Household Screener

Public Education Study: Public Knowledge of Abstinence and Abstinence Education

Household Screener Interview

Household Screener

OMB: 0970-0325

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Screener revised, 04/04/07

Appendix B: Household Screener



Hello. My name is ________ and I’m calling from Abt Associates. I’m calling on behalf of the US Department of Health and Human Services. We are conducting a national health survey.

1: CONTINUE

2: GATEKEEPER REFUSAL

3: REFUSAL

5: LANGUAGE BARRIER

6: HUDI

23: NOT AVAILABLE DURING STUDY PERIOD

92: GENERAL CALLBACK

93: SPECIFIC CALLBACK

96: R WILL CALL US

97: FINAL OTHER


IF INTRO = 1, GO TO ADULTRINHH

IF INTRO = 2, 3, 6, TERMINATE AND CODE AS A REFUSAL.


IF INTRO = 92, 93, 96, SET A CALLBACK.

IF INTRO = 5, TERMINATE AND CODE AS LANGUAGE BARRIER-SPANISH; or LANGUAGE BARRIER-OTHER

IF INTRO = 23, TERMINATE AND CODE AS USER14.

IF INTRO = 97, TERMINATE AND CODE AS FINAL OTHER (USER97)


ADULTRINHH

Am I speaking with someone who lives in this household who is 18 years of age or older?

  1. YES

  2. NO, ADULT COMES TO PHONE [GO TO INTRO]

3. NO, HOUSEHOLD MEMBER OVER 18 NOT HOME [SCHEDULE APPOINTMENT]

4. NO, NO HOUSEHOLD MEMBER OVER 18 [TERMINATE: USER33]

Those are all the questions that I have. Thank you very much for your time.

5. NOT A RESIDENCE [TERMINATE: USER20]

Thank you very much, but we are only interviewing private residences.



NUM_ADULTS



How many people living in your household are older than 18 years of age?




Number of Adults


(NUM_ADULTS MUST BE >0.)

NUM_ADOL



How many people living in your household are between the ages of 12 and 18?




Number of In-range Teenagers


77. DON’T KNOW

99. REFUSED


HELP SCREEN: DEFINITION OF HOUSEHOLD MEMBER


Teen household members include all related and unrelated children between 12 and 18 years old who consider the household their home. They may or may not be home at the time of the call.


Do not include 19-year-olds, or teens who are currently living elsewhere, such as at college, a military base, a correctional facility, and so forth.


IF NUM_ADOL = 77, TERMINATE INTERVIEW. USERCODE USER2.

IF NUM_ADOL = 99, TERMINATE INTERVIEW. CODE AS REFUSAL.

IF NUM_ADOL = 00, TERMINATE AND CODE AS USER35

Those are all the questions that I have. Thank you very much for your time.





SELECTION_NUM / SAMPLED_ADOL_TXT


IF NUM_ADOL=01, THEN SELECTION_NUM=01; GO TO NAME_ADOL.


OTHERWISE, ENUMERATE ADOLESCENTS, IN AGE ORDER FROM OLDEST TO YOUNGEST.


ALLOW UP TO 8 ADOLESCENTS


IN FOLLOWING EXAMPLE, NUM_ADOL=3

ENUMERATION

NUMBER TEXT STRING

  1. OLDEST

  2. SECOND OLDEST

  3. THIRD OLDEST


RANDOMLY SELECT ADOLESCENT AND SET SELECTION_NUM TO ENUMERATION NUMBER AND STORE TEXT STRING IN SAMPLED_ADOL_TXT



GIVE_ADOL_NAME

(IF NUM_ADOL>01, SAY: This is a health survey of teenagers and parents. The computer randomly chose the [SAMPLED_ADOL_TXT] teenager in your household to be in our study. So that I’ll know how to refer to this teenager, can you please give me his or her first name or initials?


  1. YES

  2. NO

  1. REFUSED (SET NAME_ADOL TO “REFUSED” AND CONTINUE)

  2. DON’T KNOW (SET NAME_ADOL TO “REFUSED” AND CONTINUE)



NAME_ADOL


NAME/INITIALS: ___________________________________



MKP1



IF NAME_ADOL = REFUSED OF IF NUM_ADOL=1, DISPLAY“this teenager’s.”


I would like to talk with this teenager’s parent or guardian who lives in this household and knows the most about [(NAME_ADOL)’s / this teenager’s] attitudes and beliefs about sexual activity, abstinence from sex, and abstinence education. We are interested in attitudes on what’s good and bad about sexual activity and health for teens. Would you be that parent or guardian?


01 YES, THAT’S ME [SKIP TO PARENT DETAILED INTERVIEW]

02 NO, NEW PERSON COMES TO PHONE [SKIP TO PARENT DETAILED INTERVIEW]

03 NO, NEW PERSON NOT AVAILABLE [SET CALLBACK]

04 NO PAR/GUARD MOST KNOWLEDGEABLE [GO TO MKP2]

05 BOTH PAR/GUARD MOST KNOWLEDGEABLE [SKIP TO DETAILED INTERVIEW]

96 NO PARENT/GUARDIAN IN HH [TERMINATE; CODE AS USER39]

Those are all the questions that I have. Thank you very much for your time but I need to speak with the parent or guardian of [(NAME_ADOL) / the (SAMPLED_ADOL_TXT) teenager].

97 REFUSED [TERMINATE. CODE AS REFUSAL]

98 DON’T KNOW [GO TO MKP2]


MKP2



That’s okay. We need to talk to the parent or guardian living your household who can answer questions about [(NAME_ADOL) / the (SAMPLED_ADOL_TXT) teenager]. Would that be you?


01 YES, THAT’S ME [SKIP TO DETAILED INTERVIEW]

02 NO, NEW PERSON COMES TO PHONE [SKIP TO DETAILED INTERVIEW]

03 NO, NEW PERSON NOT AVAILABLE [SET CALLBACK]

96 NO PARENT/GUARDIAN IN HH [TERMINATE; CODE AS USER39]

Those are all the questions that I have. Thank you very much for your time but I need to speak with the parent or guardian of [(NAME_ADOL) / the (SAMPLED_ADOL_TXT) teenager].

97 REFUSED [TERMINATE. CODE AS REFUSAL]

98 DON’T KNOW [TERMINATE. CODE AS REFUSAL]


CALLBACK


So that I’ll know how to refer to this person when I call back, can you please give me his or her first name or initials?


NAME OR INITIALS: _______________



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File Typeapplication/msword
File TitleThank you for agreeing to talk to me today
Authorlockeg
Last Modified Bychaven
File Modified2007-05-09
File Created2007-05-09

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