Recruitment Screening Scripts

Cognitive Interview Recruitment Screening Scripts

Prescription Drug Redesign Study

Round 2.1 Screening Script to Identify Cognitive Interview Participants

Adult and Adolescent Pairs

Date/Time of Call ___________________

[NOTE: DO NOT READ TEXT OR RESPONSE CATEGORIES IN ALL CAPS.]

[IF RESPONDING TO A MESSAGE:]

Hello, this is Shelly Parsons calling from RTI International. Thank you for contacting us about our study that will test questions about alcohol use, drug use, and health care coverage. I understand that you're interested in participating in an upcoming interview. Is that correct?

[IF ANSWERING AN INCOMING CALL]

Thank you for contacting us about our study that will test questions about alcohol use, drug use, and health care coverage. I understand that you're interested in participating in an upcoming interview. Is that correct?

IF NO ADDITIONAL INTERVIEWS NEED TO BE SCHEDULED, OFFER TO PUT THE CALLER ON A WAIT LIST. INFORM ROUND 1 CALLERS THAT THIS COULD INCLUDE RECONTACT FOR A FUTURE ROUND SEVERAL WEEKS LATER. COLLECT FIRST NAME AND TELEPHONE NUMBER.

Let me ask you a few questions about you to see if you are eligible.

1. How did you hear about this study?

2. How old are you? [IF ANY CONCERNS, ASSURE THAT THIS IS ONLY FOR US TO KNOW ABOUT THE FINAL COMPOSITION OF THE PARTICIPANTS.]

(AGE IN YEARS)

PLEASE READ THE FOLLOWING IF THE PERSON IS UNDER 12:

Since you are [AGE], we cannot interview you for this study. Thank you for your time and interest. [CONCLUDE THE CALL.]

IF CALLER IS 18 OR OLDER AND:

• WE DO NOT CURRENTLY NEED PARTICIPANTS FOR THIS AGE GROUP, CONTINUE WITH Q3 BUT PUT CALLER ON A WILL CALL LIST AFTER COMPLETING THE INTERVIEW. INFORM ROUND 1 CALLERS THAT THIS COULD INCLUDE RECONTACT FOR A FUTURE ROUND SEVERAL WEEKS LATER.

• WE STILL NEED PARTICIPANTS FOR THIS AGE GROUP, GO TO Q3.

IF CALLER IS 12-17 YEARS OLD AND:

• WE DO NOT CURRENTLY NEED PARTICIPANTS FOR THIS AGE GROUP, PUT HIM/HER ON A WILL CALL LIST, THANK HIM/HER AND TERMINATE CALL.

• WE STILL NEED PARTICIPANTS FOR THIS AGE GROUP, CONTINUE WITH 2A.

2a. Since you are under 18, I will need to talk with a parent or guardian and ask them if it is okay for you to participate. I will describe the study to your parent or guardian, including the types of questions that we will ask and what you will need to do to participate. Your parent or guardian will need to tell us if it is okay for you to participate in the study.

May I speak with your parent or guardian now to ask if it is okay for you to participate?

1 YES – PARENT/GUARDIAN AVAILABLE [GO TO 2D]

2 NO – PARENT/GUARDIAN NOT AVAILABLE [GO TO 2B]

2b. When would be a good time for me to call back to talk with them? ________

2c. Thank you. If I can't get in touch with your (parent/guardian), I may need to leave a message for them to call me back. If that happens, I will only say that I'm calling about a health study, and will not tell anything more about the study until I have them on the phone. Likewise, when I call you back, if I can't get in touch with you, I may need to leave a message, but I'll only say that I'm calling about a health study. We won't ask you anything further for the study until I have a chance to talk with a (parent/guardian).

2cc. What phone number should I call to reach your parents? _______________

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2d. TO PARENT/GUARDIAN: My name is _______ from RTI International. Your child responded to an advertisement we placed for research participants between the ages of 12 and 17 for a study that will help us see how well young people understand questions about alcohol use, drug use and health coverage. We would like to talk with you further about [his/her] participation in this study. Am I speaking with an adult who is responsible for [him/her]?

YES

NO

2e. As I said, I work with RTI International, which is conducting the National Survey on Drug Use and Health. RTI is doing this study for the Substance Abuse and Mental Health Services Administration, which is an agency of the U.S. government.

We’re interested in testing some questions on alcohol use, drug use and health care coverage that we might be using in the survey. We want to see how well people understand these questions. We plan to interview about 40 people. 20 will be aged 12 to 17 and the other 20 will be parents of the 12 to 17 year olds. Are you and your child interested in participating?

1 YES [CONTINUE WITH 2E]

2 NO [Since you are unable to participate, we cannot interview your child for this study either. Thank you for your time and interest. [CONCLUDE THE CALL.]

Before I explain more about the study, do you or your child have any physical problems that would prevent you or your child from reading or hearing questions during the interview?

1. YES

Please describe:

_________________________________________________________________

_________________________________________________________________

2. NO [CONTINUE WITH 2F]

PLEASE READ THE FOLLOWING IF THE PARENT/GUARDIAN REPORTS VISUAL OR HEARING LIMITATIONS THAT WOULD PREVENT THE ADOLESCENT FROM DOING THE INTERVIEW:

Since [he/she] is not able to [read/hear] the questions, we cannot interview [him/her] for this study. Thank you for your time and interest. [CONCLUDE THE CALL.]

