Notice2022-20121
Proposed Data Collection Submitted for Public Comment and Recommendations
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
September 16, 2022
Issuing agencies
Health and Human Services DepartmentCenters for Disease Control and Prevention
Abstract
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 the opportunity to comment on a proposed information collection, as required by the Paperwork Reduction Act of 1995. This notice invites comment on a proposed information collection project titled Evaluation of the CDC/NIOSH Health Worker Mental Health Campaign. This project will collect data through the administration of online surveys to health workers and their employers prior to campaign launch and 12 months afterward to assess changes in relevant knowledge, attitudes, and beliefs to help inform recommendations.
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<title>Federal Register, Volume 87 Issue 179 (Friday, September 16, 2022)</title>
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[Federal Register Volume 87, Number 179 (Friday, September 16, 2022)]
[Notices]
[Pages 56953-56955]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-20121]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[60Day-22-22IU; Docket No. CDC-2022-0110]
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 the opportunity to comment on a proposed information
collection, as required by the Paperwork Reduction Act of 1995. This
notice invites comment on a proposed information collection project
titled Evaluation of the CDC/NIOSH Health Worker Mental Health
Campaign. This project will collect data through the administration of
online surveys to health workers and their employers prior to campaign
launch and 12 months afterward to assess changes in relevant knowledge,
attitudes, and beliefs to help inform recommendations.
DATES: CDC must receive written comments on or before November 15,
2022.
ADDRESSES: You may submit comments, identified by Docket No. CDC-2022-
0110 by either of the following methods:
<bullet> Federal eRulemaking Portal: <a href="http://www.regulations.gov">www.regulations.gov</a>. Follow
the instructions for submitting comments.
<bullet> Mail: Jeffrey M. Zirger, Information Collection Review
Office, Centers for Disease Control and Prevention, 1600 Clifton Road
NE, MS H21-8, Atlanta, Georgia 30329.
Instructions: All submissions received must include the agency name
and Docket Number. CDC will post, without change, all relevant comments
to <a href="http://www.regulations.gov">www.regulations.gov</a>.
Please note: Submit all comments through the Federal eRulemaking
portal (<a href="http://www.regulations.gov">www.regulations.gov</a>) 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 Jeffrey M. Zirger, Information Collection
Review Office, Centers for Disease Control and Prevention, 1600 Clifton
Road NE, MS H21-8, Atlanta, Georgia 30329; Telephone: 404-639-7570;
Email: <a href="/cdn-cgi/l/email-protection#bfd0d2ddffdcdbdc91d8d0c9"><span class="__cf_email__" data-cfemail="91fefcf3d1f2f5f2bff6fee7">[email protected]</span></a>.
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 the OMB for approval. To
comply with this requirement, we are publishing this notice of a
proposed data collection as described below.
The OMB is particularly interested in comments that will help:
1. Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including whether the information will have practical utility;
2. Evaluate the accuracy of the agency's estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
3. Enhance the quality, utility, and clarity of the information to
be collected;
4. Minimize the burden of the collection of information on those
who are to respond, including through the use of appropriate automated,
electronic, mechanical, or other technological collection techniques or
other forms of information technology, e.g., permitting electronic
submissions of responses; and
5. Assess information collection costs.
Proposed Project
National Education and Awareness Social Marketing Campaign:
Employer Efforts to Support the Mental Health of Health Workers--New--
National Institute for Occupational Safety and Health (NIOSH), Centers
for Disease Control and Prevention (CDC).
Background and Brief Description
As part of the COVID-19 American Rescue Plan of 2021, in response
to a congressional mandate, and on the heels of the passage of the Dr.
Lorna Breen Health Care Provider Protection Act, the National Institute
for Occupational Safety and Health (NIOSH), within the Centers for
Disease Control and
[[Page 56954]]
Prevention (CDC), is taking an active stance to address mental health
concerns among the more than 20 million workers in the nation's
healthcare sector. For many years now, health workers have reported
feeling undervalued, overworked, and overwhelmed. A 2012 study that
surveyed more than 7,000 physicians found that nearly half of them had
symptoms of burnout. The COVID-19 pandemic has only exacerbated the
strain and pressure facing health workers as they endure unprecedented
challenges that make working in this field exponentially harder on
their own health and wellbeing. So much so, that the wellbeing of those
who dedicate their days and nights to keeping us healthy has surpassed
a point of crisis. Depression, anxiety, and PTSD are highly prevalent
among health workers across the United States. A systematic review of
studies addressing burnout among nurses found that more than a third
(34.1%) had emotional exhaustion. A 2020 survey of healthcare workers
found that 86% reported experiencing anxiety, and 39% did not feel like
they had adequate emotional support.
