Attachment K

PDF 5 - Attachment K.pdf

2013 National Survey on Drug Use and Health (NSDUH)

Attachment K

OMB: 0930-0110

Document [pdf]
Download: pdf | pdf
Attachment K
2013 Showcard Booklet

2013 National Survey on
Drug Use and Health
SHOWCARD BOOKLET

RESEARCH TRIANGLE INSTITUTE

Supervisor Contacts
FS Name ............... ___________________________
FS Number ........... ( ______ ) __________________
RS Name .............. ___________________________
RS Number ........... ( ______ ) __________________

RTI Telephone Numbers
Tech Support........ (877) 419-1768
Headway .............. (800) 208-7043
To reach other RTI staff, call toll-free 1-800-848-4079
then ask the operator for the employee with whom you
wish to speak.

Website Addresses
NSDUH ................. http://nsduhweb.rti.org
RTI ....................... http://www.rti.org
SAMHSA ............... http://www.samhsa.gov

Quick Reference Guide
In the CAI Manager, if you want to:

CLICK ON

Start an interview ............................................................................. Start CAI
Cancel the start of an interview............................................................ Cancel
Resume (re-start) an interview ........................................................ Start CAI
Transmit data to RTI....................................................... Transmit to RTI, Yes
View e-mail messages ................................................... View Email Messages
Start the ePTE Program ................................................................... PTE Entry
List the cases by Descending Order (based on date) .................... Descending
List the cases in Ascending Order (based on date) ......................... Ascending
Hide previous quarters’ interviews .......................................................... Hide
Exit CAI Manager .......................................................................................Exit

To begin a CAI Interview:
Enter QuestID from iPAQ for selected sample member. Double check!

In the Interview, if you need to:
Break off an interview ..................................................................[Alt] [f], [x]
Enter Don’t Know ...................................................................................... [F3]
Enter Refused ........................................................................................... [F4]
Return to the first screen.......................................................................... [F5]
Return to the first unanswered question .................................................. [F6]
Toggle audio on/off .................................................................................. [F7]
Enter a comment....................................................................................... [F8]
Save a comment ................................................................................. [Alt] [s]
Back up one screen ................................................................................... [F9]
Replay audio ........................................................................................... [F10]
Edit a lengthy text field ...........................................................................[Ins]
Return the focus to the CAI window so the top bar is blue ............ [Alt] [Tab]

To adjust the main laptop volume*:
Increase volume ..................................................................... [Fn], [Page Up]
Decrease volume ............................................................... [Fn], [Page Down]
Mute volume ............................................................................... [Fn], [Home]
*Keep the main laptop volume turned all the way UP at all times. Respondents will
only adjust the volume on the headphone cord.

To suppress a Hard Error in the interview, involving two questions:
•

Read the message box carefully.
– If the first question listed is the one to be changed, press [Enter].
– If the second question listed is the one to be changed, press the down arrow key
to highlight the second question, then press [Enter].
– In the rare but possible event that neither question needs to be changed and the
data entered are correct, press [Tab] until the Suppress box is highlighted and
then press [Enter].

To edit a lengthy response:


With the cursor blinking in the answer field, press the Insert key [Ins]. You can then
use the arrow keys to move to the precise place within the answer field and add
additional text or edit existing text.

DEPARTMENT OF HEALTH & HUMAN SERVICES

U.S. Public Health Service
Center for Behavioral Health Statistics and Quality
Rockville, MD 20857

______________, 2013

Dear Resident:
To better serve all people across the nation, the United States Public Health Service (USPHS)
is conducting a national study on health-related issues. Your address was randomly chosen
along with more than 200,000 others. Research Triangle Institute (RTI) is under contract to
carry out this study for the USPHS. Soon, an RTI interviewer will be in your neighborhood to
give you more information.
When the interviewer arrives, please ask to see his or her personal identification card. An
example of the ID card is shown below. The interviewer will ask you a few questions, and
then may ask one or two members of your household to complete an interview. It is possible
that no one from your household will be chosen to be interviewed. You may choose not to
take part in this study, but no one else can take your place. Every person who is chosen and
completes the interview will receive $30 in cash.
All the information collected is confidential and will be used only for statistical purposes.
This is assured by federal law. This letter is addressed to “Resident” because your address was
selected, and we do not know your name. Feel free to ask the interviewer any questions you
have about the study.
Your help is very important to this study’s success. Thank you for your cooperation.

Ilona S. Johnson
National Field Director, RTI
(800) 848-4079

pl
m
Ex
a

Joel Kennet, Ph.D.
National Study Director,
Center for Behavioral Health Statistics
and Quality

e

Sincerely,

______________________________
Assigned Field Interviewer

Confidentiality protected by the Confidential Information Protection and Statistical Efficiency Act of 2002 (PL 107-347)
Authorized by Section 505 of the Public Health Service Act (42 USC 290aa4)
Approved by Office of Management and Budget (OMB Approval No. xxxx-xxxx)

Study
Description
U.S. Public Health Service
Center for Behavioral Health
Statistics and Quality
Your address is one of several in this area randomly chosen for the 2013 National
Survey on Drug Use and Health. This study, sponsored by the United States Public
Health Service, collects information for research and program planning by asking about:
 tobacco, alcohol, and drug use or non-use,
 knowledge and attitudes about drugs, 
 mental health, and
 other health issues. 
You cannot be identified through any information you give us. Your name and address
will never be connected to your answers. Also, federal law requires us to keep all of
your answers confidential. Any data that you provide will only be used by authorized
personnel for statistical purposes according to the Confidential Information Protection
and Statistical Efficiency Act of 2002.
The screening questions take just a few minutes. If anyone is chosen, the interview will
take about an hour. You can refuse to answer any questions, and you can quit at any
time. Each person who is chosen and completes the interview will receive $30
in cash.
If you have questions about the study, call the Project Representative at 1-800-8484079. If you have questions about your rights as a study participant, call RTI’s Office of
Research Protection at 1-866-214-2043 (a toll-free number). You can also visit our
project website: http://nsduhweb.rti.org/ for more information.
Thank you for your cooperation and time.

Michael Jones, Project Officer
Center for Behavioral Health Statistics and Quality
Substance Abuse and Mental Health Services Administration (SAMHSA)
U.S. Public Health Service
Department of Health and Human Services
Your confidentiality is protected by the Confidential Information Protection and Statistical Efficiency Act of 2002
(CIPSEA, PL 107-347). Any project staff or authorized data user who violates CIPSEA may be subject to a jail
term of up to 5 years, a fine of up to $250,000, or both.

INTRODUCTION AND INFORMED CONSENT FOR
INTERVIEW RESPONDENTS AGE 18+

IF INTERVIEW RESPONDENT IS NOT SCREENING RESPONDENT,
INTRODUCE YOURSELF AND STUDY AS NECESSARY: Hello, I’m ________,
and I’m working on a nationwide study sponsored by the U.S. Public Health
Service. You should have received a letter about this study. (SHOW LEAD
LETTER, IF NECESSARY.)
READ THE BOXED INFORMATION BELOW
BEFORE STARTING EVERY INTERVIEW

This year, we are interviewing about 70,000 people across the nation. You have
been randomly chosen to take part. You will represent over 4,500 other people who
are similar to you. You may choose not to take part in this study, but no one else
can take your place. We will give you $30 when you finish the interview.
GIVE STUDY DESCRIPTION TO R IF YOU HAVE NOT ALREADY DONE SO.
This study asks about tobacco, alcohol, and drug use or non-use, knowledge and
attitudes about drugs, mental health, and other health issues. It takes about an
hour. You will answer most of the questions on the computer, so I will not see your
answers. We are only interested in the combined responses from all 70,000 people,
not just one person’s answers. This is why we do not ask for your name and we
keep your answers separate from your address. RTI may contact you by phone or
mail to ask a few questions about the quality of my work. This is why we ask for
your phone number and mailing address at the end of the interview.
While the interview has some personal questions, federal law keeps your answers
private. We hope that protecting your privacy will help you to give accurate
answers. You can quit the interview at any time and you can refuse to answer any
questions.
If it is all right with you, let’s get started.
(Can we find a private place to complete the interview?)