2f. We’re interested in interviewing both you and your child at [RTI’s office in Research Triangle Park/Chicago/Washington, DC]/[OR AT NAME OF PROGRAM IF RECRUITED THROUGH TREATMENT]. The interviews will take about 90 minutes each. You will both use a laptop computer to answer questions about alcohol use, drug use, and your health care plan. These interviews will be done separately. The interviewer will ask how well you understand the questions. If you and your child would like to take part in the study, your child will receive a $30 Visa gift card and you will receive a $40 Visa gift card in appreciation for the interviews.

You and your child can skip any question you do not want to answer. The interview will be conducted in private, and the answers will be kept private and confidential. So that you and your child can feel comfortable answering the questions in the interview, you will not be able to observe your child’s interview and your child will not be observing yours.

Your child will complete the interview first. You will be asked to help answer some questions on behalf of your child. When your child’s interview is completed, you will begin your interview. Each interview will take about an hour.

[ASK IF PARENT HAS ANY QUESTIONS AND IF WE HAVE INITIAL PERMISSION FOR THE CHILD TO PARTICIPATE AS WELL.]

THANK [IF PERMISSION GIVEN] Thank you very much.

OK, great! Let me ask you a few additional questions to determine if both you and your child are eligible to participate.

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3. RESPONDENT'S SEX [CONFIRM IF NECESSARY]

1. MALE

2. FEMALE

4. [IF AGE = 18 OR OLDER] Have you ever served in the military?

1. YES (ASK 4a)

2. NO (GO TO 5)

4a. Are you currently on active duty in the military?

1. YES (THANK THEM FOR THEIR INTEREST AND CONCLUDE THE CALL)

2 NO (CONTINUE)

5. In what city do you live? [TO DETERMINE GEOGRAPHIC DIVERSITY OF PARTICIPANTS]

6. [IF AGE = 18 OR OLDER] What is the highest grade or year of school you have completed? (CIRCLE ONE)

1. LESS THAN HIGH SCHOOL

2. HIGH SCHOOL DIPLOMA OR GED

3. SOME COLLEGE

4. ASSOCIATE'S DEGREE/DEGREE FROM TECHNICAL OR COMMUNITY COLLEGE

5. 4-YEAR COLLEGE DEGREE

6. GRADUATE DEGREE

7. Have you ever participated in a research study? That would include any studies you participated in for RTI or for other organizations.

1. YES (ASK 7A)

2. NO (GO TO 8)

7a. When was the last time?

1. IN THE PAST 12 MONTHS (ASK 7B)

2. MORE THAN 12 MONTHS AGO (GO TO 8)

7b. In the past 12 months, how many research studies have you participated in?

(NUMBER > 0) (THANK CALLER FOR HIS/HER TIME IF > 1)

8. Has your child ever participated in a research study? That would include any studies he/she participated in for RTI or for other organizations.

1. YES (ASK 8A)

2. NO (GO TO 9)

8a. When was the last time?

3. IN THE PAST 12 MONTHS (ASK 7B)

4. MORE THAN 12 MONTHS AGO (GO TO 8)

8b. In the past 12 months, how many research studies has your child participated in?

(NUMBER > 0) (THANK CALLER FOR HIS/HER TIME IF > 1)

IF 1 STUDY, PROBE TO DETERMINE TYPE OF STUDY AND WHETHER THE CALLER/CHILD HAS PARTICIPATED IN AN RTI STUDY IN THE PAST 12 MONTHS. THANK CALLER FOR HIS/HER TIME IF PARTICIPATED IN ANY RTI STUDY IN THE PAST 12 MONTHS OR SURVEY OR OTHER SOCIAL SCIENCE RESEARCH IN THE PAST 12 MONTHS, SUCH AS PUBLIC OPINION RESEARCH, PSYCHOLOGY EXPERIMENTS, MARKET RESEARCH, ETC. (IF UNSURE ABOUT THE TYPE OF PRIOR STUDY PARTICIPATION, GO TO WAITING LIST INSTRUCTIONS AND CONTACT THE RTI STUDY LEADER ABOUT ELIGIBILITY.)

These next questions ask about your use of prescription drugs. You do not have to answer these questions if you do not want to. Remember that all of your answers are confidential. Is it OK to proceed?

YES - - GO TO Q9

NO - - “Since you prefer not to answer these next questions, we are unable to schedule the interview.”

9. In the past 12 months, have you used any prescription pain relievers, such as Vicodin^®, OxyContin^®, Percodan^®, or Darvon^® for any reason? Do not include "over-the-counter" pain relievers such as aspirin or Tylenol^® that can be bought without a doctor's prescription.

1. YES (ASK 9A)

2. NO (GO TO 10)

9a. What prescription pain relievers have you used in the past 12 months? (CIRCLE ALL THAT APPLY)

1. BUPRENORPHINE

2. DARVOCET

3. DARVON

4. DEMEROL

5. CODEINE

6. FENTANYL

7. FENTORA

8. HYDROCODONE

9. LORCET

10. LORTAB

11. MORPHINE

12. METHADONE

13. OXYCODONE

14. OXYCONTIN

15. PERCOCET

16. PERCODAN

17. PROPOXYPHENE

18. SUBOXONE

19. SUBUTEX

20. TRAMADOL

21. TYLENOL WITH CODEINE

22. TYLOX

23. ULTRAM

24. VICODIN

25. OTHER (SPECIFY)

________________________

10. In the past 12 months, have you used any prescription stimulants, such as Adderall^®, Ritalin^®, or amphetamines? Do not include "over-the-counter" stimulants such as Dexatrim^® or No-Doz^® that can be bought without a doctor's prescription.