While many Americans experienced some respite from COVID-19 over
the last 24 months, health workers remained on the front lines, in
communities and health systems where infections and deaths remained
highest and in settings where their charge was to care of the sickest
and most immunocompromised Americans. Add to this staffing shortages, a
lack of resources and beds across health centers of all sizes, public
mistrust in medical professionals in certain areas, and hesitancy of
health workers to access support due to licensure and credentialing
issues, it is no wonder that our nation's health workers need support,
especially from the systems that employ them.
NIOSH, the federal agency tasked with conducting research to
contribute to reductions in occupational illnesses, injuries, and
hazards, and its contractor, JPA Health, plan to develop, implement,
and evaluate a social marketing campaign that aims to raise health
worker and healthcare executive awareness of mental health risks,
promote help seeking and treatment among health workers experiencing
burnout and job-related distress, reduce stigma associated with health
workers' mental health help seeking, and establish organizational
policies and practices that support worker mental health. For NIOSH,
this project requires more than a messaging campaign and aims to marry
communications best practices with behavior and systems change
strategies to start addressing the working conditions that contribute
to job-related distress, structural barriers that prevent health
workers from seeking help, and healthcare executives from providing
mental health services and supports.
While many individual-level interventions specific to healthcare
and healthcare workers exist, very few interventions address the
organizational level causes of health worker burnout. It is for this
reason that we are proposing a two-year approval to collect data that
will allow us to determine whether the social marketing campaign is
reaching and engaging executives who will, in turn, support and
facilitate modifications to working conditions that contribute to job-
related distress; and whether the campaign is associated with increased
mental health help seeking and care in those healthcare organizations
participating in social marketing efforts.
Outcome data collected for the non-experimental study will include
a representative sample of 3,000 health workers and 500 high-level
healthcare executives that hail from relevant partner network
organizations of the All In network. The survey will be completed on a
rolling basis at baseline (pre-launch) and at 12-months post baseline.
A new representative sample will be drawn at each data collection
period. The health worker survey should take no more than 21 minutes to
complete; the executive survey no more than 15 minutes.
Outcome data collected for the quasi-experimental study will
include 960 health workers and 60 high-level executives that hail from
12 clinical sites (six intervention sites and six comparison sites)
affiliated with our existing partner hospital systems. Unlike the non-
experimental study, the same participants will be asked to complete
both the baseline and 12-month follow-up surveys (as matched pairs).
The health worker survey should take no more than 21 minutes to
complete; the executive survey no more than 15 minutes. In addition, up
to 18 health workers at each of the six intervention sites will
participate in a 60-minute, in-depth interview (nine workers at
baseline and another nine at 12 months); and two senior administrators
from each of the six intervention sites will participate in a 45-
minute-long interview at 12 months.
CDC requests OMB approval for an estimated 1,427 annual burden
hours. There is no cost to respondents other than their time to
participate.
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 hours) hours
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Health Worker.................................. Partner Network Member Baseline Survey 1,500 1 15/60 375
(Form 1).
Health Worker.................................. Partner Network Member Follow-up Survey 1,500 1 21/60 525
(Form 2).
Executive...................................... Partner Network Member Baseline Survey 250 1 10/60 42
(Form 3).
Executive...................................... Partner Network Member Follow-up Survey 250 1 15/60 125
(Form 4).
Health Worker.................................. Quasi-experimental Study Baseline 480 1 15/60 120
Survey (Form 5).
Health Worker.................................. Quasi-Experimental Study Follow-up 240 1 21/60 84
Survey Comparison (Form 6).
Health Worker.................................. Quasi-Experimental Study Follow-up 240 1 21/60 84
Survey Intervention (Form 7).
Executive...................................... Quasi-Experimental Baseline Survey 30 1 10/60 5
(Form 8).
Executive...................................... Quasi-Experimental Study Follow-up 15 1 15/60 4
Survey Comparison (Form 9).
[[Page 56955]]
Executive...................................... Quasi-Experimental Study Follow-up 15 1 15/60 4
Survey Intervention (Form 10).
Health Worker.................................. Quasi-Experimental Study Baseline 27 1 60/60 27
Interview Intervention (Form 11).
Health Worker.................................. Quasi Experimental Study Follow-up 27 1 60/60 27
Interview Intervention (Form 12).
Executive...................................... Quasi-Experimental Study Follow-up 6 1 45/60 5
Interview Intervention (Form 15).
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Total...................................... ....................................... .............. .............. .............. 1,427
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Jeffrey M. Zirger,
Lead, Information Collection Review Office, Office of Scientific
Integrity, Office of Science, Centers for Disease Control and
Prevention.
[FR Doc. 2022-20121 Filed 9-15-22; 8:45 am]
BILLING CODE 4163-18-P
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