INTRODUCTION AND INFORMED CONSENT FOR
INTERVIEW RESPONDENTS AGE 12-17
FIRST, READ THE PARENTAL PERMISSION SCRIPT BELOW AND
OBTAIN PERMISSION FROM THE PARENT

Your (AGE) year-old child has been selected to be in this study. Your child’s participation is
voluntary. This interview asks about tobacco, alcohol, and drug use or non-use, knowledge
and attitudes about drugs, mental health, and other health related issues. All of your child’s
answers will be confidential and used only for statistical purposes. Since your child will answer
most of the questions on the computer, I will never see the answers, and you are not allowed
to see them either. If it is all right with you, we’ll get started.
(Can we find a private place to complete the interview?)

THEN, READ THE BOXED INFORMATION BELOW BEFORE STARTING EVERY
INTERVIEW WITH A 12-17 YEAR OLD

This year, we are interviewing about 70,000 people across the nation. You have been
randomly chosen to take part. You will represent over 1,000 young people in this country who
are similar to you. You may choose not to take part in this study, but no one else can take
your place. We will give you $30 when you finish the interview.
GIVE STUDY DESCRIPTION TO R IF YOU HAVE NOT ALREADY DONE SO.
This study asks about tobacco, alcohol, and drug use or non-use, knowledge and attitudes
about drugs, mental health, and other health issues. It takes about an hour. You will answer
most of the questions on the computer, so I will not see your answers. Your answers will
never be seen by either your parents or your school. We are only interested in the combined
responses from all 70,000 people, not just one person’s answers. This is why we do not ask
for your name and we keep your answers separate from your address. RTI may contact you
by phone or mail to ask a few questions about the quality of my work. This is why we ask for
your phone number and mailing address at the end of the interview.
While the interview has some personal questions, federal law keeps your answers private. We
hope that protecting your privacy will help you to give accurate answers. You can quit the
interview at any time and you can refuse to answer any questions.
If it is all right with you, let’s get started.

SHOWCARD 1

1

MEXICAN, MEXICAN AMERICAN, MEXICANO
OR CHICANO

2

PUERTO RICAN

3

CENTRAL OR SOUTH AMERICAN

4

CUBAN OR CUBAN AMERICAN

5

DOMINICAN (FROM DOMINICAN REPUBLIC)

6

SPANISH (FROM SPAIN)

SHOWCARD 2

1

WHITE

2

BLACK OR AFRICAN AMERICAN

3

AMERICAN INDIAN OR ALASKA NATIVE
(AMERICAN INDIAN INCLUDES NORTH
AMERICAN, CENTRAL AMERICAN, AND SOUTH
AMERICAN INDIANS)

4

NATIVE HAWAIIAN

5

GUAMANIAN OR CHAMORRO

6

SAMOAN

7

OTHER PACIFIC ISLANDER

8

ASIAN (INCLUDING: ASIAN INDIAN, CHINESE,
FILIPINO, JAPANESE, KOREAN, AND
VIETNAMESE)

SHOWCARD 3

1

ASIAN INDIAN

2

CHINESE

3

FILIPINO

4

JAPANESE

5

KOREAN

6

VIETNAMESE

SHOWCARD 4

1

SEPTEMBER 2001 OR LATER

2

AUGUST 1990 TO AUGUST 2001 (INCLUDING
PERSIAN GULF WAR)

3

MAY 1975 TO JULY 1990

4

VIETNAM ERA (AUGUST 1964 TO APRIL 1975)

5

FEBRUARY 1955 TO JULY 1964

6

KOREAN WAR (JULY 1950 TO JANUARY 1955)

7

JANUARY 1947 TO JUNE 1950

8

WORLD WAR II (DECEMBER 1941 TO DECEMBER
1946)

9

NOVEMBER 1941 OR EARLIER

SHOWCARD 5

0

NEVER ATTENDED SCHOOL

PRIMARY AND SECONDARY GRADES:
1

1ST GRADE COMPLETED

2

2ND GRADE COMPLETED

3

3RD GRADE COMPLETED

4

4TH GRADE COMPLETED

5

5TH GRADE COMPLETED

6

6TH GRADE COMPLETED

7

7TH GRADE COMPLETED

8

8TH GRADE COMPLETED

9

9TH GRADE COMPLETED

10

10TH GRADE COMPLETED

11

11TH GRADE COMPLETED

12

12TH GRADE COMPLETED

COLLEGE OR UNIVERSITY:
13

1ST YEAR COMPLETED

14

2ND YEAR COMPLETED

15

3RD YEAR COMPLETED

16

4TH YEAR COMPLETED

17

5TH OR HIGHER YEAR COMPLETED

SHOWCARD 6

PRIMARY AND SECONDARY GRADES:
1

1ST GRADE

2

2ND GRADE

3

3RD GRADE

4

4TH GRADE

5

5TH GRADE

6

6TH GRADE

7

7TH GRADE

8

8TH GRADE

9

9TH GRADE

10

10TH GRADE

11

11TH GRADE

12

12TH GRADE

COLLEGE OR UNIVERSITY:
13

1ST YEAR

14

2ND YEAR

15

3RD YEAR

16

4TH YEAR

17

5TH YEAR OR HIGHER

SHOWCARD 7
1

SCHOOL WAS BORING OR I DIDN’T WANT TO BE
THERE

2

I GOT PREGNANT / I GOT SOMEONE PREGNANT

3

I GOT IN TROUBLE OR EXPELLED FOR SELLING
DRUGS

4

I GOT IN TROUBLE OR EXPELLED FOR USING
DRUGS

5

I GOT IN TROUBLE OR EXPELLED FOR SOME
OTHER REASON

6

I OFTEN GOT INTO TROUBLE

7

I HAD TO GET A JOB (OR WORK MORE HOURS)

8

I WAS GETTING BAD GRADES

9

I WASN’T LEARNING ANYTHING

10

I GOT MARRIED OR MOVED IN WITH MY
BOY/GIRLFRIEND

11

I MOVED HERE FROM ANOTHER COUNTRY AND
DIDN’T ENROLL IN SCHOOL (OR DROPPED OUT
OF SCHOOL) BECAUSE OF LANGUAGE OR OTHER
PROBLEMS

12

I WAS TREATED BADLY AT SCHOOL

13

I BECAME ILL OR INJURED

14

I WENT TO JAIL / PRISON

15

I HAD RESPONSIBILITIES AT HOME OR
PERSONAL PROBLEMS

SHOWCARD 8

1

MANUFACTURING

2

WHOLESALE TRADE

3

RETAIL TRADE

4

AGRICULTURE

5

CONSTRUCTION

6

SERVICE

7

GOVERNMENT

SHOWCARD 9

1

PRIVATE FOR-PROFIT COMPANY OR BUSINESS

2

PRIVATE NOT-FOR-PROFIT COMPANY OR
BUSINESS

3

LOCAL GOVERNMENT (CITY, COUNTY, ETC.)

