“Promoting HIV Testing among Low Income Heterosexual Young Adult Black Men”
0920-XXXX
Attachment 3f. Phase 3 Focus Groups Guide
Form Approved
OMB No. 0920-XXXX
Expiration Date XX/XX/20XX
“Promoting HIV Testing among Low Income Heterosexual Young Adult Black Men”
Focus Groups Guide
Public reporting burden of this collection of information is estimated to average 2 hours 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. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; Attn: OMB-PRA (0920-XXXX)
PARTICICANT ID:___________
DATE ________________
TIME BEGIN ____:____
Thank you so much for coming today. The BEATS project invited you for this discussion because we are interested in hearing from Black men ages 18-25 who have recently been arrested or recently released from jail/prison. We hope that your comments will allow us to develop better HIV testing educational materials for Black men like yourself. It will take about two hours for the discussion.
I want to remind you that everything you say will be confidential, meaning we won’t use your real name during this discussion, your name won’t be on any notes we take or survey forms you fill out. We want to know the real deal, because that would be most helpful to us. So, please use any kind of words or phrases that you want and don’t worry that you might offend me. There are no right or wrong answers. We are just interested in knowing what you really think but if you don’t want to answer one of the questions, you don’t have to. Do you have any questions?
So as I said, we are interested in hearing from Black men ages 18-25 who have recently been arrested or released from jail/prison so we can create HIV testing educational materials for them. The first set of questions is about what you have heard/seen about HIV testing.
1. Have you ever seen or been given any informational materials about getting tested for HIV or as some people call it, the AIDS test?
2. Where did you see the information/get the materials?
3. What did you notice about the information/materials?
Probes: Was it eye-catching?
What did it say?
4. Were you able to relate to the material?
Probes: What did you think about the words used?
Were you able to identify with the pictures?
5. What would make those materials more real for young Black men recently arrested or released from jail/prison?
Probes: Show pictures of Black men.
We recently spoke with other Black men, like yourself to find out what they know about HIV testing and hear what type of information on HIV testing they would like to see. We took that information and came up with some ideas. We’d like you to see what we came up with and help us make them better. So now let’s look at the ideas we created.
(Show each idea separately and ask the same questions).
6. What did you notice about it?
Probes: a. Was it eye-catching?
b. What did it say?
c. Are there any words that you do not understand or do not
make sense to you?
d. Is there too much/little information?
E .What do you like about the pictures?
f. What do you dislike about the pictures?
g. Do you think that young Black men recently arrested or
released from jail/prison will be able to relate to the material?
We were thinking about having X (source) pictured on the materials.
7. Do you think this is a good person to speak on HIV testing for young Black men recently arrested or released from jail/prison? Why?
Probe: Does this person have credibility among young Black men?
8. If no, who would be a better person to speak on HIV testing for young Black men recently arrested or released from prison? Why?
Probes: What is the relationship between this person and young Black men?
We were thinking about having these materials given out by X (channel).
9. Do you think this person/place is a good way to get to word out about
testing for HIV to young Black men recently arrested or released from
jail/prison?
10. Who/where would be a better place to get the word out about testing for
HIV to young Black men recently arrested or released from prison? Why?
Probes:
Radio, TV/Magazines/Billboards
Which ones?
Clubs/Parties/Special entertainment events
Which ones?
Mention HIV testing on Internet websites/DVD/MP3
Which ones?
Schools
Movie theratres
Comedy clubs
Basketball courts
Businesses that involve cars (auto detailing, car wash, audio and rim shop)
We want to create HIV testing educational materials for young Black men recently arrested or released from jail/prison. I’ve just shown you X ideas and asked you some questions about each one of them. Now I’d like to know which ones you think are the best (place all samples on table).
11. Which ones do you think will make Black males more aware of HIV testing? Why?
12. Which ones do you think is most likely to get more Black men tested for HIV?
I would like for you to have the final word.
13. Is there anything else you want to say or share that is really important to you?
Thank you for talking with me. Your comments will give us valuable information that will allow us to develop better HIV testing programs for Black men like yourself. Before you leave, we would like you to fill out this brief survey. Please don’t put your name on it.
[After completion of demographic survey] For giving us your time, please accept a packet of health information. Also, here is $50 for giving us your time.
Participant ID:___________
Remember do not put your name on this survey.
Please answer the following questions. Remember that we will keep all your answers completely private. Your name is not written here, so no one will know it is you filling out this form.
Please read all of the questions and responses thoroughly and then circle the choice that best describes your answer.
1. How old are you? __________years
2. What is your nationality? (Please circle only one).
a. African American
b. Caribbean American
c. Central/South American
d. African
e. European
f. Other_______________________________________ (Write your
out your answer).
g. Unknown
3. Are you multiracial (at least one of your parents is not Black)?
(Check your answer).
No__
Yes__ (Please circle all that apply)
Black
Hispanic
East Asian (i.e. Chinese, Japanese, etc.)
South Asian (i.e. Indian, Pakistani, etc.)
Eskimo, Pacific Islander, or Native American
White
Arabic/Middle Eastern
Other
4. Were you born in the United States? (Check your answer).
___ Yes
__ No, If no, how old were you when you came to the U.S.? _______years
5. What’s the highest level of school you completed? (Please circle only one).
Some High School
Finished High School (GED or diploma)
Finished Trade School (after high school)
Had Some College (less than 2 years)
4 Year College Degree (Bachelors)
Graduate/Professional degree
6. Are you going to school right now?
0=No
1=Yes. Please circle your status.