1. YES (ASK 10A)

2 NO

10a. What prescription stimulants have you used in the past 12 months? (CIRCLE ALL THAT APPLY)

1. ADDERALL

2. ADDERALL XR

3. CONCERTA

4. DEXEDRINE

5. DEXMETHYL-PHENIDATE

6. DEXTRO- AMPHETAMINE

7. DIDREX

8. FOCALIN

9. FOCALIN XR

10. METHYLPHENIDATE

11. MODAFINIL

12. PHENTERMINE

13. PROVIGIL

14. RITALIN

15. RITALIN LA

16. TENUATE

17. OTHER (SPECIFY)

________________________

11. In the past 12 months, have you used any prescription tranquilizers, such as Xanax or Ativan?

1 YES (GO TO 11a)

2 NO

11a. What prescription tranquilizers have you used in the past 12 months?

1. ALPRAZOLAM

2. EXTENDED-RELEASE ALPRAZOLAM

3. ATIVAN

4. BUSPIRONE

5. CLONAZEPAM

6. DIAZEPAM

7. FLEXERIL

8. HYDROXYZINE

9. KLONOPIN

10. LIBRIUM

11. LORAZEPAM

12. MEPROBAMATE

13. OXAZEPAM

14. SOMA

15. TRANXENE

16. VALIUM

17. XANAX

18. XANAX XR

19. OTHER (SPECIFY)

________________________

12. In the past 12 months, have you used any prescription sedatives, such as Ambien or Lunesta?

1 YES (GO TO 11a)

2 NO (SEE BELOW)

THANK CALLER FOR HIS/HER TIME IF RESPONDING TO RECRUITMENT FROM SUBSTANCE ABUSE TREATMENT BUT DID NOT USE PAIN RELIEVERS, STIMULANTS, SEDATIVES, OR TRANQUILIZERS IN THE PAST 12 MONTHS.

12a. What prescription sedatives have you used in the past 12 months?

1. AMBIEN

2. AMBIEN CR

3. BUTISOL

4. DALMANE

5. FLURAZEPAM

6. HALCION

7. LUNESTA

8. PHENOBARBITAL

9. RESTORIL

10. SECONAL

11. SONATA

12. TEMAZEPAM

13. TRIAZOLAM

14. ZALEPLON

15. EXTENDED RELEASE ZOLPIDEM

16. ZOLPIDEM

17. OTHER (SPECIFY)

________________________

GROUP SAMPLE TARGETS TO BE ASSESSED FOLLOWING SCREENING INTERVIEW (relax as needed in the order indicated):

• Total: 40 people; 20 adolescents and 20 parent pairs

• Gender: aim for at least 2 males or 2 females aged 18 or older and at least 2 males or 2 females aged 12 to 17 in a given round.

• Education (aged 18 or older): Aim for at least 1 adult per round with a high school education or less.

• Military Veterans: Aim for a total of 5 military veterans across the 2 rounds.

• Prescription drug use: Aim for at least 1 adult who has used prescription pain relievers and at least 1 adult who has used prescription stimulants in the past 12 months. Aim for at least 1 adult who has used prescription sedatives and at least 1 adult who has used prescription tranquilizers in the past 12 months (NOTE: Persons who have used both in the past 12 months could count toward the criteria for each.)

[THANK THE PERSON FOR HIS/HER TIME IF THE PERSON MEETS THE GENERAL ELIGIBILITY CRITERIA BUT A TARGET FOR THE GROUP HAS BEEN MET. OTHERWISE, CONTINUE.]

IF CALLER AND CHILD ARE ELIGIBLE:

[IF AGE =18+ YEARS OLD] You and your child are eligible to participate in our interviews. Let me tell you a little about the study. The purpose of the study is to get feedback on how easy or difficult different questions about alcohol use, drug use, and health care coverage are to answer. These questions will be presented on a laptop computer. We are doing this research to improve the questions about use of prescription drugs in a large national survey, called the National Survey on Drug Use and Health, which is given to about 70,000 people every year. The survey is conducted by RTI International, and is funded by the Substance Abuse and Mental Health Services Administration or SAMHSA. We will interview about 20 adults and 20 adolescents, and the interviews will take about 90 minutes each. You and your child will arrive for the interview at the same time. We will interview your child first, and then we will interview you. We are trying to schedule interviews to start in September. If you both decide to take part in the interviews, you will receive a $40 Visa gift card and your child will receive a $30 Visa gift card for completing the interviews, in appreciation for your time.

Taking part in the study is voluntary.

[IF CALLER IS RESPONDING TO RECRUITMENT FROM OUTSIDE OF A TREATMENT PROGRAM, READ:] It will be conducted at our office in (Research Triangle Park/Chicago/DC).

