[Federal Register Volume 75, Number 210 (Monday, November 1, 2010)]
[Notices]
[Pages 67092-67093]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2010-27487]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention

[60-Day-11-11AI]


Proposed Data Collections Submitted for Public Comment and 
Recommendations

    In compliance with the requirement of section 3506(c)(2)(A) of the 
Paperwork Reduction Act of 1995 for opportunity for public comment on 
proposed data collection projects, the Centers for Disease Control and 
Prevention (CDC) will publish periodic summaries of proposed projects. 
To request more information on the proposed projects or to obtain a 
copy of the data collection plans and instruments, call 404-639-5960 
and send comments to Carol Walker, Acting CDC Reports Clearance 
Officer, 1600 Clifton Road, MS-D74, Atlanta, GA 30333 or send an e-mail 
to <a href="/cdn-cgi/l/email-protection#dab5b7b89ab9beb9f4bdb5ac"><span class="__cf_email__" data-cfemail="610e0c03210205024f060e17">[email protected]</span></a>.
    Comments are invited on: (a) Whether the proposed collection of 
information is necessary for the proper performance of the functions of 
the agency, including whether the information shall have practical 
utility; (b) the accuracy of the agency's estimate of the burden of the 
proposed collection of information; (c) ways to enhance the quality, 
utility, and clarity of the information to be collected; and (d) ways 
to minimize the burden of the collection of information on respondents, 
including through the use of automated collection techniques or other 
forms of information technology. Written comments should be received 
within 60 days of this notice.

Proposed Project

    Measuring Preferences for Quality of Life for Child Maltreatment--
New--National Center for Injury Prevention and Control (NCIPC), 
Division of Violence Prevention (DVP), Centers for Disease Control and 
Prevention (CDC).

Background and Brief Description

    Child maltreatment (CM) is a major public health problem in the 
United States, causing substantial morbidity and mortality (DHHS, 
2010), and the prevalence for any of the three major types of CM 
(physical abuse, sexual abuse, and neglect) is estimated at 
approximately 28% (Hussey et al., 2006). Additionally, the annual 
incidence of any type of CM among children and adolescents 0-17 has 
been estimated at nearly 14%, while physical and sexual abuse are 
estimated at 3.7% and 0.6%, respectively (Finkelhor et al., 2005). CM 
has been shown to have lifelong adverse physical and mental health 
consequences for survivors (Felitti et al., 1998), including behavioral 
problems (Felitti et al. 1998; Repetti et al. 2002), mental health 
conditions such as post-traumatic stress disorder (PTSD) (Browne and 
Finkelhor, 1986; Holmes and Sammel, 2005; Moeller and Bachman, 1993), 
increased trouble with interpersonal relationships (Fang and Corso, 
2007), increased risk of chronic diseases (Browne and Finkelhor, 1986), 
and lasting impacts or disability from physical injury (Dominguez et 
al. 2001). The consequences of CM have both a direct impact, through 
reduced health, as well as an indirect impact, through reduced health-
related quality of life (HRQoL, or simply QoL), the state of 
``utility'' or satisfaction that a person experiences as a result of 
their health (Drummond et al. 1997).
    The CDC requests approval of a survey-based study to measure the 
Health-Related Quality-of-Life (HRQoL) impacts resulting from child 
maltreatment (CM) using a quantitative, preference-based approach. The 
US Department of Health and Human Services, among many others, has 
identified child maltreatment as a serious U.S. public health problem 
with substantial long-term physical and psychological consequences. 
Despite considerable research on the consequences of CM in adult 
survivors, few studies have utilized standard HRQoL techniques and none 
have quantified childhood HRQoL impacts. This gap in the literature 
means the full burden of CM on HRQoL has not been measured, inhibiting 
the evaluation and comparison of CM intervention programs. This study 
will improve public health knowledge and economic evaluation of the 
HRQoL impacts of CM, including effects specific to juvenile and 
adolescent survivors, through the development and fielding a 
preference-based survey instrument.
    CDC has developed a survey instrument to quantify the HRQoL impacts 
of child maltreatment following standardized methods. The survey was 
developed based on findings from a literature review of CM outcomes, 
focus groups with adult CM survivors, and expert review of outcomes by 
clinician consultants who work with survivors of CM or who are 
researchers in the field of CM. The survey is designed to quantify two 
types of data. The main objective is the HRQoL decrement attributable 
to CM, measured as the difference in HRQoL scores by CM survivorship 
history. A secondary objective is a statistical evaluation of these 
decrements, based on respondent preferences over a series of 
comparisons that will be shown to survey respondents.
    An invitation to the online survey will be fielded to a nationally-
representative sample of 2,700 U.S. adults. Among the adults who 
receive the invitation, 1,650 are expected to complete the consent form 
and 1,500 are expected to complete the survey. The survey will include 
HRQoL questions to capture the two types of data above, as well as 
select items on sociodemographics. Past exposure to CM will be measured 
using the Child Trauma Questionnaire (CTQ), the briefest and most 
nonintrusive set of scientifically validated questions to identify 5 
types of past child abuse and neglect.
    Final results will provide an estimate of the HRQoL burden of child 
maltreatment in the United States. Analysis and results of the survey 
data will be used to inform the scientific and public health 
communities of the impacts of CM, and to evaluate and compare CM 
intervention programs. There is no cost to respondents other than their 
time.

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                                                                                      Average
                                                     Number of       Number of      burden per     Total burden
    Respondents (forms listed in parentheses)       respondents    responses per   response (in     (in hours)
                                                                    respondent        hours)
----------------------------------------------------------------------------------------------------------------
General national sample of adults age 18+                  2,700               1            2/60              90
 (survey invitation)............................

[[Page 67093]]

 
General national sample of adults age 18+                  1,650               1            2/60              55
 (consent form).................................
General national sample of adults age 18+ (full            1,500               1           25/60             625
 survey)........................................
                                                 ---------------------------------------------------------------
    Total.......................................  ..............  ..............  ..............             770
----------------------------------------------------------------------------------------------------------------


Carol Walker,
Acting Reports Clearance Officer, Centers for Disease Control and 
Prevention.
[FR Doc. 2010-27487 Filed 10-29-10; 8:45 am]
BILLING CODE 4163-18-P


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