[Federal Register Volume 84, Number 57 (Monday, March 25, 2019)]
[Notices]
[Pages 11098-11099]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-05553]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-19-18APX]
Agency Forms Undergoing Paperwork Reduction Act Review
In accordance with the Paperwork Reduction Act of 1995, the Centers
for Disease Control and Prevention (CDC) has submitted the information
collection request titled Dental Survey: Improving Outpatient
Antibiotic Use through Implementation and Evaluation of Core Elements
of Outpatient Antibiotic Stewardship to the Office of Management and
Budget (OMB) for review and approval. CDC previously published a
``Proposed Data Collection Submitted for Public Comment and
Recommendations'' notice on August 10, 2018 to obtain comments from the
public and affected agencies. CDC did not receive comments related to
the previous notice. This notice serves to allow an additional 30 days
for public and affected agency comments.
CDC will accept all comments for this proposed information
collection project. The Office of Management and Budget is particularly
interested in comments that:
(a) Evaluate whether the proposed collection of information is
necessary for the proper performance of the functions of the agency,
including
[[Page 11099]]
whether the information will have practical utility;
(b) Evaluate the accuracy of the agencies estimate of the burden of
the proposed collection of information, including the validity of the
methodology and assumptions used;
(c) Enhance the quality, utility, and clarity of the information to
be collected;
(d) 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 submission of responses; and
(e) Assess information collection costs.
To request additional information on the proposed project or to
obtain a copy of the information collection plan and instruments, call
(404) 639-7570 or send an email to [email protected]. Direct written comments
and/or suggestions regarding the items contained in this notice to the
Attention: CDC Desk Officer, Office of Management and Budget, 725 17th
Street NW, Washington, DC 20503 or by fax to (202) 395-5806. Provide
written comments within 30 days of notice publication.
Proposed Project
Dental Survey: Improving Outpatient Antibiotic Use through
Implementation and Evaluation of Core Elements of Outpatient Antibiotic
Stewardship--New--Information Collection--National Center for Emerging
and Zoonotic Infectious Diseases (NCEZID), Centers for Disease Control
and Prevention (CDC).
Background and Brief Description
Antibiotic resistance is a growing problem that has been shown to
be a result of wide-spread antibiotic use and misuse. While efforts to
improve antibiotic use to date have been primarily implemented in the
inpatient setting, the majority of antibiotics are prescribed in the
outpatient setting. Up to 50% of all antibiotics prescribed for acute
respiratory tract infections (ARI) are proposed to be inappropriate.
Interventions that have been demonstrated to decrease inappropriate use
include audit-and-feedback, academic detailing, clinical decision
support systems (CDSS), provider-focused public commitments to reduce
inappropriate antibiotic use, and delayed antibiotic prescriptions.
However, current data is limited due to short study time-frames and
lack of sustainability.
In a pilot project, phone interviews were conducted with six dental
providers and three pediatricians; specifically those who could speak
to the knowledge, attitudes and behaviors of their peers. PRA was
deemed not applicable by the NCEZID PRA representative for this pilot.
We identified six dental providers that were recruited for a phone
interview with our team's healthcare psychologist. Semi-structured
interviews were used to assess: (1) Knowledge about antibiotic
prescribing (what constitutes appropriate and inappropriate
prescribing); (2) the providers current antibiotic prescribing
practices; (3) beliefs about the consequences of inappropriate and
appropriate prescribing (e.g., consequences for the provider, for
individual patients, and for the healthcare system); (4) attitudes
about antibiotic prescribing (expected negative and positive reactions
to appropriate prescribing); (5) subjective norms (beliefs related to
what is ``normal'' antibiotic prescribing for the provider and for
peers); (6) control beliefs related to appropriate prescribing (factors
that make appropriate prescribing easy or difficult, e.g., barriers);
and (7) future planned behaviors along with perceived solutions to
promote appropriate antibiotic prescribing.
During the analysis of the six dental interviews it was determined
by the team that these interviews contained very unique information in
terms of knowledge, attitudes and behaviors compared to other non-
dental providers. Therefore, it was also determined that information
saturation was not reached during this first data collection phase. We
want to continue our data collection efforts within this specific
population. This information will be crucial in future design of
scalable and sustainable outpatient antibiotic stewardship
interventions that incorporate all Core Elements of Outpatient
Antibiotic Stewardship and to be able to implement it across a network
of dental outpatient facilities.
There will be no anticipated costs to respondents other than their
time. The survey will be voluntary and will be distributed within
University of Utah dental clinics. Potential participants will be
contacted via email informing them about the purpose of the survey.
Participants would have the option of performing the survey online
through an approved University of Utah survey platform (i.e. REDCap or
Qualtrics) or on paper format if they prefer. To help increase response
rate, paper formats may be distributed during dental staff meetings or
any other gatherings within this population. Total burden hours being
requested is 77.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondents Form name Number of responses per per response
respondents respondent (in hrs.)
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Dental Providers...................... Recruitment during 155 1 10/60
meetings.
Dental Providers...................... SHEPheRD Outpatient 25 1 30/60
Dental Survey.
Dental Providers...................... Dental Survey--CDC 75 1 30/60
Outpatient SEPheRD--
Practices and
Experiences with
Antibiotic Prescribing.
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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. 2019-05553 Filed 3-22-19; 8:45 am]
BILLING CODE 4163-18-P