[IF CALLER IS RESPONDING TO RECRUITMENT THROUGH A TREATMENT PROGRAM, READ:] You can choose to be interviewed at the program where you are receiving treatment. [RECORD PROGRAM INFO SEPARATELY FROM INTERVIEW AND ONLY AS LONG AS IS NEEDED TO RECORD APPOINTMENT INFO INTO SECURE ELECTRONIC DATABASE. SHRED OR DISCARD HARD COPY WRITTEN PROGRAM INFO FOR SHREDDING IMMEDIATELY AFTER INTERVIEW.]

What you say during the interview will remain private and confidential. As such, we will not share information you give us with anyone other than project staff.

Would you and your child like to take part in this study?

1 YES [GET AVAILABILITY DATES/TIMES AND SCHEDULE A CALLBACK TO CONFIRM. THEN THANK THE R FOR HIS/HER TIME. THEN ASK TO SPEAK TO THE CHILD TO GAIN ASSENT. INFORM THE PARENT THAT WE WILL HANG UP AFTER SPEAKING WITH THE CHILD, BUT THAT WE WILL SPEAK TO THEM AGAIN DURING THE CALL BACK.]

2 NO

[IF NO] If you'd like to tell us, we'd be interested in knowing why you decided that you don't want to take part in this study. [USE AVAILABLE SPACE FOR RESPONSES. THEN THANK THE R FOR HIS/HER TIME.]

WHEN SPEAKING TO CHILD AFTER PARENTAL PERMISSION HAS BEEN OBTAINED:

Hello. Your (mom/dad/guardian) has mentioned that you might be interested in helping us out with a study. Let me tell you a little about the study. The purpose of the study is to get feedback on how easy or difficult different questions about alcohol use, drug use, and health care coverage are to answer. These questions will be presented on a laptop computer. Your parent will not find out your answers to these questions. We are doing this research to improve the questions about use of prescription drugs in a large national survey, called the National Survey on Drug Use and Health, which is given to about 70,000 people every year. The survey is conducted by RTI International, and is funded by the Substance Abuse and Mental Health Services Administration or SAMHSA. We will interview about 20 adults and 20 adolescents, and the interview will take about 90 minutes. Your (mom/dad/guardian) will bring you to our offices so that you can do the interview. Your (mom/dad/guardian) will also complete the interview when you are finished with your interview. When you have completed the interview, you will receive a $30 Visa gift card.

Taking part in the study is voluntary. Would you like to participate in the interview?

1. YES - - THANK R.

2. NO - - If you'd like to tell us, we'd be interested in knowing why you decided that you don't want to take part in this study. [USE AVAILABLE SPACE FOR RESPONSES. THEN THANK THE R FOR HIS/HER TIME.]

Prescription Drug Redesign Study

Round 2.1 Screening Script to Identify Cognitive Interview Participants

Adult Only or Adolescent Only

Date/Time of Call ___________________

[NOTE: DO NOT READ TEXT OR RESPONSE CATEGORIES IN ALL CAPS.]

[IF RESPONDING TO A MESSAGE:]

Hello, this is Shelly Parsons calling from RTI International. Thank you for contacting us about our study that will test questions about alcohol use, drug use, and health care coverage. I understand that you're interested in participating in an upcoming interview. Is that correct?

[IF ANSWERING AN INCOMING CALL]

Thank you for contacting us about our study that will test questions about alcohol use, drug use, and health care coverage. I understand that you're calling about participation in an upcoming study. Is that correct?

EXPLAIN WHETHER WE ARE CURRENTLY RECRUITING RESPONDENT PAIRS, ONLY ADULTS, OR ONLY ADOLESCENTS. DETERMINE WHETHER THE SCREENING SHOULD PROCEED OR WHETHER THE CALLER SHOULD BE ON A WAITLIST.

IF NO ADDITIONAL INTERVIEWS NEED TO BE SCHEDULED, OFFER TO PUT THE CALLER ON A WAIT LIST. INFORM ROUND 1 CALLERS THAT THIS COULD INCLUDE RECONTACT FOR A FUTURE ROUND SEVERAL WEEKS LATER. COLLECT FIRST NAME AND TELEPHONE NUMBER.

IF ADULT CALLING FOR AN ADULT ONLY INTERVIEW, GO TO PAGE 8.

IF ADULT OR CHILD CALLING FOR AN ADOLESCENT ONLY INTERVIEW, PROCEED.

Let me ask you a few questions about you to see if you are eligible.

9. How did you hear about this study?

10. How old are you? [IF ANY CONCERNS, ASSURE THAT THIS IS ONLY FOR US TO KNOW ABOUT THE FINAL COMPOSITION OF THE PARTICIPANTS.]

(AGE IN YEARS)

PLEASE READ THE FOLLOWING IF THE PERSON IS UNDER 12:

Since you are [AGE], we cannot interview you for this study. Thank you for your time and interest. [CONCLUDE THE CALL.]

IF CALLER IS 18 OR OLDER AND:

• WE DO NOT CURRENTLY NEED PARTICIPANTS FOR THIS AGE GROUP, CONTINUE WITH Q3 BUT PUT CALLER ON A WILL CALL LIST AFTER COMPLETING THE INTERVIEW. INFORM ROUND 1 CALLERS THAT THIS COULD INCLUDE RECONTACT FOR A FUTURE ROUND SEVERAL WEEKS LATER.

• WE STILL NEED PARTICIPANTS FOR THIS AGE GROUP, GO TO Q3.

