Appendix I
Allergen Advisory Labeling Focus Groups
Screener
OMB No: 0910-0497 Expiration Date: 10/31/2020
Paperwork Reduction Act Statement: According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0910-0497. The time required to complete this portion of the information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.
Send comments regarding this burden estimate or any other aspects of this collection of information, including suggestions for reducing burden to PRAStaff@fda.hhs.gov.
Recruiting Goals:
Recruit 12 participants for each group.
Participants need to have a doctor-diagnosed food allergy to one of the 8 major food allergens; at least 3 per group can be caregivers to a dependent with a doctor-diagnosed food allergy who is living in the household.
Participants need to be a mix of age groups.
Participants will be a mix of men and women with no more than 4 men per group.
Participants will have a mix of race/ethnicity reflective of the population in the region.
Groups will also be segmented by education level (high, low)
Participants must be one of the primary food shoppers in the household.
[Note to recruiter – Before terminating interview, ask whether they know someone with a diagnosed food allergy who might be willing to participate in the focus groups]
Screener:
My name is ( ) and I'm calling about a market research study we are conducting on behalf of the U.S. Food and Drug Administration in your area. We are recruiting for an upcoming focus group with people who have a doctor-diagnosed food allergy or people who are parents or caregivers to someone with a doctor- diagnosed food allergy. We are holding a group discussion on [DATE] with approximately 10 people. The group will start at [TIME] and will last no longer than 90 minutes. Groups will be audio and video recorded. You will be provided with an incentive as a token of our appreciation for participating in this study for your time, effort, and travel expenses. Would it be OK if I ask you a few questions now to see if you’re eligible to be in one of the groups? (if yes, continue; if no, thank and terminate).
Do you have a food allergy that has been diagnosed by an allergy doctor? (IF NEEDED: Do not count allergies you used to have or that don’t bother you anymore)
___ Yes [GO TO QUESTION 1a]
___ No [GO TO QUESTION 2]
1a. Is your food allergy to one or more of the following? [READ OUT LOUD AND RECORD FOR EACH]
___ Peanut
____ Tree nut
____ Shellfish
____ Fish
____ Dairy
____ Wheat
____ Soy
____ Egg
____ Not allergic to any items on the list GO TO QUESTION 2
[IF ANY OF THE ABOVE FOODS SELECTED, CONSIDER FOR FOOD ALLERGIC GROUP.] [GO TO QUESTION 3.]
Are you a parent or caregiver to someone with a food allergy that has been diagnosed by an allergy doctor? (IF NEEDED: Do not count allergies they used to have or that don’t bother them anymore)
___ Yes [GO TO QUESTION 2a]
___ No [ELIMINATE]
2a. Is their doctor-diagnosed food allergy one or more of the following? [READ OUT LOUD AND RECORD FOR EACH] [RECRUIT NO MORE THAN 3 CAREGIVERS PER GROUP]
___ Peanut
____ Tree nut
____ Shellfish
____ Fish
____ Dairy
____ Wheat
____ Soy
____ Egg
____ Not allergic to any items on the list Eliminate
[IF ANY OF THE FOODS SELECTED – CONSIDER FOR CAREGIVERS GROUP] [GO TO QUESTION 3.]
Have you shopped for groceries for yourself or your household in the past two months?
Yes continue
No eliminate
Do you ever buy candy, cookies, or crackers for you or your household?
Yes continue
No eliminate
Do you or anyone from your immediate family:
Work in market research or social science research eliminate
Work at a food product manufacturing company eliminate
I am going to read some age categories --- please tell me which category your age falls in. [RECRUIT A MIX OF 3 AGE SEGMENTS. FOR CAREGIVERS GROUP, CAN HAVE FEW 18-25 YEAR OLDS.]
a. Under 18 years old eliminate
b. 18-25 continue
c. 26-45 continue
d. 46+ continue
Determine gender.
a. Male (Do not recruit more than 4 men per group of 12.)
b. Female
What is the highest level of education that you have completed?
Less than high school graduate lower education group
High school graduate or GED lower education group
Attended or graduated technical/vocational school lower education group
Some community college lower education group
Some college or community college graduate higher education group
College graduate higher education group
Attended or graduated with advanced degree higher education group
Are you of Hispanic or Latino origin?
Yes continue – recruit a mix of race/ethnicity
No continue – recruit a mix of race/ethnicity
What is your race? I am going to read several categories. You may choose one or more categories. Are you…? [RECRUIT A MIX PER GROUP]
White
Black or African American
Asian
Native Hawaiian or Other Pacific Islander
American Indian or Alaska Native
Finally, during the focus group discussion, you will be asked to review written materials and offer your opinions, so I need to ask whether you have a medical or nonmedical condition that affects your ability to read and/or understand written materials in English?
Yes eliminate
No continue
You qualify for our study. The discussion group will be held on [DATE] at [TIME] and will last about 90 minutes. For your time and opinions, you will receive $75 as a token of our appreciation at the end of the session.
Would you like to participate in the group discussion at [TIME] on [DATE]?
Yes continue
No eliminate
Great! May I please have your mailing and/or e-mail address to send you a confirmation letter with directions? [Verify address and phone number.]
Thank you. That’s all the questions I have today. Please try to arrive at least 15 minutes before the starting time. If you have any questions or find that you are unable to attend, please call [facility’s phone number] as soon as possible. Thank you again for your time. We look forward to seeing you at [TIME] on [DATE].
Read if necessary:
If you have any questions about the study, you may contact Jennifer Alexander of RTI at 301-770-8219. If you have concerns about how participants are being treated in the study, you may contact RTI’s Office of Research Protection toll-free at 1-866-214-2043.
OMB No: 0910-0497 Expiration Date: 10/31/2020
**NOTE** THIS PAGE MUST BE STORED SEPARATELY FROM THE SCREENER AND FOCUS GROUP DATA. PLEASE DESTROY UPON COMPLETION OF FOCUS GROUP.
We are asking for your contact information only for the purpose of sending you a reminder letter and giving you a call to remind you of the discussion group. We will destroy all contact information at the conclusion of the groups.
NAME: ____________________________________________________________
ADDRESS: ________________________________________________________
CITY: _________________________________________________
ZIP CODE: _________________________________________________
E-MAIL_______________________________________________________
What is the best time to reach you? What is the best telephone number to reach you at that time?
BEST TIME TO BE REACHED: ________________________________________
BEST PHONE NUMBER: __________________
Is there another time and number we can try if we miss you?
ALTERNATE TIME:
ALTERNATE PHONE NUMBER:
Thank you. That’s all the questions I have today. Please try to arrive at least 15 minutes before the starting time. If you have any questions or find that you are unable to attend, please call [facility’s phone number] as soon as possible. Thank you again for your time. We look forward to seeing you at [TIME] on [DATE].
File Type | application/msword |
File Title | DRAFT 12/16/02 |
Author | ALando |
Last Modified By | SYSTEM |
File Modified | 2019-04-29 |
File Created | 2019-04-29 |