[Federal Register: September 5, 2006 (Volume 71, Number 171)]
[Notices]
[Page 52334-52335]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr05se06-34]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-06-0398x]
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 404-639-5960
and send comments to Seleda Perryman, CDC Assistant Reports Clearance
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail
to omb@cdc.gov.
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
Evaluation of an Intervention to Increase Colorectal Cancer
Screening in Primary Care Clinics--New--National Center for Chronic
Disease Prevention and Health Promotion (NCCDPHP), Centers for Disease
Control and Prevention (CDC).
Background and Brief Description
Colorectal cancer (CRC) is the third most frequent form of cancer
and the second leading cause of cancer-related deaths among both men
and women in the United States. Research shows that screening can
reduce both the occurrence of colorectal cancer and
[[Page 52335]]
colorectal cancer deaths. Screening is beneficial for: (1) Detection
and removal of precancerous polyps, resulting in patients recovering
without progression to a diagnosis of cancer, and (2) early detection
of CRC for more effective treatment and improved survival. Regular CRC
screening is recommended for people aged 50 years and older. Many
screening tests are widely available and screening has been shown to be
effective in reducing CRC mortality. Despite this demonstrated
effectiveness, CRC screening remains low. Some reasons attributed to
the low screening rates include limited public awareness of CRC and the
benefits of screening, failure of health care providers to recommend
screening to patients, and inefficient surveillance and support systems
in many health care settings.
The purpose of this one-time study is to evaluate and understand
the effect of a multi-component intervention on CRC screening rates in
primary care clinics. The study will also examine the effects of the
intervention conditions on behavioral outcomes (e.g., clinician-patient
discussions about CRC screening) and on attitudes, beliefs, opinions,
and social influence surrounding CRC screening among patients. The
target population includes average-risk patients aged 50-80 years,
clinicians, and clinic support staff within the primary care clinics in
two managed care organizations (MCOs). There are three tasks in this
study. In Task 1, 140 primary care clinicians will complete a survey
assessing demographics, opinions about preventive services, CRC
screening training and practices, satisfaction with CRC screening, and
CRC screening beliefs, facilitators, and barriers. The survey will be
administered to primary care clinicians post-intervention. In Task 2,
140 clinic support staff will complete a survey assessing demographics,
work-related responsibilities, opinions about preventive services, CRC
training and practices, satisfaction with CRC screening, and CRC
screening beliefs, facilitators and barriers. The survey will be
administered to clinic support staff post intervention. In Task 3,
clinic patients will complete a survey assessing demographics, health
status, receipt of previous CRC screening and other preventive
services, knowledge and opinions about CRC and CRC screening, and
social support. The survey will be administered to 3307 patients pre-
intervention and 3307 patients post-intervention. Of these, 972
patients will receive both the pre- and post-intervention survey.
There are no costs to respondents except their time to participate
in the survey.
Estimated Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Average
No. of No. of burden per Total burden
Respondents respondents responses per response (in (hours)
respondent hours)
----------------------------------------------------------------------------------------------------------------
Clinicians...................................... 140 1 30/60 70
Clinic Support Staff............................ 140 1 25/60 58
Patients surveyed only at baseline.............. 2335 1 20/60 788
Patients surveyed at baseline and follow-up..... 972 2 20/60 648
Patients surveyed only at follow-up............. 2335 1 20/60 788
---------------------------------------------------------------
Totals...................................... .............. .............. .............. 2352
----------------------------------------------------------------------------------------------------------------
Dated: August 28, 2006.
Joan F. Karr,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. E6-14622 Filed 9-1-06; 8:45 am]
BILLING CODE 4163-18-P