4

STATE GOVERNMENT

5

FEDERAL GOVERNMENT

6

INTERNATIONAL OR FOREIGN GOVERNMENT

7

SELF-EMPLOYED IN AN INCORPORATED
BUSINESS

8

SELF-EMPLOYED IN AN UNINCORPORATED
BUSINESS

9

WORKING WITHOUT PAY IN A FAMILY BUSINESS
OR FARM

SHOWCARD 10

1

ON VACATION, SICK, FURLOUGH, STRIKE, OR
OTHER TEMPORARY ABSENCE

2

ON LAYOFF AND NOT LOOKING FOR WORK

3

ON LAYOFF AND LOOKING FOR WORK

4

WAITING TO REPORT TO A NEW JOB

5

SELF-EMPLOYED AND DID NOT HAVE ANY
BUSINESS LAST WEEK

6

GOING TO SCHOOL OR TRAINING

SHOWCARD 11

1

LOOKING FOR WORK

2

ON LAYOFF AND NOT LOOKING FOR WORK

3

KEEPING HOUSE OR CARING FOR CHILDREN
FULL-TIME

4

GOING TO SCHOOL OR TRAINING

5

RETIRED

6

DISABLED FOR WORK

7

DIDN’T WANT A JOB

SHOWCARD 12

1

LESS THAN 10 PEOPLE

2

10-24 PEOPLE

3

25-99 PEOPLE

4

100-499 PEOPLE

5

500 PEOPLE OR MORE

SHOWCARD 13

1

HANDLED ON AN INDIVIDUAL BASIS/POLICY
DOES NOT SPECIFY WHAT HAPPENS

2

EMPLOYEE IS FIRED

3

EMPLOYEE IS REFERRED FOR TREATMENT
OR COUNSELING

4

NOTHING HAPPENS

5

SOMETHING ELSE HAPPENS

SHOWCARD 14

1

SELF

2

FATHER (INCLUDES STEP, FOSTER,
ADOPTIVE)

3

SON (INCLUDES STEP, FOSTER, ADOPTIVE)

4

BROTHER (INCLUDES HALF, STEP, FOSTER,
ADOPTIVE)

5

HUSBAND

6

UNMARRIED PARTNER

7

HOUSEMATE OR ROOMMATE

8

SON-IN-LAW

9

GRANDSON

10

FATHER-IN-LAW

11

GRANDFATHER

12

BOARDER OR ROOMER

13

OTHER RELATIVE

14

OTHER NON-RELATIVE

SHOWCARD 15

1

SELF

2

MOTHER (INCLUDES STEP, FOSTER,
ADOPTIVE)

3

DAUGHTER (INCLUDES STEP, FOSTER,
ADOPTIVE)

4

SISTER (INCLUDES HALF, STEP, FOSTER,
ADOPTIVE)

5

WIFE

6

UNMARRIED PARTNER

7

HOUSEMATE OR ROOMMATE

8

DAUGHTER-IN-LAW

9

GRANDDAUGHTER

10

MOTHER-IN-LAW

11

GRANDMOTHER

12

BOARDER OR ROOMER

13

OTHER RELATIVE

14

OTHER NON-RELATIVE

SHOWCARD 16

1

PERSON IN FAMILY WITH HEALTH INSURANCE LOST
JOB OR CHANGED EMPLOYERS

2

LOST MEDICAID OR MEDICAL ASSISTANCE
COVERAGE BECAUSE OF NEW JOB OR INCREASE IN
INCOME

3

LOST MEDICAID OR MEDICAL ASSISTANCE
COVERAGE FOR SOME OTHER REASON

4

COST IS TOO HIGH / CAN’T AFFORD PREMIUMS

5

BECAME INELIGIBLE BECAUSE OF AGE OR
LEAVING SCHOOL

6

EMPLOYER DOES NOT OFFER COVERAGE, OR
NOT ELIGIBLE FOR COVERAGE

7

GOT DIVORCED OR SEPARATED FROM PERSON
WITH INSURANCE

8

DEATH OF SPOUSE OR PARENT

9

INSURANCE COMPANY REFUSED COVERAGE

10

DON’T NEED IT

11

RECEIVED MEDICAID OR MEDICAL INSURANCE
ONLY WHILE PREGNANT

SHOWCARD 17

1

COST IS TOO HIGH / CAN’T AFFORD PREMIUMS

2

EMPLOYER DOES NOT OFFER COVERAGE, OR
NOT ELIGIBLE FOR COVERAGE

3

INSURANCE COMPANY REFUSED COVERAGE

4

DON’T NEED IT

SHOWCARD 17a

1

VETERAN’S ADMINISTRATION PAYMENTS

2

OTHER DISABILITY, RETIREMENT OR SURVIVOR
PENSION

3

UNEMPLOYMENT OR WORKER’S COMPENSATION

4

INTEREST INCOME

5

DIVIDENDS FROM STOCKS OR MUTUAL FUNDS

6

INCOME FROM RENTAL PROPERTIES, ROYALTIES,
ESTATES OR TRUSTS

7

ALIMONY

8

CHILD SUPPORT

SHOWCARD 18

1

LESS THAN $1,000 (INCLUDING LOSS)

2

$1,000 - $1,999

3

$2,000 - $2,999

4

$3,000 - $3,999

5

$4,000 - $4,999

6

$5,000 - $5,999

7

$6,000 - $6,999

8

$7,000 - $7,999

9

$8,000 - $8,999

10

$9,000 - $9,999

11

$10,000 - $10,999

12

$11,000 - $11,999

13

$12,000 - $12,999

14

$13,000 - $13,999

15

$14,000 - $14,999

16

$15,000 - $15,999

17

$16,000 - $16,999

18

$17,000 - $17,999

19

$18,000 - $18,999

20

$19,000 - $19,999

SHOWCARD 19

21

$20,000 - $24,999

22

$25,000 - $29,999

23

$30,000 - $34,999

24

$35,000 - $39,999

25

$40,000 - $44,999

26

$45,000 - $49,999

27

$50,000 - $74,999

28

$75,000 - $99,999

29

$100,000 OR MORE

2013 National Survey on Drug Use and Health
Summary of the Questionnaire
You have asked to know more about the National Survey on Drug Use and Health and the types of
questions the interviewer will ask. Below is a summary of each section of the questionnaire for you to
examine. Keep in mind that not everyone will see every question—the questions depend on the
participant’s own experiences. Furthermore, participants can always refuse to answer any questions
during the interview.
Demographics
This section, administered by the interviewer, consists of questions about the participant such as his/her
date of birth, race, educational background, and health status.
Sample Questions:

What is the highest grade or year of school you have completed?

Would you say your health in general is excellent, very good, good, fair, or poor?
Computer Practice Session
In this section, the interviewer shows the participant how to use the laptop computer and lets him/her
practice using a short practice session.
Cigarettes, Alcohol and Illicit Drugs
For most of the rest of the interview, the participant answers questions by listening to the questions over
the headphones and/or reading the questions on the computer screen, and then entering responses using
the computer’s keyboard. The participant answers these questions in private, although the interviewer is
available to help with any problems using the computer. During this part of the interview, only the
participant can hear and see the questions and see his/her responses.
Tobacco Products and Alcohol
These sections include questions about whether and how often participants have used cigarettes, chewing
tobacco, snuff, cigars, pipe tobacco, and alcoholic beverages such as beer, wine, or liquor.
Sample Questions:
Have you ever smoked part or all of a cigarette?

How old were you the first time you used chewing tobacco?

What is your best estimate of the number of days you drank alcohol during the past 30 days?


Illicit Drugs
The next sections ask about the participant’s use or non-use of marijuana, heroin, cocaine, hallucinogens,
and inhalants; and prescription pain killers, tranquilizers, stimulants, and sedatives when taken only for
their effect. Questions about drug dependence and drug treatment are also included in these sections.
Sample Questions:

Have you ever, even once, used marijuana or hashish?

How much do people risk harming themselves physically and in other ways when they use
cocaine once a month?

Adult Social Environment and Mental Health
Participants aged 18 and older receive questions about their social experiences such as: how many times
they have moved, their opinions about drug use, and in some cases, their experiences as a parent. Mental
health questions cover such topics as depression and treatment for mental health problems.
Sample Questions:

How do you feel about adults trying marijuana or hashish once or twice?

During the past 12 months, was there any time when you needed mental health treatment or
counseling for yourself but didn’t get it?

Have you ever in your life had a period of time lasting several days or longer when most of the
day you felt sad, empty, or depressed?
Youth Experiences and Mental Health
Youth aged 12-17 participating in the survey are also asked questions about their social experiences such
as: perceptions about the risks of using certain drugs; whether getting drugs is difficult or easy; feelings
about school and peers; and involvement in clubs, sports, and other extracurricular activities. The mental
health questions cover such topics as depression and treatment for mental health problems.
Sample Questions:

During the past 12 months, in how many different kinds of school-based activities, such as team
sports, cheerleading, choir, band, student government, or clubs, have you participated?

Have you ever in your life had a period of time lasting several days or longer when most of the
day you felt sad, empty, or depressed?

