List of Instruments, Recruitment Substudy for the National Children’s Study, by Recruitment Strategy, Phases 1 and 2 | |||
Recruitment Strategy | Activity | Type of Respondent | Instruments |
Provider-based: 10 Study Locations | |||
Screening Activities | |||
Address Lookup Tool | Age-Eligible Women | Address Lookup Tool (ALT) User's Guide | |
Pregnancy Screener | Age-Eligible Women | Pregnancy Screener (PB) | |
Healthcare Provider Questionnaire | Healthcare Providers | Healthcare Provider Questionnaire | |
Preconception Activities | |||
Non-pregnant Women's Informed Consent | Age-Eligible Women | Non-pregnant Women's Informed Consent | |
Pre-Pregnancy Interview | Age-Eligible Women | Pre-Pregnancy Interview Pre-Pregnancy Visit Information Sheet Refusal of Biological/Environmental Samples |
|
Pre-Pregnancy Blood and Urine Collection | Age-Eligible Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Blood and Urine Collection |
|
Pregnancy Probability Group Follow Up Script | Age-Eligible Women | Pregnancy Probability Group Follow Up - CATI Instrument Pregnancy Probability Group Follow Up - SAQ |
|
Validation Script | Age-Eligible Women | Interviewer Validation | |
Pregnancy Activities | |||
Pregnant Women’s Informed Consent Form | Pregnant Women | Pregnant Women's Informed Consent Form | |
Pregnancy Visit 1 Interview | Pregnant Women | Pregnancy Visit 1 Interview and SAQ Pregnancy Visit 1 Visit Information Sheet Tap Water Collection Instructions Vacuum Bag Participant Instructions Refusal of Biological/Environmental Samples |
|
Pregnancy Visit 1 Blood and Urine Collection | Pregnant Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Fasting Blood, Urine, and Vacuum Collection Pre-Visit Instructions for Blood, Urine, and Vacuum Collection Pre-Visit Instructions for Blood and Urine Collection |
|
Pregnancy Visit 2 Interview | Pregnant Women | Pregnancy Visit 2 Interview and SAQ Pregnancy Visit 2 Visit Information Sheet Tap Water Collection Instructions Vacuum Bag Participant Instructions Refusal of Biological/Environmental Samples |
|
Pregnancy Visit 2 Blood and Urine Collection | Pregnant Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Fasting Blood, Urine, and Vacuum Collection |
|
Pregnancy Health Care Log | Pregnant Women | Pregnancy Health Care Log | |
Father Informed Consent Form | Alternate Caregiver | Informed Consent Form - Fathers | |
Father Interview | Alternate Caregiver | Father Interview Father Visit Information Sheet |
|
Birth-Related Activities | |||
Birth Visit Interview | Mother/Baby | Birth Visit Interview Birth Visit Information Sheet Cord Blood Collection Visit Information Sheet Refusal of Biological/Environmental Samples |
|
Postnatal Activities | |||
Infant Feeding Log | Mother/Baby | Infant and Child Health Care Log | |
3-Month Mother Phone Interview | Mother/Baby | 3-Month Mother Phone Interview | |
6-Month Visit Interview | Mother/Baby | 6-Month Mother Interview 6-Month Infant Feeding SAQ 6-Month Visit Information Sheet |
|
9-Month Mother Phone Interview | Mother/Baby | 9-Month Mother Phone Interview | |
12-Month Mother Interview | Mother/Baby | 12-Month Mother Interview 12-Month SAQ 12-Month Visit Information Sheet |
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18-Month Mother Interview Call | Mother/Baby | 18-Month Mother Interview 18-Month SAQ (placeholder for copyrighted material -- Ages and Stages III Questionnaire) |
|
24-Month Mother Interview Call | Mother/Baby | 24-Month Mother Interview 24-Month SAQ (placeholder for copyrighted material -- Ages and Stages III Questionnaire) |
|
Enhanced Household: 10 Study Locations | |||
Screening Activities | |||
Household Enumeration Instrument | HH Reporters | Household Enumeration Instrument | |
Pregnancy Screener (EH) | Age-Eligible Women | Pregnancy Screener (EH) | |
Preconception Activities | |||
Non-pregnant Women's Informed Consent | Age-Eligible Women | Non-pregnant Women's Informed Consent | |