IF CALLER IS 12-17 YEARS OLD AND:

• WE DO NOT CURRENTLY NEED PARTICIPANTS FOR THIS AGE GROUP, PUT HIM/HER ON A WILL CALL LIST, THANK HIM/HER AND TERMINATE CALL.

• WE STILL NEED PARTICIPANTS FOR THIS AGE GROUP, CONTINUE WITH 2A.

2a. Since you are under 18, I will need to talk with a parent or guardian and ask them if it is okay for you to participate. I will describe the study to your parent or guardian, including the types of questions that we will ask and what you will need to do to participate. Your parent or guardian will need to tell us if it is okay for you to participate in the study.

May I speak with your parent or guardian now to ask if it is okay for you to participate?

1 YES – PARENT/GUARDIAN AVAILABLE [GO TO 2D]

2 NO – PARENT/GUARDIAN NOT AVAILABLE [GO TO 2B]

2b. When would be a good time for me to call back to talk with them? ________

2c. Thank you. If I can't get in touch with your (parent/guardian), I may need to leave a message for them to call me back. If that happens, I will only say that I'm calling about a health study, and will not tell anything more about the study until I have them on the phone. Likewise, when I call you back, if I can't get in touch with you, I may need to leave a message, but I'll only say that I'm calling about a health study. We won't ask you anything further for the study until I have a chance to talk with a (parent/guardian).

2cc. What phone number should I call to reach your parents? _______________

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2d. TO PARENT/GUARDIAN: My name is _______ from RTI International. Your child responded to an advertisement we placed for research participants between the ages of 12 and 17 for a study that will help us see how well young people understand questions about alcohol use, drug use and health coverage. We would like to talk with you further about [his/her] participation in this study. Am I speaking with an adult who is responsible for [him/her]?

YES

NO

2e. As I said, I work with RTI International, which is conducting the National Survey on Drug Use and Health. RTI is doing this study for the Substance Abuse and Mental Health Services Administration, which is an agency of the U.S. government.

We’re interested in testing some questions on alcohol use, drug use and health care coverage that we might be using in the survey. We want to see how well people understand these questions. We plan to interview about 40 people. 20 will be aged 12 to 17. We are looking for parents to accompany adolescents to the interview, and answer some questions about the child’s health care coverage. Are you and your child interested in participating?

1 YES [CONTINUE WITH 2E]

2 NO [Since you are unable to participate, we cannot interview your child for this study either. Thank you for your time and interest. CONCLUDE THE CALL.]

Before I explain more about the study, do you or your child have any physical problems that would prevent you or your child from reading or hearing questions during the interview?

3. YES

Please describe:

_________________________________________________________________

_________________________________________________________________

4. NO [CONTINUE WITH 2F]

PLEASE READ THE FOLLOWING IF THE PARENT/GUARDIAN REPORTS VISUAL OR HEARING LIMITATIONS THAT WOULD PREVENT THE ADOLESCENT FROM DOING THE INTERVIEW:

Since [he/she] is not able to [read/hear] the questions, we cannot interview [him/her] for this study. Thank you for your time and interest. [CONCLUDE THE CALL.]

2f. We’re interested in interviewing your child at [RTI’s office in Research Triangle Park/Chicago/Washington, DC]/[OR AT NAME OF PROGRAM IF RECRUITED THROUGH TREATMENT]. His/Her interview will take about 90 minutes in total. You will be asked to answer a few questions on behalf of your child. This will take about 10 minutes. Your child will use a laptop computer to answer questions about alcohol use, drug use, and other health issues. You will answer questions about your child’s health care coverage. The interviewer will ask how well you and your child understand the questions in the interview. So that your child can feel comfortable answering the questions in the interview, you will not be able to observe your child’s interview. If your child would like to take part and you will accompany them to the study, your child will receive a $30 Visa gift card.

Your child can skip any question you do not want to answer. The interview will be conducted in private, and the answers will be kept private and confidential.

[ASK IF PARENT HAS ANY QUESTIONS AND IF WE HAVE INITIAL PERMISSION FOR THE CHILD TO PARTICIPATE AS WELL.]

THANK [IF PERMISSION GIVEN] Thank you very much.

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11. OK, great! Let me ask you a few additional questions to determine if your child is eligible to participate.

CHILD'S SEX [CONFIRM IF NECESSARY]

3. MALE

4. FEMALE

12. In what city do you live? [TO DETERMINE GEOGRAPHIC DIVERSITY OF PARTICIPANTS]

13. How old is the child who will be taking part in the interview?

14. Has your child ever participated in a research study? That would include any studies he/she participated in for RTI or for other organizations.

3. YES (ASK 7A)

4. NO (GO TO 8)

6a. When was the last time?

5. IN THE PAST 12 MONTHS (ASK 7B)

6. MORE THAN 12 MONTHS AGO (GO TO 8)

6b. In the past 12 months, how many research studies has your child participated in?

