[Federal Register Volume 75, Number 211 (Tuesday, November 2, 2010)]
[Notices]
[Pages 67374-67375]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-27605]
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30-Day-11-10CB]
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 [email protected]. Send written comments to CDC Desk Officer, Office of
Management and Budget, Washington, DC or by fax to (202) 395-5806.
Written comments should be received within 30 days of this notice.
Proposed Project
A Survey to Evaluate Occupational Safety and Health Educational
Materials for Home Care Workers--New--National Institute for
Occupational Safety and Health (NIOSH), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
The mission of the National Institute for Occupational Safety and
Health (NIOSH) is to promote safety and health at work for all people
through research and prevention. Under Public Law 91-596, Sections 20
and 22 (section 20-22, Occupational Safety and Health Act of 1970);
NIOSH has the responsibility to conduct research to advance the health
and safety of workers. In this capacity, NIOSH will conduct a survey of
home care workers to evaluate newly developed educational intervention
materials.
Home care workers who provide housekeeping and routine personal
care services to elderly, disabled or ill individuals in their homes,
constitute one of the fastest growing occupational groups, estimated at
about 1,500,000 workers. In 1997, the U.S. Bureau of Labor Statistics
issued a special report on work-related injuries to home care workers
showing an injury rate which was 50% higher than that of workers
employed in the private hospital sector and 70% higher than the overall
rate for all private industry workers.
NIOSH has developed educational intervention materials for home
care workers to prevent exposure to work-related hazards. The
intervention materials consist of a printed handbook and a training
session that explains how to use the handbook. The primary goal of the
handbook and training session is to help home care workers and their
clients identify hazards, discuss these hazards and identify accessible
and low cost tips and tools for minimizing exposures to hazards. These
materials have been developed and piloted in Alameda County,
California. The goal of this data collection is to evaluate these
materials before disseminating them more broadly.
The study population for this survey includes current home care
workers and their clients who are enrolled in the In-
[[Page 67375]]
Home Supportive Services (IHSS) Program in Alameda County, California.
NIOSH has obtained input on the content and operational aspects of
the survey through local stakeholder meetings. The survey instrument
has been reviewed by subject matter experts and cognitive interviews
have been conducted using the survey instrument. Input received was
used to guide development of the survey instrument and plans for survey
implementation.
Rather than inviting all 15,000 home care workers to participate
through a mailing, as was stated in the 60 day notice, instead we will
recruit participants through a mailing to a stratified random sample of
5000 current home care workers extracted from the regularly updated
Alameda County IHSS program employee database. The sample will be
stratified to reflect approximately equal numbers of English, Spanish
and Chinese speaking home care workers using the preferred language
variable included in the employee database. The mailing will include a
letter explaining the study and an interest response form. Interested
workers who would like to volunteer to participate in the study will
complete the interest response form and return it in a self addressed
envelope to the study contractor. The first 107 home care worker
volunteers from each of the three language groups (320 total home care
workers) who return their interest response forms will be randomized in
equal groups into either an intervention or a control group and will be
called and enrolled in the study by the survey contractor. The change
from sending recruitment letters to all 15,000 workers to a more
targeted recruitment pool of 5,000 English, Spanish, and Chinese
speakers was made following additional input from our community
partners. They considered the 5,000 to be sufficient to recruit the
necessary 320 volunteers.
The primary client for each home care worker participant will also
be called by the contractor and invited to participate in the study but
the clients' willingness to participate will not affect whether a home
care workers can remain as a study participant. Both the home care
worker and their primary client will complete a pre- and a post-
intervention telephone survey with a two-month interval between the two
surveys. Data from the telephone surveys will be captured directly into
an electronic database. Home care workers in the intervention group
will receive the intervention materials and training during the
interval between the pre and the post surveys. Home care workers in the
control group will receive the intervention materials and training
after the completion of the post survey. Each telephone survey will
last approximately 30 minutes for home care workers and 15 minutes for
clients. Because of the demographics of the population intervention
materials as well as the evaluation surveys are in three languages:
English, Spanish and Chinese.
Information will be collected on demographic variables including
age, sex, race, education, income, primary language, and marital
status. Information will be collected on the number of years a worker
has been employed as a home care worker and the number of years a
client has received home care services. Information will also be
collected on working conditions and occupational exposures, work
related injuries, knowledge of work-related health risks and workers'
perception of the ease of controlling hazards. Finally, information
will be collected from workers on their job satisfaction and clients on
their satisfaction with caregiver services, on the quality of the
caregiver and client relationships, and specific questions regarding
use of the intervention materials.
The purpose of this information collection is to evaluate whether
or not the educational materials (the Home Care Worker Handbook and
training session) are effective in (1) conveying the intended message
and (2) encouraging home care workers and their clients to make changes
to reduce hazards. Without benefit of the evaluation, CDC will be
unable to determine the effectiveness of the materials or formulate
recommendations on their appropriate use and broader dissemination.
Once the study is completed, results will be made available via
various means including the NIOSH internet site. NIOSH expects to
complete data collection no later than spring of 2011. There is no cost
to respondents other than their time.
The total estimated annual burden hours are 842.
----------------------------------------------------------------------------------------------------------------
Average
Number of Number of burden per
Type of respondent Form name respondents responses per response (in
respondent hours)
----------------------------------------------------------------------------------------------------------------
Home care workers..................... Home care worker 500 1 5/60
interest response form.
Home care worker pre 320 1 30/60
survey.
Home care worker 320 1 1
training program.
Home care worker post 320 1 30/60
survey.
Home care clients..................... Client pre survey....... 320 1 15/60
Client post survey 320 1 15/60
(post).
----------------------------------------------------------------------------------------------------------------
Dated: October 27, 2010.
Carol Walker,
Acting Reports Clearance Officer, Centers for Disease Control and
Prevention.
[FR Doc. 2010-27605 Filed 11-1-10; 8:45 am]
BILLING CODE 4163-18-P