Pre-Pregnancy Interview | Age-Eligible Women | Pre-Pregnancy Interview Pre-Pregnancy Visit Information Sheet Refusal of Biological/Environmental Samples |
|
Pre-Pregnancy Blood and Urine Collection | Age-Eligible Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Blood and Urine Collection |
|
Pregnancy Probability Group Follow Up Script | Age-Eligible Women | Pregnancy Probability Group Follow Up - CATI Instrument Pregnancy Probability Group Follow Up - SAQ |
|
Validation Script | Age-Eligible Women | Interviewer Validation | |
Pregnancy Activities | |||
Pregnant Women’s Informed Consent Form | Pregnant Women | Pregnant Women's Informed Consent Form | |
Pregnancy Visit 1 Interview | Pregnant Women | Pregnancy Visit 1 Interview and SAQ Pregnancy Visit 1 Visit Information Sheet Tap Water Collection Instructions Vacuum Bag Participant Instructions Refusal of Biological/Environmental Samples |
|
Pregnancy Visit 1 Blood and Urine Collection | Pregnant Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Fasting Blood, Urine, and Vacuum Collection Pre-Visit Instructions for Blood, Urine, and Vacuum Collection Pre-Visit Instructions for Blood and Urine Collection |
|
Pregnancy Visit 2 Interview | Pregnant Women | Pregnancy Visit 2 Interview and SAQ Pregnancy Visit 2 Visit Information Sheet Tap Water Collection Instructions Vacuum Bag Participant Instructions Refusal of Biological/Environmental Samples |
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Pregnancy Visit 2 Blood and Urine Collection | Pregnant Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Fasting Blood, Urine, and Vacuum Collection |
|
Pregnancy Health Care Log | Pregnant Women | Pregnancy Health Care Log | |
Father Informed Consent Form | Alternate Caregiver | Informed Consent Form - Fathers | |
Father Interview | Alternate Caregiver | Father Interview Father Visit Information Sheet |
|
Birth-Related Activities | |||
Birth Visit Interview | Mother/Baby | Birth Visit Interview Birth Visit Information Sheet Cord Blood Collection Visit Information Sheet Refusal of Biological/Environmental Samples |
|
Postnatal Activities | |||
Infant Feeding Log | Mother/Baby | Infant and Child Health Care Log | |
3-Month Mother Phone Interview | Mother/Baby | 3-Month Mother Phone Interview | |
6-Month Visit Interview | Mother/Baby | 6-Month Mother Interview 6-Month Infant Feeding SAQ 6-Month Visit Information Sheet |
|
9-Month Mother Phone Interview | Mother/Baby | 9-Month Mother Phone Interview | |
12-Month Mother Interview | Mother/Baby | 12-Month Mother Interview 12-Month SAQ 12-Month Visit Information Sheet |
|
18-Month Mother Interview Call | Mother/Baby | 18-Month Mother Interview 18-Month SAQ (placeholder for copyrighted material -- Ages and Stages III Questionnaire) |
|
24-Month Mother Interview Call | Mother/Baby | 24-Month Mother Interview 24-Month SAQ (placeholder for copyrighted material -- Ages and Stages III Questionnaire) |
|
Two-Tier (High): 10 Study Locations across Both Tiers | |||
Screening Activities | |||
Low-intensity Invitation to High-intensity Script | Age-Eligible Women | Low-Intensity Invitation to High-Intensity Script | |
Pregnancy Screener | Age-Eligible Women | Pregnancy Screener (TT-LI, TT-HI) | |
Preconception Activities | |||
Non-pregnant Women's Informed Consent | Age-Eligible Women | Non-pregnant Women's Informed Consent | |
Pre-Pregnancy Interview | Age-Eligible Women | Pre-Pregnancy Interview Pre-Pregnancy Visit Information Sheet Refusal of Biological/Environmental Samples |
|
Pre-Pregnancy Blood and Urine Collection | Age-Eligible Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Blood and Urine Collection |
|
Pregnancy Probability Group Follow Up Script | Age-Eligible Women | Pregnancy Probability Group Follow Up - CATI Instrument Pregnancy Probability Group Follow Up - SAQ |
|
Validation Script | Age-Eligible Women | Interviewer Validation | |
Pregnancy Activities | |||
