[Federal Register: September 11, 2007 (Volume 72, Number 175)]
[Notices]
[Page 51823]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr11se07-61]
[[Page 51823]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30 Day-07-0398x]
Agency Forms Undergoing Paperwork Reduction Act Review
The Centers for Disease Control and Prevention (CDC) publishes a
list of information collection requests under review by the Office of
Management and Budget (OMB) in compliance with the Paperwork Reduction
Act (44 U.S.C. Chapter 35). To request a copy of these requests, call
the CDC Reports Clearance Officer at (404) 639-5960 or send an e-mail
to omb@cdc.gov. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-6974.
Written comments should be received within 30 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 (NCDDPHP), 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 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 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.
There will be no cost to respondents other than their time. The
total estimated annualized burden hours are 2352.
Estimate of Annualized Burden Hours
----------------------------------------------------------------------------------------------------------------
Number of Average burden
Respondents Number of responses per per response
respondents respondent (in hours)
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Clinicians...................................................... 140 1 30/60
Clinic Support Staff............................................ 140 1 25/60
Patients surveyed only at baseline.............................. 2335 1 20/60
Patients surveyed at baseline and follow-up..................... 972 2 20/60
Patients surveyed only at follow-up............................. 2335 1 20/60
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Dated: September 5, 2007.
Maryam I. Daneshvar,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. E7-17837 Filed 9-10-07; 8:45 am]
BILLING CODE 4163-18-P