there are no costs to respondents other than their time.
The total estimated annualized burden hours are 2,598.
[[Page 1744]]
Estimated Annualized Burden Hours
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Average Total
Number of Number burden per burden
Type of respondents Form name respondents responses per response hours (in
respondent (in hours) hours)
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Young men aged 15-24 years........ Eligibility Screener. 2,428 1 5/60 202
Consented and enrolled young men Baseline Assessment.. 315 1 32/60 168
aged 15-24 years.
Therapeutic Alliance 315 2 5/60 53
Assessment.
Satisfaction--Coachin 315 4 2/60 42
g.
Satisfaction--Weekly 315 1 5/60 26
Check-ins.
12-week Assessment... 315 1 30/60 158
Satisfaction--Assessm 315 1 7/60 37
ents.
24-week Assessment... 315 1 28/60 147
36-week Assessment... 252 1 26/60 108
60-week Assessment... 190 1 26/60 82
Consented and enrolled young men Weekly Check-in...... 315 60 5/60 1,575
aged 15-24 years.
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Total......................... ..................... ........... .............. ........... 2,598
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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. 2017-00004 Filed 1-5-17; 8:45 am]
BILLING CODE 4163-18-P