During the past 12 months, did you receive treatment or counseling from a private therapist,
psychologist, psychiatrist, social worker, or counselor for emotional or behavioral problems
that were not caused by alcohol or drugs?
Health Care and Demographic Information
In this section, the laptop is handed back to the interviewer, who asks questions about education, health
insurance, and family income information to help in analyzing the data. If necessary, a knowledgeable
adult in the household may be asked to help participants answer some of these questions.
The answers to these questions increase the government’s knowledge about health care, especially as it
may relate to drug use or treatment. This information helps in planning health care services and finding
ways to lower the costs of care.
Sample Questions:

How many hours did you work last week at all jobs or businesses?

Before taxes and other deductions, was the total combined family income during 2012 more or
less than 20,000 dollars?

Are you currently covered by private health insurance?

Please feel free to ask the interviewer if you have any other questions about the questionnaire.

Thank you for your cooperation and help!

Enumeration Rules
PERSONS WHO ARE NOT TO BE INCLUDED ON ROSTER:



Persons under the age of 12 at the time of screening (do count them in the total SDU
Members number)



Persons who are institutionalized at the time of screening



Persons who will not live at the SDU for most of the time during the quarter

PERSONS WHO ARE TO BE INCLUDED ON ROSTER:



Persons who will live at the SDU for most of the time during the quarter (provided
they are 12 or older and not institutionalized at the time of screening)

PERSONS ON ACTIVE DUTY IN THE UNITED STATES’ MILITARY/ARMED FORCES:



Active duty personnel who live at the SDU for half or more of the quarter will be
rostered, but then will be made ineligible by the iPAQ prior to selection

KNOWN CITIZENS OF FOREIGN COUNTRIES:





DO NOT INCLUDE:

—

citizens of foreign countries living on the premises of an
embassy, ministry, legation, chancellery, or consulate

—

citizens of foreign countries who consider themselves to
be just visiting or traveling in the United States
(regardless of the length of time they will be staying at the
SDU)

DO INCLUDE citizens of foreign countries who are not living on the premises of an
embassy, ministry, etc., but who are living/studying/working in the United States and
who will be living at the SDU for most of the time during the quarter.

1

Steps to Maximize Data Quality
This summary is not a replacement for information contained in your FI Manual, but is a listing of
some of the most crucial protocols that must be followed.
Note the FI Manual pages referenced with each key point. Keep in mind these protocols are not
the only steps necessary to follow. Use your FI Manual, Field Supervisor, and project e-mails for
information on additional steps to maximize data quality.

BE SURE YOU FOLLOW EACH OF THESE PROTOCOLS AT ALL TIMES.

SCREENING


Use your segment maps, and not just the address, to locate your selected
DUs. [FI Manual p. 3-21]



Display your ID badge when knocking on every door in your segment.
[FI Manual pgs. 4-15 and 5-1]



Complete screenings in-person with a resident who is 18 or older. The
only exception is in the case of emancipated minors. [FI Manual p. 4-16]



Give a Study Description to each SR. [FI Manual p. 4-17]



Obtain complete and accurate screening information, reading the screening
questions verbatim to the SR and immediately entering responses into the
iPAQ. The only missing screening data should be a result of the respondent’s
refusal or inability to provide the information. [FI Manual p. 6-15]

INTERVIEW


Read the CAI Introduction and Informed Consent from the Showcard
Booklet to the R (choosing the appropriate version based on the respondent’s
age) before beginning the interview. Before speaking with a selected minor,
you must obtain verbal parental permission. If the R was not the SR, give
him/her a Study Description. [FI Manual pgs. 7-22 and 7-23]



Make it apparent you are completing the interview in a completely
confidential and unbiased manner. [FI Manual pgs. 2-6, 2-7 and 8-1]



To the extent possible, choose an interview location that gives the
respondent privacy. [FI Manual pgs. 7-26 and 7-27]
2

INTERVIEW, CONT.


Do not rush the respondent. Do not tell the respondent how to make the
interview go faster. [FI Manual pgs. 8-2 and 8-3]



Use the Reference Date Calendar and read the explanation provided
on the CAI screens verbatim to the R. As appropriate, remind the
respondent to use the calendar as a visual aid throughout the interview.
[FI Manual p. 8-14]



Familiarize the R with the laptop and function keys by reading the provided
script in the CAI Interview and allow the R to successfully complete the
Computer Practice on his or her own. You must always explain, offer,
AND plug in the headphones with each R. [FI Manual pgs. 8-17 through 8-20]



Read the interview questions exactly as they appear on the screen.
It is never acceptable to use your own words or ‘wing it’. Do not assume you
know answers from a previous conversation, question, or interview.
[FI Manual pgs. 8-2 and 8-3]



Hand the appropriate Showcard to the respondent when instructed on
the CAI screen. [FI Manual p. 8-13]



Allow your respondents to complete the ACASI portion of the interview on
their own. Never read the questions in the ACASI portion out loud to
the respondent. In cases of extreme physical impairment, it may be
necessary to enter the answers into the computer for the ACASI questions, but
always allow the ACASI recording to ‘read’ the questions and answer
categories via the headphones. [FI Manual p. 8-24]



Have the respondent fill out the top portion of the Quality Control
Form and allow him or her to insert the form into the envelope and seal it.
Mail the form within 24 hours of the interview. [FI Manual pgs. 8-26 through 8-27]



Always protect the confidentiality of your respondents. Never reveal a
respondent’s answers to anyone, including the respondent’s family
members. Resist the temptation to reveal even positive information gleaned
from an interview to parents or other household members.
[FI Manual pgs. 2-6 through 2-8]
3

Sampling Process Explanation
Sample: A representative part of a population that is studied to gain information about the whole population.
NSDUH target population: Civilian, non-institutional population aged 12 years or older residing within the 50 United
States and the District of Columbia.

THE PROCESS:
RTI statisticians draw a smaller sample of the target population designed to represent the population as a whole using
probability sampling.
Step 1:
Break each state up into geographic areas, called State Sampling Regions (SS Regions) using estimates of population
and housing unit counts from the Census Bureau.
o

o
Step 2:
Break each
o
o
o

Number of SS Regions is dependent on the population of the state.
 8 most populated states=48 regions.
 Remaining states=12 regions
Each SS Region is expected to yield the same number of interviews. This means the more densely populated
the area, the smaller the region.
SS Region up into segments.
Scientifically selected to ensure the sample accurately represents the United States’ population.
Each area is assigned a “probability,” or “chance,” of being selected based on the Census population count.
8 segments selected within each SS Region.
 2 per quarter of data collection.

Step 3:
Dwelling Units within the segments are counted and listed, and recorded on the List of Dwelling Units or Group
Quarters Listing Form.
Step 4:
From the listed dwelling units, specific HUs and GQUs are randomly selected.
o Selected units are called sample dwelling units, or SDUs which you contact for screening and possible
interviewing.
o Approximately 180,000 SDUs randomly selected each year
Step 5:
Either 0, 1, or 2 persons (respondents) are selected for interview using the roster information entered into the iPAQ
during screening. Approximately 70,000 respondents are selected and complete the interview each year.
o Eligibility for interview is based only on the AGE of the SDU members
o All screening data is used by the RTI statisticians
Analysis:
“Sample Weighting” is used to determine how many people in the population each respondent represents.
o 1 adult - represents over 4,500 other adults
o 1 youth - represents over 1,000 other youths
FIELD INTERVIEWER’S ROLE
Maintain the integrity of the sample by:
o Using segment materials properly
o Following project procedures, including editing address and adding missed DU protocols
o Investigating discrepancies between the materials and what you actually see in the field
o Paying close attention to details

4

Sampling Process Explanation (continued)
United States

(50 States + DC)

State Sampling Regions
(SS Regions)
48 in 8 most populated states

Segments

8 per SS Region

Listed Dwelling Units

Selected Dwelling Units
~ 180,000 randomly
selected per year

Respondents
1 adult=over
4,500 other adults
1 youth=over
1,000 other youths

5

Overview of the Screening and Interview Process
Review segm ent m aterials to locate area and plot the best
and m ost direct travel route to and from the area .
Prepare and m ail lead letters.
Locate (using the segm ent m aterials) and contact selected DU.
Enter Physical Features Data based on first visit to DU .
Determ ine that the SDU is a true HU or G Q U ,
and check for m issed dwelling units.