(NUMBER > 0) (THANK CALLER FOR HIS/HER TIME IF > 1)

IF 1 STUDY, PROBE TO DETERMINE TYPE OF STUDY AND WHETHER THE CALLER/CHILD HAS PARTICIPATED IN AN RTI STUDY IN THE PAST 12 MONTHS. THANK CALLER FOR HIS/HER TIME IF PARTICIPATED IN ANY RTI STUDY IN THE PAST 12 MONTHS OR SURVEY OR OTHER SOCIAL SCIENCE RESEARCH IN THE PAST 12 MONTHS, SUCH AS PUBLIC OPINION RESEARCH, PSYCHOLOGY EXPERIMENTS, MARKET RESEARCH, ETC. (IF UNSURE ABOUT THE TYPE OF PRIOR STUDY PARTICIPATION, GO TO WAITING LIST INSTRUCTIONS AND CONTACT THE RTI STUDY LEADER ABOUT ELIGIBILITY.)

GROUP SAMPLE TARGETS TO BE ASSESSED FOLLOWING SCREENING INTERVIEW (relax as needed in the order indicated):

• Total: 40 people; 20 adolescents and 20 parent pairs

• Gender: aim for at least 5 males or 5 females aged 18 or older and at least 5 males or 5 females aged 12 to 17 in a given round.

• Education (aged 18 or older): Aim for at least 3 adults per round with a high school education or less.

• Military Veterans: Aim for a total of 5 military veterans across the 2 rounds.

• Prescription drug use: Aim for at least 1 adult who has used prescription pain relievers and at least 1 adult who has used prescription stimulants in the past 12 months. Aim for at least 1 adult who has used prescription sedatives and at least 1 adult who has used prescription tranquilizers in the past 12 months (NOTE: Persons who have used all of these in the past 12 months could count toward the criteria for each.)

[THANK THE PERSON FOR HIS/HER TIME IF THE PERSON MEETS THE GENERAL ELIGIBILITY CRITERIA BUT A TARGET FOR THE GROUP HAS BEEN MET. OTHERWISE, CONTINUE.]

IF CHILD IS ELIGIBLE:

Your child is eligible to participate in our interview. Let me tell you a little about the study. The purpose of the study is to get feedback on how easy or difficult different questions about alcohol use, drug use, and health care coverage are to answer. These questions will be presented on a laptop computer. We are doing this research to improve the questions about use of prescription drugs in a large national survey, called the National Survey on Drug Use and Health, which is given to about 70,000 people every year. The survey is conducted by RTI International, and is funded by the Substance Abuse and Mental Health Services Administration or SAMHSA. We will interview about 20 adults and 20 adolescents, and the interview will take about 90 minutes. You will accompany your child to the interview and be available to answer question at the end of the interview. We are trying to schedule interviews to start in September. If your child takes part in the interviews, he/she will receive a $30 Visa gift card for completing the interviews.

Taking part in the study is voluntary.

[IF CALLER IS RESPONDING TO RECRUITMENT FROM OUTSIDE OF A TREATMENT PROGRAM, READ:] It will be conducted at our office in (Research Triangle Park/Chicago/DC).

What you and your child say during the interview will remain private and confidential. As such, we will not share information you give us with anyone other than project staff.

Would you accompany your child to this study?

1 YES [GET AVAILABILITY DATES/TIMES AND SCHEDULE A CALLBACK TO CONFIRM. THEN ASK TO SPEAK TO THE CHILD TO GAIN ASSENT. INFORM THE PARENT THAT WE WILL HANG UP AFTER SPEAKING WITH THE CHILD, BUT THAT WE WILL SPEAK TO THEM AGAIN DURING THE CALL BACK.]

2 NO

[IF NO] If you'd like to tell us, we'd be interested in knowing why you decided that you don't want to take part in this study. [USE AVAILABLE SPACE FOR RESPONSES. THEN THANK THE R FOR HIS/HER TIME.]

WHEN SPEAKING TO CHILD AFTER PARENTAL PERMISSION HAS BEEN OBTAINED:

Hello. Your (mom/dad/guardian) has mentioned that you might be interested in helping us out with a study. Let me tell you a little about the study. The purpose of the study is to get feedback on how easy or difficult different questions about alcohol use, drug use, and health care coverage are to answer. These questions will be presented on a laptop computer. Your parent will not find out your answers to these questions. We are doing this research to improve the questions about use of prescription drugs in a large national survey, called the National Survey on Drug Use and Health, which is given to about 70,000 people every year. The survey is conducted by RTI International, and is funded by the Substance Abuse and Mental Health Services Administration or SAMHSA. We will interview about 20 adults and 20 adolescents, and the interview will take about 90 minutes. Your (mom/dad/guardian) will bring you to our offices so that you can do the interview. When you have completed the interview, you will receive a $30 Visa gift card.

Taking part in the study is voluntary. Would you like to participate in the interview?

3. YES - - THANK R.

4. NO - - If you'd like to tell us, we'd be interested in knowing why you decided that you don't want to take part in this study. [USE AVAILABLE SPACE FOR RESPONSES. THEN THANK THE R FOR HIS/HER TIME.]

IF ADULT CALLING FOR AN ADULT ONLY INTERVIEW:

Let me ask you a few questions about you to see if you are eligible.

1. How did you hear about this study?

2. How old are you? [IF ANY CONCERNS, ASSURE THAT THIS IS ONLY FOR US TO KNOW ABOUT THE FINAL COMPOSITION OF THE PARTICIPANTS.]

(AGE IN YEARS)

WE STILL NEED PARTICIPANTS FOR THIS AGE GROUP, GO TO Q3.

As I said, I work with RTI International, which is conducting the National Survey on Drug Use and Health. RTI is doing this study for the Substance Abuse and Mental Health Services Administration, which is an agency of the U.S. government.

