[Federal Register Volume 67, Number 178 (Friday, September 13, 2002)]
[Notices]
[Pages 58055-58056]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-23284]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[30DAY-49-02]


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) 498-1210. Send written 
comments to CDC, Desk Officer, Human Resources and Housing Branch, New 
Executive Office Building, Room 10235, Washington, DC 20503. Written 
comments should be received within 30 days of this notice.

Proposed Project

    Perceptions of Tuberculosis Among Foreign Born Persons--New--
National Center for HIV, STD, and TB Prevention (NCHSTP), Centers for 
Disease Control and Prevention (CDC). CDC proposes to conduct an 
ethnographic study to assess the attitudes, beliefs, and practices of 
selected foreign born persons regarding tuberculosis (TB). The purpose 
of this two-year effort is to provide formative research findings to 
use when designing future surveys, planning interventions, and 
evaluating programs to improve TB screening and adherence to therapy 
among foreign born persons. This research will also identify program 
gaps in addressing the special needs of these populations. A review of 
published data and consensus among TB researchers suggest that 
elimination of TB in the United States will depend largely upon 
reducing the impact of the disease among the foreign born. Currently, 
almost half of all domestic TB cases occur among foreign-born persons, 
and this proportion is growing. Providing culturally appropriate and 
responsive services to people from a variety of ethnic and cultural 
backgrounds is a challenge for local TB control programs and has been 
identified as a priority area in TB elimination activities.
    Recognizing this challenge, the CDC Working Group on Tuberculosis 
Among Foreign Born Persons in 1998 developed recommendations for 
increasing emphasis on prevention and control of TB in foreign-born 
populations. The recommendations highlighted the need to utilize 
operational and behavioral research to gain a better understanding of 
relevant barriers to diagnosis and care. While few studies have 
examined these issues with the goal of developing practical tools to 
enhance TB services, a New York State research project, conducted among 
Vietnamese refugees, created a valid research method for assessing TB 
issues among this population. The project resulted in policy change 
that increased this group's adherence to therapy.
    The proposed two year study will build upon this research with 
Vietnamese refugees but will incorporate several cultural groups in 
four U.S. cities with a high burden of foreign-born TB patients. In 
depth ethnographic interviews will be conducted with 200 adults from 
the four ethnic/cultural groups, 50 per site. The information will be 
gathered by trained professional, multilingual/multi-cultural 
interviewers who will be rendered by the contracting agent. The data 
collection instrument will be comprised of semi-structured and open-

[[Page 58056]]

ended questions intended to elicit a full range of responses concerning 
the participants' cultural beliefs and attitudes toward TB. Interviews 
will last no longer than one hour. Analysis of data will be performed 
with Atlas.ti, a qualitative analysis computer program.
    The ultimate project outcomes will include a cultural competency 
resource manual with profiles of TB beliefs and behaviors from the 
studied cultural groups. The manual will assist local and state health 
departments in developing customized interventions tailored to the 
local context. Culturally appropriate interventions will increase 
tuberculin skin testing and patient adherence to treatment for active 
TB disease and latent TB infection. In addition, the results can be 
used to develop targeted outreach, as well as customized communication 
protocols, patient education materials, incentives, and enablers. 
Finally, the study will produce a valid interview instrument that TB 
clinics can adopt for their own assessments of TB beliefs and attitudes 
among the local communities they serve. The annual burden for this data 
collection is 100 hours.

 
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                                                                                     Number of    Average burden/
                           Respondents                               Number of      responses/     response (in
                                                                    respondents     respondent        hours)
----------------------------------------------------------------------------------------------------------------
Foreign Born Persons (interviewed)..............................             100               1               1
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    Dated: September 5, 2002.
Nancy Cheal,
Acting Associate Director for Policy, Planning and Evaluation, Centers 
for Disease Control and Prevention.
[FR Doc. 02-23284 Filed 9-12-02; 8:45 am]
BILLING CODE 4163-18-P