No

Com plete Record of Calls (RO C) in
iPAQ . Try DU later. If unit is vacant,
not a DU , or only a tem porary
residence, verify with neighbor or
other knowledgeable person.
Com plete verification inform ation
and RO C .

No

Try to determ ine a good tim e to
return. Com plete RO C .

Is anyone hom e?
Yes

Is an eligible SR
(resident of DU , 18+)
available?

Yes
Com plete the household roster and selection process with the SR .

Any
respondents
selected?

No

O btain verification inform ation and
thank SR. Com plete RO C .

No

Establish an appointm ent. Com plete
RO C, including an entry about the
interview appointm ent.

Yes
Can the
selected R com plete
interview now ?
Yes
Introduce self, study, and obtain inform ed consent from respondent.
(O btain parent/guardian consent before approaching a selected youth .)

Conduct interview .
Com plete end of the interview tasks, including Q uality Control (Q C) Form .

G ive respondent cash paym ent and com pleted receipt. G ive adult respondents &
parent/guardian of youth respondents a Q &A Brochure if not done already.

Thank respondent, com plete RO C.
Transm it data to RTI.
M ail Q uality Control Form to RTI within 24 hours.

6

Screening and Interview Tasks
When you work in the field, you will encounter a variety of situations:

Can’t screen (i.e. no one home, vacant units, SR not available, etc.)





choose case from Select Case, tap Actions, Screen DU
approach unit and discover you can’t screen
obtain verification information for codes 10, 13 and 18
complete ROC to document situation

Screen only (codes 22, 26, 30)






choose case from Select Case, tap Actions, Screen DU
approach unit and obtain participation of eligible SR
complete screening
obtain verification information
complete ROC

Screen, then interview (31, 32 and then 70)











choose case from Select Case, tap Actions, Screen DU
approach unit and obtain participation of eligible SR
complete screening
complete ROC for screening
obtain participation/informed consent of selected respondent(s)
prepare laptop and enter QuestID from iPAQ
conduct interview(s) with available selected respondent(s)
enter QC ID from Quality Control Form in CAI program in laptop
complete ROC(s) in iPAQ for completed interview(s)
mail completed Quality Control Form(s) to RTI within 24 hours

Screen, make appointment for interview (codes 31, 32 and then 50)







choose case from Select Case, tap Actions, Screen DU
approach unit and obtain participation of eligible SR
complete screening
complete ROC for screening
complete ROC to document appointment for each selected respondent
prepare appointment card and give to each respondent

Interview only at appointment time or other follow-up contact








choose case from Select Case, review selections and roster
obtain participation/informed consent of selected respondent(s)
prepare laptop and enter QuestID from iPAQ
conduct interview(s) with selected respondent(s)
enter QC ID from Quality Control Form in CAI program in laptop
complete ROC(s) in iPAQ
mail completed Quality Control Form to RTI within 24 hours

Always enter Physical Features Data based on your first visit to a DU.
7

Physical Features Data Reference Sheet
There are two key elements for entering accurate Physical Features Data into the iPAQ:
1. The SDU characteristic and controlled access type should be based on what you encounter
during your first visit to the SDU. Details on what transpires during subsequent contact
attempts are documented in the Record of Calls (ROC). If the situation changes during future
visits, that information will be reported in the ROCs.
2. Reference the definitions for SDU characteristic and controlled access type. The
categories are abbreviated in the iPAQ program, so reference, as necessary, the additional
information provided in parentheses below or the additional text provided in the iPAQ
information screen.
Physical Features Data provides a “picture” associated with the SDU. These data are used in
conjunction with ROCs to provide more complete information about issues impacting field
interviewers and household surveys.
SDU Characteristic:
Select the description of the characteristics of the SDU from the list on the SDU Characteristic
screen.
IMPORTANT NOTE: Some SDUs may fall into several characteristic categories—if so, check
all characteristics that apply to the SDU. For example, if the SDU is a high-rise apartment
complex (more than 50 units) on a military base, use codes 4 and 5.
1. House/Single Unit (single family home, trailer, or cottage)
2. Multi-unit, 2-9 units (multi-unit structure with 2-9 units)
3. Multi-unit, 10-49 units (multi-unit structure with 10-49 units)
4. Multi-unit, 50+ units (multi-unit structure with 50 or more units)
5. Military Base
6. Student Housing (includes dormitory, fraternity/sorority housing, or college-owned apartment)
7. Native American Tribal Land (Reservation)
8. Senior Housing/Assisted Living (includes houses, apartments, or condos)
9. Other GQU (group quarters units OTHER than those listed in the above options, such as shelters)
10. Empty Lot (empty home site or mobile home site)
8

Controlled Access Type:
"Controlled access" is defined as any situation where an FI approaches an SDU and
encounters some barrier that prevents the FI from gaining access to the door of the SDU.
Select the type of physical barrier(s), if any, that prevents you from gaining access to the door of the
SDU during your initial visit from the list on the Controlled Access Type screen. If you encounter a
controlled access barrier during your initial visit to a multi-unit building or complex that prevents you
from gaining access to any SDUs, you should enter the barrier type for all SDUs in that building or
complex.
IMPORTANT NOTE: Some SDUs may include multiple types—if so, check all types that apply
to the SDU. For example, if you encounter a guard station and locked gate with no intercom when
trying to approach an SDU in a community and the guard does not grant you access to the
community, you would enter 2 and 3.
1. None (The vast majority of SDUs possess none of the types of access barriers listed below, so
“None” will be a common entry. Remember, if you encounter any of the access barriers below,
but gain access to the door of the SDU during your initial visit, the barrier would be coded as
“None” per the Controlled Access definition.)
2. Guard/Door Person/Staff/Manager (door person at front door who has to call the unit, door
person that must give access to building, guard at gate of community, on-site or off-site manager
who controls access)
3. Locked main entrance/gate, no intercom/buzzer (locked doors, locked gate, controlled gate, or
other locked entry)
4. Locked main entrance/gate with intercom/buzzer, no unit address labels (may contain other
labels such as names, but does not provide address label)
5. Locked main entrance/gate with intercom/buzzer, with unit address labels
Example Scenarios
One story brick home in a gated neighborhood. The gate was open upon your arrival & you
entered and accessed the SDU successfully.
The manager of a college dorm will not grant you access to the locked building (with no
intercom/buzzer). There are 8 SDUs within the 16 unit dorm.
The SDU is in a high rise apartment building with over 100 units. There is a locked elevator
and intercoms with only names listed in the lobby. You are unable to gain access to any
SDUs on your first attempt.
The rural SDU on a reservation is located down a long driveway that is dangerous to traverse
due to severe ice from a recent storm.
The SDU is located in a senior housing apartment building with 18 units. After being granted
access to the building from a guard in the lobby, you buzz residents from an intercom with
room numbers. The residents can unlock the main door from their apartment. You are
granted access by the resident of the first SDU contacted.
After screening 5 SDUs in the senior housing example above, you return a week later to
initially visit the remaining 7 SDUs, but the manager has told the guard not to grant you
access to the building. How do you code the physical features data for the remaining cases?
You try to contact 4 SDUs in an 8 unit apartment complex on a military base, but the guard at
the controlled entrance gate will not grant you access to the base on your first attempt. How
do you code the physical features data for these 4 SDUs?

CHAR

TYPE

1

1

3 and 6

2 and 3

4

4

1 and 7

1

3 and 8

1

3 and 8

2 and 5

2 and 5

2 and 3

If you have questions about entering Physical Features Data, contact your FS.