Full-time b. Part-time
7. Which describes your current work situation? (Check only one).
a) Working full time (40 hours per week)
b) Working a regular part time job
c) Occasional odd jobs
d) Unemployed, looking for work
e) Unemployed, not looking for work
f) Unable to work
h) Other (please describe)____________________________________________________________________________________________________________________________
8. What was is your monthly income from all sources?
a) Less than $500 per month
b) Less than $1000 per month
c) $1,000-$2,000 per month
d) $2,001-$4,000 per month
e) Over $4000 per month
9. What is your zip code? __________
10. Do you live in the same area now as before you were arrested/incarcerated? (Circle your answer).
0=No
1=Yes
11. Who do you currently live with? (Circle all that apply).
Mother
Father
Other Family____________________ (list)
Wife/girlfriend/child’s mother
Friend
Treatment Center/Half-way house
Alone
Other (please describe)______________________________________________
12. In the past 12 months, did you always have a regular place to live? (A regular place to live doesn’t change and is used nightly).
0= No.
If No, during the time you did not have a regular place to live, did you ever sleep in any of the following places?
|
No |
Yes |
A friend or relative’s home |
|
|
A park, an abandoned building, a car, on the street, or in a train or bus station |
|
|
A shelter for the homeless |
|
|
Other: (Please list)__________________________________ |
|
|
1= Yes
13. Which of the following best describes your relationship status? Please circle all that apply.
a) Married
b) Living with sexual partner
c) Committed relationship not living together
d) Divorced/Separated/Widowed
e) Single
f) Other__________________________________________
14. Do you have any children? (Circle your answer).
0=No
1=Yes. How many? _____
The next set of questions are about your arrest and/or jail/prison history. (Circle your answers).
15. Have you ever been to jail?
0=No
1=Yes
16. Have you ever been to prison?
0=No
1=Yes
17. How long has it been since your last detention (arrest/jail/prison)?
a) Less than one month
b) 1-5 months
c) 6 months- 1 year
d) 1-5 years
e) More than 5 years
18. How long were you detained (arrest/jail/prison)?
a) Less than one day
b) Less than one month
c) 1-5 months
d) 6 months- 1 year
e) 1-5 years
f) More than 5 years
The next questions are about any sex you’ve had. Please remember that all your answers are private.
19. In the past month, have you had oral sex? (Circle your answer).
0=No
1=Yes
20. In the past month, how often have you used a condom during oral sex (Circle your answer).
a)Never
b)Some of the time
c)Most of the Time
d)All of the time
21. In the past month, have you had vaginal sex? (Circle your answer).
0=No
1=Yes
22. In the past month, how many sexual partners have you had? ______#
23. In the past month, how often have you used a condom during vaginal sex (Circle your answer (s).
a)Never
b)Some of the time
c)Most of the Time
d)All of the time
24. In the past month, have you had anal sex? (Circle your answer).
0=No
1=Yes
25. In the past month, how often have you used a condom during anal sex (Circle your answer (s).
a)Never
b)Some of the time
c)Most of the Time
d)All of the time
26. Have you ever had sex while in jail/prison?
0= No
1=Yes
27. Have you ever had oral sex with a man?
0= No
1=Yes
28. Have you ever had anal sex with a man?
0= No
1=Yes
The questions below focus on your health care experiences.
29. In general, how would you rate your health:
a) Excellent
b) Very good
c) Good
d) Fair
e) Poor
30. Where do you usually go to get health care?
a) No regular care
b) Hospital Emergency Room
c) Fortune Society
d) Free Clinic
e) Doctors Office
f) Other_________________
31. Do you have a regular doctor? By regular doctor I mean you go to see the same person when you need health care.
0=No. If no skip to Question #33
1=Yes
32. If yes, when was the last time you saw a doctor or other health care provider?
a) Past 6 months
b) Less than a year ago
c) 1-5 years
d) More than 5 years
33. Have you ever been tested for HIV/AIDS?
0=No, skip to Question #36
1=Yes. How many times have you been tested? (Circle your answer).
a) Once
b) Twice
3) over 3 times
34. When was the last time you were tested? (Circle your answer).
a) Less than one month
b) 1-5 months
c) 6 months- 1 year
d) 1-5 years
e) More than 5 years
35. Where did you receive your last HIV test? (Circle your answer).
a) Hospital/ER
b) Fortune Society
c) Free Clinic
d) Private doctor
e) Community organization
f) STD clinic
g) Jail/Prison
h) Other _____________ (write out)
i) Don’t know
36. Please check the answer that most matches how you feel about getting an HIV test.
(Check only one answer)
____ I am undecided about taking an HIV test
____ I don’t want to take an HIV test
____ I plan to take an HIV test within the next month
____Does not apply to me
37. Did you receive any health care services while you were detained and/or in jail/prison?
(Circle your answer).
0=No
1=Yes
38. While you were detained and/or in jail/prison, did you get any information bout any health issues? (Circle your answer).
0=No
1=Yes
39. While you were detained and/or in jail/prison, did you get any information about HIV/AIDS?
(Circle your answer).
0=No
1=Yes
40. While you were detained and/or in jail/prison were you tested for HIV? (Circle your answer).
0=No
1=Yes
2= Don’t know
Thanks for your help!!
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | zxa3 |
| File Modified | 0000-00-00 |
| File Created | 2021-02-02 |