We’re interested in testing some questions on alcohol use, drug use and health care coverage that we might be using in the survey. We want to see how well people understand these questions. We plan to interview about 40 people. 20 will be aged 12 to 17, while the rest will be adults. Are you interested in participating?

1 YES [CONTINUE WITH 2E]

2 NO [Thank you for your time and interest. CONCLUDE THE CALL.]

3. Have you ever served in the military?

YES (ASK 3A)

NO (DETERMINE WHETHER THE CALLER IS STILL ELIGIBLE BASED ON MILITARY VET RECRUITMENT TARGETS)

3a. Are you currently on active duty in the military?

YES (THANK THEM FOR THEIR INTEREST AND CONCLUDE THE CALL)

NO (DETERMINE WHETHER THE CALLER IS STILL ELIGIBLE BASED ON MILITARY VET RECRUITMENT TARGETS)

4. Before I explain more about the study, do you have any physical problems that would prevent you from reading or hearing questions during the interview?

YES

Please describe:

_________________________________________________________________

_________________________________________________________________

NO [CONTINUE WITH 2F]

PLEASE READ THE FOLLOWING IF THE R REPORTS VISUAL OR HEARING LIMITATIONS THAT WOULD PREVENT HIM FROM DOING THE INTERVIEW:

Since you are not able to [read/hear] the questions, we cannot interview you for this study. Thank you for your time and interest. [CONCLUDE THE CALL.]

We’re interested in interviewing you at [RTI’s office in Research Triangle Park/Chicago/Washington, DC] / [OR AT NAME OF PROGRAM IF RECRUITED THROUGH TREATMENT]. This interview will take about 90 minutes in total. You will be asked to answer questions alcohol use, drug use, and other health issues. The interviewer will ask how well you understand the questions in the interview. If you take part in the interview and, you will receive a $40 Visa gift card.

You can skip any question you do not want to answer. The interview will be conducted in private, and the answers will be kept private and confidential.

[ASK IF R HAS ANY QUESTIONS.]

THANK [IF PERMISSION GIVEN] Thank you very much.

5. OK, great! Let me ask you a few additional questions to determine if you are eligible to participate.

R’S SEX [CONFIRM IF NECESSARY]

MALE

FEMALE

6. In what city do you live? [TO DETERMINE GEOGRAPHIC DIVERSITY OF PARTICIPANTS]

7. What is the highest grade or year of school you have completed? (CIRCLE ONE)

• LESS THAN HIGH SCHOOL

• HIGH SCHOOL DIPLOMA OR GED

• SOME COLLEGE

• ASSOCIATE'S DEGREE/DEGREE FROM TECHNICAL OR COMMUNITY COLLEGE

• 4-YEAR COLLEGE DEGREE

• GRADUATE DEGREE

These next questions ask about your use of prescription drugs. You do not have to answer these questions if you do not want to. Remember that all of your answers are confidential. Is it OK to proceed?

YES - - GO TO Q9

NO - - “Since you prefer not to answer these next questions, we are unable to schedule the interview.”

9. In the past 12 months, have you used any prescription pain relievers, such as Vicodin^®, OxyContin^®, Percodan^®, or Darvon^® for any reason? Do not include "over-the-counter" pain relievers such as aspirin or Tylenol^® that can be bought without a doctor's prescription.

YES (ASK 9A)

NO (GO TO 10)

9a. What prescription pain relievers have you used in the past 12 months? (CIRCLE ALL THAT APPLY)

26. BUPRENORPHINE

27. DARVOCET

28. DARVON

29. DEMEROL

30. CODEINE

31. FENTANYL

32. FENTORA

33. HYDROCODONE

34. LORCET

35. LORTAB

36. MORPHINE

37. METHADONE

38. OXYCODONE

39. OXYCONTIN

40. PERCOCET

41. PERCODAN

42. PROPOXYPHENE

43. SUBOXONE

44. SUBUTEX

45. TRAMADOL

46. TYLENOL WITH CODEINE

47. TYLOX

48. ULTRAM

49. VICODIN

50. OTHER (SPECIFY)

________________________

10. In the past 12 months, have you used any prescription stimulants, such as Adderall^®, Ritalin^®, or amphetamines? Do not include "over-the-counter" stimulants such as Dexatrim^® or No-Doz^® that can be bought without a doctor's prescription.

2. YES (ASK 10A)

3. NO (SEE BELOW)

10a. What prescription stimulants have you used in the past 12 months? (CIRCLE ALL THAT APPLY)

18. ADDERALL

19. ADDERALL XR

20. CONCERTA

21. DEXEDRINE

22. DEXMETHYL-PHENIDATE

23. DEXTRO- AMPHETAMINE

24. DIDREX

25. FOCALIN

26. FOCALIN XR

27. METHYLPHENIDATE

28. MODAFINIL

29. PHENTERMINE

30. PROVIGIL

31. RITALIN

32. RITALIN LA

33. TENUATE

34. OTHER (SPECIFY)

________________________

11. In the past 12 months, have you used any prescription tranquilizers, such as Xanax or Ativan?

1 YES (GO TO 11a)

2 NO

11a. What prescription tranquilizers have you used in the past 12 months?

20. ALPRAZOLAM

21. EXTENDED-RELEASE ALPRAZOLAM

22. ATIVAN

23. BUSPIRONE

24. CLONAZEPAM

25. DIAZEPAM

26. FLEXERIL

27. HYDROXYZINE

28. KLONOPIN

29. LIBRIUM

30. LORAZEPAM

31. MEPROBAMATE

32. OXAZEPAM

33. SOMA

34. TRANXENE

35. VALIUM

36. XANAX

37. XANAX XR

38. OTHER (SPECIFY)

________________________

12. In the past 12 months, have you used any prescription sedatives, such as Ambien or Lunesta?

1 YES (GO TO 11a)

2 NO (SEE BELOW)

THANK CALLER FOR HIS/HER TIME IF RESPONDING TO RECRUITMENT FROM SUBSTANCE ABUSE TREATMENT BUT DID NOT USE PAIN RELIEVERS, STIMULANTS, SEDATIVES, OR TRANQUILIZERS IN THE PAST 12 MONTHS.

12a. What prescription sedatives have you used in the past 12 months?

18. AMBIEN

19. AMBIEN CR

20. BUTISOL

21. DALMANE

22. FLURAZEPAM

23. HALCION

24. LUNESTA

25. PHENOBARBITAL

26. RESTORIL

27. SECONAL

28. SONATA

29. TEMAZEPAM

30. TRIAZOLAM

31. ZALEPLON

32. EXTENDED RELEASE ZOLPIDEM

33. ZOLPIDEM

34. OTHER (SPECIFY)

________________________

13. Have you ever participated in a research study? That would include any studies you have participated in for RTI or for other organizations.

5. YES (ASK 7A)

6. NO (GO TO 8)

13a. When was the last time?

7. IN THE PAST 12 MONTHS (ASK 7B)

8. MORE THAN 12 MONTHS AGO (GO TO 8)

13b. In the past 12 months, how many research studies have you participated in?

(NUMBER > 0) (THANK CALLER FOR HIS/HER TIME IF > 1)

IF 1 STUDY, PROBE TO DETERMINE TYPE OF STUDY AND WHETHER THE CALLER HAS PARTICIPATED IN AN RTI STUDY IN THE PAST 12 MONTHS. THANK CALLER FOR HIS/HER TIME IF PARTICIPATED IN ANY RTI STUDY IN THE PAST 12 MONTHS OR SURVEY OR OTHER SOCIAL SCIENCE RESEARCH IN THE PAST 12 MONTHS, SUCH AS PUBLIC OPINION RESEARCH, PSYCHOLOGY EXPERIMENTS, MARKET RESEARCH, ETC. (IF UNSURE ABOUT THE TYPE OF PRIOR STUDY PARTICIPATION, GO TO WAITING LIST INSTRUCTIONS AND CONTACT THE RTI STUDY LEADER ABOUT ELIGIBILITY.)

GROUP SAMPLE TARGETS TO BE ASSESSED FOLLOWING SCREENING INTERVIEW (relax as needed in the order indicated):

• Total: 40 people; 20 adolescents and 20 parent pairs

• Gender: aim for at least 5 males or 5 females aged 18 or older and at least 5 males or 5 females aged 12 to 17 in a given round.

• Education (aged 18 or older): Aim for at least 3 adults per round with a high school education or less.

• Military Veterans: Aim for a total of 5 military veterans across the 2 rounds.

• Prescription drug use: Aim for at least 1 adult who has used prescription pain relievers and at least 1 adult who has used prescription stimulants in the past 12 months. Aim for at least 1 adult who has used prescription sedatives and at least 1 adult who has used prescription tranquilizers in the past 12 months (NOTE: Persons who have used all of these in the past 12 months could count toward the criteria for each.)

[THANK THE PERSON FOR HIS/HER TIME IF THE PERSON MEETS THE GENERAL ELIGIBILITY CRITERIA BUT A TARGET FOR THE GROUP HAS BEEN MET. OTHERWISE, CONTINUE.]

IF R IS ELIGIBLE:

You are eligible to participate in our interview. Let me tell you a little about the study. The purpose of the study is to get feedback on how easy or difficult different questions about alcohol use, drug use, and health care coverage are to answer. These questions will be presented on a laptop computer. We are doing this research to improve the questions about use of prescription drugs in a large national survey, called the National Survey on Drug Use and Health, which is given to about 70,000 people every year. The survey is conducted by RTI International, and is funded by the Substance Abuse and Mental Health Services Administration or SAMHSA. We will interview about 20 adults and 20 adolescents, and the interview will take about 90 minutes. We are trying to schedule interviews to start in September. If you take part in the interviews, you will receive a $40 Visa gift card for completing the interviews.

Taking part in the study is voluntary.

[IF CALLER IS RESPONDING TO RECRUITMENT FROM OUTSIDE OF A TREATMENT PROGRAM, READ:] It will be conducted at our office in (Research Triangle Park/Chicago/DC).

What you say during the interview will remain private and confidential. As such, we will not share information you give us with anyone other than project staff.

Are you available to participate in this study?

1 YES [GET AVAILABILITY DATES/TIMES AND SCHEDULE A CALLBACK TO CONFIRM.]

2 NO

[IF NO] If you'd like to tell us, we'd be interested in knowing why you decided that you don't want to take part in this study. [USE AVAILABLE SPACE FOR RESPONSES. THEN THANK THE R FOR HIS/HER TIME.]