9

Editing Address Protocol
When to Edit an Address
Editing SDU addresses should not be a common task. An address should only be edited if the
physical address is missing or incorrect, such as when only a description of the SDU is provided.
Before editing an address, first confirm you are at the correct selected dwelling unit. To do this, use a
combination of project resources, including the handwritten List of DUs, block listing maps, and the
address or description in your iPAQ. If you are confident you are at the correct DU but the address is
incorrect, you should consult the Editing Address Protocol chart. It will guide you on the steps to
follow.
When you edit an address, there are two additional steps you must take to complete the process.
First, you must enter a note in the Record of Calls explaining the reason for the edit. Second, you
should notify your FS of the edit. Your FS must update their copy of the segment materials with the
edit, and in many cases notify RTI’s Sampling Department to update the project sampling frame.
Never make edits to an address which creates a duplicate of an address already listed on the
original List of DUs. Enter a note in the Record of Calls describing the situation and address
discrepancy, and then obtain permission from your FS and Sampling before making the edit.
Carefully checking the original List of DUs before making an edit will ensure no duplication occurs.
After reviewing the Editing Address Protocol chart, if you are unsure whether an address should be
edited or the appropriate procedures to follow, enter detailed notes about the situation in the ROCs
and contact your FS promptly for assistance.
When NOT to Edit an Address
In order to maintain the integrity of the sample, there are specific situations when you should not edit
an address. These situations are listed as “Improper” in the third column of the Editing Address
Protocol chart.
For example, addresses must never be edited due to screening on the incorrect line or at the wrong
dwelling unit. Always double-check the address at the top of the iPAQ screen and consult your
segment materials to prevent this type of error.
Also, do not change an address or description to a Post Office Box, but instead enter any PO Box
information in the Record of Calls.
Lastly, do not edit addresses to change abbreviations to full spellings, such as “Dr.” to “Drive,” or from
full spellings to abbreviations, such as “Boulevard” to “Blvd.”
Reminder:
Always refer to the chart:


when deciding whether or not to edit an address, and



to be certain all appropriate procedures have been completed when editing an address.

10

EDITING ADDRESS PROTOCOL
REMINDER: Always review your segment maps, original list of dwelling units, and iPAQ information before editing SDU
Scenario

Description of Situation

addresses.
Proper or
Improper to
Appropriate FI Action
Edit

Appropriate FS Action

A

Description edited to a street address

Proper

Check handwritten list of DUs, if
address is not on list, delete
description; enter street address in
iPAQ; proceed with screening; enter
notes in ROCs; notify FS

B

Street name spelling corrected or
drive/avenue/street/etc. corrected

Proper

Edit address in iPAQ; proceed with
screening; enter notes in ROCs;
notify FS

Make correction in segment materials

C

Correction of one SDU address due to
911/U.S. Postal Service/ local
government address revisions

Proper

Edit address in iPAQ; proceed with
screening; enter notes in ROCs;
notify FS

Make correction in segment materials

D

Correction of listing error for one SDU
(includes edits to street/apt. number)

Proper

Check handwritten list of DUs, if
address is not on list, edit address in
iPAQ; proceed with screening; enter
notes in ROCs; notify FS

Make correction in segment materials

E

Adding apt. numbers to differentiate
between added units in a SDU or on
SDU property

Proper

Check handwritten list of DUs, if
address is not on list, edit address in
iPAQ; proceed with screening; enter
notes in ROCs; notify FS

Make correction in segment materials

F

City, state, or zip code corrected

Proper

Edit address in iPAQ; proceed with
screening; enter notes in ROCs;
notify FS

Make correction in segment materials

G

Within controlled access
buildings/complexes, edits to
addresses for multiple units originally
gained through "blind" listing or listing
by buzzer/mailbox

Proper (with
prior approval
from FS)

Notify FS; if approved by FS, edit
address in iPAQ; proceed with
screening; enter notes in ROCs

Make correction in segment materials;
instruct FI to make edit and proceed
with screening; notify Sampling

H

Complete street name change

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

I

Removing the apt. number from SDU
address

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

J

Correction of address for multiple
units due to 911/U.S. Postal
Service/local government address
revisions

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

K

Correction of listing error for multiple
units (includes edits to street and/or
apt. number) *See Scenario G for
additional information

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

L

Adding apt. numbers to single
dwelling units *See Scenario E for
additional information

Proper (with
prior approval
from FS and
Sampling)

Notify FS; if approved by FS and
Sampling, edit address in iPAQ;
proceed with screening; enter notes
in ROCs

Seek Sampling approval; if approved,
make correction in segment materials
and instruct FI to make edit in iPAQ
and proceed with screening

M

Description or street address edited to
a Post Office Box address

Improper

Place Post Office Box address in
ROCs

Retrain FI

N

Edit due to screening on the wrong
line or at the wrong dwelling unit

Improper

Request status code change or
reopen code from FS; complete
screening on correct line

Give status code change code or
reopen code or instruct FI to final
code, as appropriate; retrain FI

O

Edit due to merged or condemned
unit, or unit does not exist

Improper

Notify FS; code case as instructed by
FS and Sampling

Seek Sampling input; instruct FI to
code case as instructed by Sampling

11

Make correction in segment materials

Checking for and Adding Missed DUs
You are not required to check the entire segment for missed dwelling units. Check for
missed DUs at every selected DU. (However do not ignore significant changes, such as a
new development or new apartment building—call your FS.)
At a selected housing unit, look for missed dwelling units:
•

Within the structure or on the property.
For regular housing units (houses, townhouses, trailers, cottages, duplexes), during each
screening you ask the SR if there are any other units within the structure or on the
property, such as a separate apartment with a separate entrance. If so, simply enter the
address of the other unit(s) and proceed with screening.
For housing units in apartment and condo buildings, do not ask the Missed DU question.
However, if you discover a missed DU such as the rare but possible ‘unit within a unit,’
check with the SR and add the unit from the Select Case Screen by tapping “Actions/Add
Missed DU.”

•

In the geographic interval between the SDU and the next listed line.
On the first visit to the SDU, check the space between the SDU and the next listed DU.
Enter any discovered units using “Actions/Add Missed DUs.”
If the SDU is the last one listed on a map page:
•

the ‘next listed line’ means the next one listed on that map page, not the next one
listed numerically. Check the interval between the SDU and the very first DU listed
on that map page.

•

check any subsequent zero map pages for missed DUs.

For group quarters structures listed by persons or beds:
•

Compare the original list with the current situation. If there are more units now, call your
FS who will contact RTI’s Sampling Department about which missed GQUs to add.

Limits on missed DUs:
•
•
•

Up to 5 units at one SDU
Up to 10 units per segment
iPAQ stores space for 5 added DUs per segment. If more are required, contact your FS to
have 5 more lines transferred to your iPAQ.

For more information on checking for and adding missed DUs, refer to pages 3-31
through 3-38 and 3-44 through 3-46 in your FI Manual.

12

Reconciling Missed DUs
Recording the addresses of missed DUs in the iPAQ does not automatically add them to
your assignment. When ready to reconcile these missed DUs to see if they should be
added, be sure that you have the handwritten List of Dwelling Units and the block listing
maps.
You can Reconcile at three different spots in the iPAQ:


At the end of screening if you have entered a missed DU address(es). If you don’t have
time or your segment materials, simply tap “No” and reconcile later.



If you entered a missed DU address using “Actions/Add Missed DUs,” you will be asked
if you want to reconcile.



From the option “Admin/Reconcile Missed DUs.”

To Reconcile Missed DUs:


Follow the instructions on the iPAQ screen carefully, making certain you refer to your
segment materials as you reconcile the unit.



Determine if the missed unit is already on the handwritten List of DUs.



Determine if the missed unit is in the correct geographic interval.



If the missed unit is not on the list and is in the correct interval, it will be added to your
assignment.



Complete the List of Added Dwelling Units to document the unit.



Remember to mark the location of the missed DU on the correct Block Listing Map.

If you have any questions, exit the program and contact your FS.
In the following situations, check with your FS who will check with RTI’s Sampling
Department:







more than five missed DUs are found at a specific SDU
more than 10 missed DUs are found in a segment
a missed HU (other than a ‘unit within a unit’) is discovered in an apartment or condo
building
a missed GQU is discovered within a group quarters structure
a missed group quarters structure is discovered
a significant listing problem is discovered.