Pregnant Women’s Informed Consent Form | Pregnant Women | Pregnant Women's Informed Consent Form | |
Pregnancy Visit 1 Interview | Pregnant Women | Pregnancy Visit 1 Interview and SAQ Pregnancy Visit 1 Visit Information Sheet Tap Water Collection Instructions Vacuum Bag Participant Instructions Refusal of Biological/Environmental Samples |
|
Pregnancy Visit 1 Blood and Urine Collection | Pregnant Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Fasting Blood, Urine, and Vacuum Collection Pre-Visit Instructions for Blood, Urine, and Vacuum Collection Pre-Visit Instructions for Blood and Urine Collection |
|
Pregnancy Visit 2 Interview | Pregnant Women | Pregnancy Visit 2 Interview and SAQ Pregnancy Visit 2 Visit Information Sheet Tap Water Collection Instructions Vacuum Bag Participant Instructions Refusal of Biological/Environmental Samples |
|
Pregnancy Visit 2 Blood and Urine Collection | Pregnant Women | Urine Collection Instructions Biospecimens Urine Instrument Biospecimens Blood Instrument Pre-Visit Instructions for Fasting Blood, Urine, and Vacuum Collection |
|
Pregnancy Health Care Log | Pregnant Women | Pregnancy Health Care Log | |
Father Informed Consent Form | Alternate Caregiver | Informed Consent Form - Fathers | |
Father Interview | Alternate Caregiver | Father Interview Father Visit Information Sheet |
|
Birth-Related Activities | |||
Birth Visit Interview | Mother/Baby | Birth Visit Interview Birth Visit Information Sheet Cord Blood Collection Visit Information Sheet Refusal of Biological/Environmental Samples |
|
Postnatal Activities | |||
Infant Feeding Log | Mother/Baby | Infant and Child Health Care Log | |
3-Month Mother Phone Interview | Mother/Baby | 3-Month Mother Phone Interview | |
6-Month Visit Interview | Mother/Baby | 6-Month Mother Interview 6-Month Infant Feeding SAQ 6-Month Visit Information Sheet |
|
9-Month Mother Phone Interview | Mother/Baby | 9-Month Mother Phone Interview | |
12-Month Mother Interview | Mother/Baby | 12-Month Mother Interview 12-Month SAQ 12-Month Visit Information Sheet |
|
18-Month Mother Interview Call | Mother/Baby | 18-Month Mother Interview 18-Month SAQ (placeholder for copyrighted material -- Ages and Stages III Questionnaire) (Placeholder for copyrighted material) |
|
24-Month Mother Interview Call | Mother/Baby | 24-Month Mother Interview 24-Month SAQ (placeholder for copyrighted material -- Ages and Stages III Questionnaire) (Placeholder for copyrighted material) |
|
Two-Tier (Low): 10 Study Locations across Both Tiers | |||
Screening Activities | |||
Pregnancy Screener (TT-LI, TT-HI) | Age-Eligible Women | Pregnancy Screener (TT-LI, TT-HI) | |
Low-Intensity Consent Script | Age-Eligible Women | Low-Intensity Consent Script Low-Intensity Data Collection Participant Information Sheet |
|
Preconception and Pregnancy Activities | |||
Low-intensity Questionnaire (Non-Pregnant) | Age-Eligible Women | Low-Intensity Questionnaire (Non- & Pregnant) Low-Intensity Data Collection Participant Information Sheet |
|
Pregnancy Probability Group Follow Up Script | Age-Eligible Women | Pregnancy Probability Group Follow Up - CATI Instrument Pregnancy Probability Group Follow Up - SAQ |
|
Low-intensity Questionnaire (Found Pregnant) | Pregnant Women | Low-Intensity Questionnaire (Non- & Pregnant) Low-Intensity Data Collection Participant Information Sheet |
|
Validation Script | Age-Eligible Women | Interviewer Validation | |
Birth-Related Activities | |||
Low-intensity Questionnaire (Birth-focus) | Mother/Baby | Low-Intensity Questionnaire (Non- & Pregnant) Low-Intensity Data Collection Participant Information Sheet |
|
Postnatal Activities | |||
Low-intensity Questionnaire (Child-focus) | Mother/Baby | Low-Intensity Questionnaire (Non- & Pregnant) Low-Intensity Data Collection Participant Information Sheet |
File Type | application/vnd.openxmlformats-officedocument.spreadsheetml.sheet |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |