[Federal Register Volume 84, Number 207 (Friday, October 25, 2019)]
[Notices]
[Pages 57434-57435]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2019-23365]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Disease Control and Prevention
[30Day-20-19ARD]
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 ``Evaluation of CDC's STEADI Older Adult Fall
Prevention Initiative in a Primary Care Setting'' 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 May 24, 2019, to obtain comments from the
public and affected agencies. CDC received one comment 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 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
An Evaluation of CDC's STEADI Older Adult Fall Prevention
Initiative in a Primary Care Setting--New--National Center for Injury
Prevention and Control (NCIPC), Centers for Disease Control and
Prevention (CDC).
Background and Brief Description
Falls are the leading cause of both fatal and non-fatal injuries
among older adults, defined as age 65 and older.
[[Page 57435]]
From 2007 to 2016, fall death age-adjusted rates increased by 31% with
almost 30,000 older adults dying as the result of a fall in 2016. The
economic consequences of falls are significant and growing as the
population ages, with medical costs of older adult falls estimated at
$50 billion. CDC created the Stopping Elderly Accidents, Deaths, and
Injuries (STEADI) initiative to guide health care providers' fall
prevention activities in the primary care setting.
This new data collection effort is an essential component to
determine the impact of CDC's Stopping Elderly Accidents, Deaths, and
Injuries (STEADI) initiative on falls, emergency department visits, and
hospitalizations due to falls. It will help CDC determine the impact of
less resource intense versions of STEADI and evaluate the process of
implementing STEADI fall prevention initiative in a primary care
setting to provide context for the impact evaluations. The study
population will be limited to adults 65 and older who have an
outpatient visit during the study period and screen as high risk for
falls at the selected primary care clinics implementing the STEADI fall
prevention initiative. The study population for the process evaluation
will include the clinical implementation staff at the selected clinics
where the intervention will take place (physicians, physician
assistants/nurse practitioners, study research nurses, and practice or
operations manager).
Two data collection methods will be used; the CDC's Stay
Independent Fall Risk Screener will be administered to older adult
patients at selected primary care clinics to determine which older
adults are at high risk for a fall. Those who screen at high risk will
be assigned, based on clinic attended and week of attendance, to one of
three study arms. Patient surveys will be used to determine whether
these patients experience a fall during the study period, are treated
for a fall, and/or use any fall prevention strategies throughout the
study period. Four surveys will be administered to each patient during
a 12-month period: One baseline survey and three follow-up surveys.
Older adults will also be asked to keep track of their falls in a
monthly falls diary, so they can accurately recall and report the
information during the 12-month period for the patient surveys. The
process evaluation interviews will be used to understand the attitudes
of clinical staff towards the implementation process, barriers and
facilitators to implementation, and the implementation fidelity to core
components of the STEADI initiative. Descriptive statistics and cross
tabulations will be used to describe quantitative data from the patient
survey and process evaluation data. Risk ratios of the effect of the
intervention on post-intervention falls will be calculated comparing
intervention and control groups while controlling for demographic,
health, attitude, and behavior variables.
The data collected from this study will be used to demonstrate the
impact of STEADI and different components of STEADI on falls and fall
injuries in a primary care setting, and improve the implementation of
STEADI in a primary care setting. There are no costs to the respondents
other than their time. The total estimated annualized burden is 1,578
hours.
Estimated Annualized Burden Hours
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Number of Average burden
Type of respondent Form name Number of responses per per response
respondents respondent (hours)
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Patient............................... Stay Independent Fall 4,035 1 6/60
Risk Screener (Att. D).
Consent Form (Att. C)... 1,235 1 12/60
Patient Baseline Survey 1,000 1 15/60
(Att. B1).
Patient Follow-up Survey 896 3 15/60
(Att. B2).
Physician/Physician Assistants/Nurse Provider Interview Guide/ 3 1 50/60
Practitioners. Consent (Att. E1).
Clinic Operations Manager............. Operations Manager 2 1 50/60
Interview Guide/Consent
(Att. E2).
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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. 2019-23365 Filed 10-24-19; 8:45 am]
BILLING CODE 4163-18-P