For more information on reconciling missed DUs, refer to pages 3-40 through 3-46 in
your FI Manual.
13

Guidelines for Speaking with Neighbors
When speaking with neighbors, it’s important only to ask for and obtain certain information. Always
be very general and concise, and do not offer more information than is necessary.
If the neighbor is suspicious and won’t provide any information unless you tell them why you are
interested in a particular address, simply state the household has been selected to participate in a
national study. Do not name or describe the survey.
You CAN speak to a neighbor to:
1. Verify whether someone actually lives at the selected DU(s)
2. Find out a good time to find the residents at home
3. Obtain verification data if the SDU is vacant
When speaking with neighbors, you CANNOT:
1. Explain that the household has been selected to participate in the NSDUH
2. Obtain screening information for the selected DU(s)
Suggested wording to use when speaking with neighbors:
“Hello, my name is [INSERT NAME] with Research Triangle Institute. I am working on a nationwide
study sponsored by the U. S. Public Health Service and need to speak with your neighbor. Do you
know when would be a good time to find them at home?”
OR
“Hello, my name is [INSERT NAME] with Research Triangle Institute. Your neighbor has been
selected to participate in a national study and I’m having trouble catching them at home. Do you
know when a good time would be for me to find them at home?”
Suggested wording for vacancy verification:
“Hello, my name is [INSERT NAME] with Research Triangle Institute. Your neighbor has been
selected to participate in a national study, but it looks like the house may be vacant. Can you tell me
if someone lives there?”

14

ROC Comments
ROC comments should be appropriate, non-judgmental, and:
•
•
•

Informative – Record appointment times, best times to return, who you talked to, or if no
adult was home, record which cars were in the driveway.
Helpful – Note relevant information for you to use in preparing to return or when discussing
the case with your supervisor. If a case gets transferred to another FI, the notes are very
important to the new FI to understand what has happened.
Concise – Explain your comments directly, leaving out unnecessary words or information.
Your comments must be easily understood by you, your FS, other FIs, and project managers.

Examples of good ROCs:
•
•
•

•

CB after 7:00 pm
2:30 Sat appt
W M 15ish said parents home after 8:00
HISP F 60s send SPAN letter

PROJECT ABBREVIATIONS
R
SR
FI
Q&A
DU

respondent (for the interview)
screening respondent
field interviewer
Q&A Brochure
dwelling unit

STANDARD ABBREVIATIONS
days of the week
F
M
B
W
HISP
SPAN
INFO
REF

(with 3 letters)
female
male
black
white
Hispanic
Spanish
information
refused

SUGGESTED HELPFUL ABBREVIATIONS
CB
APPT
AM
AFTRN
PM
NGHBR
GTKPR
WKND

call back (or come back)
appointment
morning
afternoon
evening
neighbor
gatekeeper
weekend

15

Counting and Listing Abbreviations
COLORS
BG
BK
BL
BR
DK
GR
GN
LT
MED
OR
PK
RD
TN
WH
YL

ADDRESSES
Beige
Black
Blue
Brown
Dark
Grey
Green
Light
Medium
Orange
Pink
Red
Tan
White
Yellow

ADD
ALY
APT
AVE
BLK
BLVD
BLDG
CIR
CT
DRWR
DR
HWY
JCT
LN
PKWY
PL
PT
PO

OTHER/GENERAL
Address
Alley
Apartment
Avenue
Block
Boulevard
Building
Circle
Court
Drawer
Drive
Highway
Junction
Lane
Parkway
Place
Point
Post Office
(Box)
Road
Route
Street
Terrace

RD
RTE
ST
TER

DIRECTION/ORIENTATION

STRUCTURE/MATERIALS

ABV
ACR
ADJ
BCK
BEH
BTWN
BTM
E
FRT
L
N
NE
NW
RE
R
S
SE
SW
W

ALUM
BRK
BRNSTN
CDR
CBLK
CEM
LOG
RCK
SDG
STN
STU
VNY

Above
Across
Adjacent
Back
Behind
Between
Bottom
East
Front
Left
North
Northeast
Northwest
Rear
Right
South
Southeast
Southwest
West

ARCHITECTURE/BUILDING
STYLE
APT
CPCD
CLNL
CONDO
CNTP
DBLWID
DPX
RCH
RF
SPL
TRAD
TRLR
TRANS

Apartment
Cape Cod
Colonial
Condominium
Contemporary
Doublewide
Duplex
Ranch
Roof
Split Level
Traditional
Trailer
Transitional

Aluminum
Brick
Brownstone
Cedar
Cement Block
Cement
Log
Rock
Siding
Stone
Stucco
Vinyl

TYPES OF ROOFS
FLT

Flat

GBL

Gable

GMBR Gambrel
HIP

Hip

MNSD Mansard
SHGL Shingle
SPNTL Spanish Tile
TIN
Tin

16

ATT
BSMT
BUS
CPT
CG
CHNLNK
CHMY
CHUR
COL
COR
CO
DB
DRMR
DBL
DRWY
ELCMTR
ENT
EXT
EXTR
FEN
FLR
FDN
FRM
FR
GAR
GRD
GRV
GRND
HSE
LG
MBX
MID
MI
PKT
PCH
PVT
RR
RSTR
RM
SCRN
SHK
SHUT
SD
STR
STY
TR
UC
VAC
VER
VEST
WIN
WD

Attached
Basement
Business
Carport
Cattleguard
Chainlink
Chimney
Church
Column
Corner
County
Doorbell
Dormer
Double
Driveway
Electric Motor
Entrance
Exit
Exterior
Fence
Floor
Foundation
Frame
From
Garage
Guard
Gravel
Ground
House
Large
Mailbox
Middle
Mile
Picket
Porch
Private
Railroad
Restaurant
Room
Screen/Screened
Shake
Shutters
Side Door
Store
Story
Trim
Under
Construction
Vacant
Veranda
Vestibule
Window
Wood

Refusal Reasons
Use these descriptions to help you classify refusals in the iPAQ.
1.

Too busy/no time/did too many surveys already
The number one reason for refusals is lack of time.

2.

Surveys/Govt. invasive/teen exposure
These people feel that the government invades their privacy too much with surveys. There
may be philosophical, political, or religious reasons for not participating in surveys. Parents
may be concerned about exposing their teen to the sensitive subject matter in the survey.

3.

Clarify confidentiality, legitimacy, or selection
Be sure to listen carefully to what respondents are telling you—questions about the legitimacy
of the survey or how the survey guarantees confidentiality can often be explained by you on
the doorstep, if you understand their concern.

4.

“Nothing in it for me”/uncooperative
Although rare, sometimes people will either not give a reason for their refusal or they’ll tell you
that there’s no reason for them to participate.

5.

Gatekeeper/Parent/HH member disallow
Sometimes you encounter a refusal situation controlled by another person besides the person
selected for the interview. A spouse, parent, guardian, or another influential person in the
household may refuse for the selected individual, or deny you the ability to talk directly to the
selected person. Even if you are able to talk with the selected person, he or she may refuse
because of the other person’s opinions.

6.

Welfare or INS concern
Persons involved with various government programs may fear that you are a welfare worker or
an immigration officer checking on their status.

7.

Too ill/house messy/not dressed
These refusals are situational and will not generate a refusal letter. They refused because you
caught them at an awkward time.

8.

Need to discuss with FS
In some cases, a respondent’s refusal won’t fit any of the above categories, but you are able
to gather a sense of what is preventing them from participating. With this option write a very
specific note in the refusal comment section to alert your FS. Then you can talk with him/her
about how best to handle the refusal.

