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    Rebecca Wood

    Center for Health Statistics
    Community Assessment
    Texas Dept. of State Health Services
    Mail Code: 1898
    PO Box 149347
    Austin, Texas 78714-9347
    Phone:  (512) 776-6579


    To request the Texas data sets, please download this PUDF User Agreement Form.

    For data requests, please send an email to:
    PDF files must be viewed/printed with Adobe Acrobat Reader.

Outline for written proposal to include CDC Modules and,or State-added questions on the Texas BRFSS

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In order to provide the highest level of customer service to our stakeholders, the Texas Behavioral Risk Factor Surveillance System (BRFSS) requests that public health programs and other partners submit written proposals for adding questions to the Texas statewide BRFSS survey. Stakeholders with interest in the survey can propose optional BRFSS questions offered by CDC or develop their own state added questions. Costs for adding questions will vary depending on several factors outlined in Attachment B: Pricing Guidelines. The information gathered from your written submission will be used to assist the Texas BRFSS Coordinator, with input from the Health Surveys User Group, in planning the Texas BRFSS survey and related analytical products. Please attach a copy of your proposed questions or question topics along with a short response to each of the items below and send them to the Texas BRFSS Program (see below for contact).

I. PROPOSED QUESTIONS or QUESTION TOPICS

Please attach your questions (include any instructions or skip patterns if known). BRFSS program staff are available to assist you with the development or identification of specific questions. (See below for contact) .

II. BACKGROUND AND SUPPORTING RATIONALE

  1. What are the purpose(s) and goal(s) of the questions? Describe the relationship of questions to state and national public health goals and priorities (Attachment A): How do you expect the information you collect to impact program activities?
  2. Describe your target surveillance population (e.g., geographic area, age, gender, race/ethnicity).
  3. Describe expected validity of questions (state developed questions only):
    1. History of use/suitability for telephone interviewing/sample size requirements
    2. Experts/expertise/source used to help develop the question/validity
  4. What funding is available to support your proposed questions and when will those funds be available?
  5. Are the questions you are proposing required or requested by a funding partner such as CDC? If yes, please explain.
  6. Do you expect to add the questions to the survey at regular intervals (annually, biennially, etc.)? If yes, describe your long-term surveillance plan.
  7. Please list any other relevant considerations regarding the proposed questions.

III. ANALYSIS PLAN

  1. Specify the definition for numerators and denominators. Describe your analytical plan by providing examples of graphs, tables, and statistical methods; identifying variables of interest and relevant subgroup and demographic breakdowns; and noting any special statistical or presentation considerations.
  2. Who will analyze the data (BRFSS, Requesting Program, Outside Consultant)?

Written proposals should be submitted to the Texas BRFSS Program (see sidebar).

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Last updated April 05, 2010