17

The Interview Process
Informed Consent Procedures



READ THE INFORMED CONSENT FOUND AT THE FRONT OF THIS BOOKLET TO RESPONDENT
If the respondent is 12 - 17 years old, obtain parental consent first

Choose the Best Interview Location




Consider the following issues:
– Privacy and ethics
– Comfort and safety
– Battery power and/or the availability of an electrical outlet
Be flexible in choosing a location, but never compromise NSDUH protocols

Setting up the Computer







Unpack the computer and plug it in using the extension cord if needed
Press the ON button and WAIT for the computer to boot up
While waiting, make sure you have the QuestID displayed on the iPAQ, a Reference Date
Calendar, your Showcard Booklet, a Quality Control Form and envelope, a Q&A Brochure (if not
given earlier), $30 and an Interview Incentive Receipt
Place clean headphone covers on the ear pieces of the headphones and plug the headphones
into the computer
Enter the passwords, then enter the QuestID from the iPAQ to begin the interview

Conducting the Interview





Obtain informed consent (if not done earlier)
If respondent is under the age of 12 or is active in the military, the computer will automatically
complete this case (If this occurs, remember to enter a Code 79 in the iPAQ and explain the
situation)
Complete the Reference Date Calendar, following the script on the computer screen
Write the 12-month and 30-day dates given to you on the computer screen in the
appropriate boxes
– Circle the 12-month reference date
– Circle the 30-day reference date, then underline the 30 days between the circled day and
the current date
– Record the Case ID at the top of the calendar
Use the Showcards as instructed
During the ACASI, be available to assist the respondent without being intrusive
 Prepare the Quality Control Form:
– Record the date and approximate interview completion time
– Print your name and FI ID # legibly
– Record the Case ID, including the A or B
– Indicate which parent (or guardian) gave permission if respondent is a minor
 Prepare the Interview Incentive Receipt:
– Record the Case ID, including the A or B
– Do not sign, date, or check the box for cash acceptance until prompted by the
computer
18
–




The Interview Process (continued)
Other possible tasks include: review your iPAQ ROCs and plan work for the day, re-read
portions of the FI Computer Manual or FI Manual (remove a chapter or two at a time from
the binder) complete your Data Quality Knowledge Notebook entries, re-read the Job Aids
section in the Showcard Booklet, and review materials for information to use when
obtaining cooperation
Enter the QC ID and the Case ID when prompted and follow Quality Control Form procedures
– For a youth, the Quality Control Form should be completed by a parent or guardian (If no
parent is available, it is acceptable for the youth to complete the form)
– The R/parent should place the Quality Control Form into the envelope and seal it (If
R/parent refuses to complete the Quality Control Form, ask him/her to write “REFUSED”
across the top)
Give R the $30 cash, sign, date and mark the appropriate box on the Interview Incentive
Receipt and give the respondent the top copy
Give adult interview respondents and parent/guardian of youth respondents a Q&A Brochure
(if not done earlier)
Answer the observation questions








When Finished with the Interview







Pack up your equipment:
– Unplug the power cord from the computer first, unplug from the wall, then wrap them up and
place in carrying case
– Close the screen display until you hear a click, place the laptop in the case and zip closed
– Remember your iPAQ, Showcard Booklet, Reference Date Calendar, and other papers
THANK YOUR RESPONDENT!
Enter a Code 70 in your iPAQ.
Mail Quality Control Form to RTI within 24 hours of completion of the interview
Mail Reference Date Calendar and Interview Incentive Receipt (FS copy) to your FS each week

Possible Respondent Difficulties







Is the respondent physically or emotionally capable of participating?
– Slow the pace of the questions to see if comprehension improves
– Allow adequate time to answer
– If respondent does not seem to understand, politely discontinue the interview and speak with
your FS
Is the respondent intoxicated or under the influence of other drugs?
– Attempt to schedule another time to return
Is the respondent blind or paralyzed?
– Take the time to figure out if respondent can complete interview–each interview is precious!
– Only in these situations are you allowed to enter the responses during the ACASI portion for
the respondent (Make note of this in the FI Observation questions)
Does the respondent exhibit behaviors that suggest he or she may have difficulty reading?
– Remember that the respondent can listen to all the questions through the headphones and
answer most questions with a number
19

Helpful Hints for Gathering Good I&O Data
What you record in the Industry and Occupation questions is used to classify the respondent’s work
by assigning two separate codes. To assign these codes, the coding staff needs descriptive, yet
concise information. For all of the industry and occupation questions, it is important to probe
for further details. Use adjectives in your probesfor example, find out what type of doctor or
salesperson, what kind of engineer or programmer, supervisor of what?
Also, keep in mind the following:


List the most important information first, as each answer field has a character limit.



Consider abbreviating when possible. Use typical abbreviations that coding staff will
understand, such as dr for doctor and mgr for manager. Don't use abbreviations that are
not standard—deciphering abbreviations takes a lot of time and the end result may not be
what you originally intended.

The chart below lists the open-ended I&O questions, plus hints and character limits for each.
Name

Question

INOC01

In what kind of business or
industry do you work? That is,
what product is made or what
kind of service is offered?

Character
Limit

Hints

 Don't enter just the name of a company as the
Industry—include a description of the type of
company. There could be multiple industries with
the same name (e.g., Lowe's Foods or Lowe's
Home Improvement Store).

100

 Probe for the specific product the respondent’s
INOC02M

What do they make?

employer makes (for example, car timing belts,
small aircraft propellers).

35

 One word answers are usually too general and not
descriptive enough.

 Probe for the specific product the respondent’s
employer sells.

INOC02T

What do they sell?

INOC03

PLEASE SPECIFY THE
TYPE OF INDUSTRY

 If the respondent has difficulty specifying what is

35

sold, it could be the response to the previous
question should not have been “wholesale or retail
trade.” Probe for accuracy.

 Probe for the specific business or industry in which
35

the respondent works. Company name and/or job
title are not sufficient descriptions.

 Try to use detailed terms that describe the
INOC04

What kind of work do you do?
That is, what is your
occupation?

Occupation (for example, "Electrical Engineer"
rather than "Engineer").

 Don't list a generic job title as the Occupation (for

50

example, manager). Try to get a specific title for
the occupation.

 Be sure to list only one occupation.
INOC05

What are your most important
activities or duties in that job?

 Describe the work the R spends most of his/her

100

time doing for that business or occupation.

20

The following are examples of probes and the types of details required for certain jobs in order to
correctly assign the industry and occupation codes.
Industry/Occupation
Service
[Businesses and
occupations that work with
the public]

Questions to Ask
What type of service? (housekeeping, customer service, waiter)
What type of location? (restaurant, hotel, private home)
For whom is the service done? (airline industry, the government, bank
customers)
What type of medical field or office? (doctor, dentist, pediatrician, orthopedic
surgeon)

Medical Field

What is their full title? (Write out the word–orthodontist, orthopedist, podiatrist–do
not use abbreviations such as "ortho")
What type of location? (hospital, private doctor's office, Planned Parenthood)
What grade level do they teach? (K-5, 6-9, 10-12, college)
What subject do they teach? (English, Biology, French)

Education

What type of position? (Dean, Professor, Principal, Teacher, Teacher's aide,
School Board member, Janitor, Cafeteria Worker)
What type of location? (the YMCA, a recreation center, a school)
Is the school public or private?

Childcare
[Babysitter, Nanny,
Daycare Center, etc.]
Supervisors/
Managers

Where is the service given? (private home, someone else’s home such as a
neighbor, daycare center)
What is their employment status? (self-employed, employee in a business)
What type of position? (teacher, care provider, cleaner)
Who or what type of activity do you supervise or manage? (sales clerks,
laborers, accountants)
What type of manager are you? (hotel, office, property, bakery)

Government
Contractors

Call Centers

Is the company run by the government or is it a private company? (for
example, RTI is a contractor for the federal government—RTI is not a government
agency)
What type of call center is it? (retail, credit card, delinquent debt, market
research, non-market research—do not only give the company name)
What is the primary purpose of the call center? (repair service center, catalog
ordering center, merchandising)

Manufacturing

What specific product do they make? (for example, does the company develop
the software for a program or manufacture the products holding the software (e.g.,
discs, CD-ROMs))?
What type of machine do they operate? (Riveter, lathe operator, punch press
operator)

Additional examples and information on Industry and Occupation Questions can be found in your FI Manual, pages
8-21 through 8-23.

21

Result Codes

01
02
03
04
05
06
07
08
09

Pending Screening Codes
No One at DU
Screening Respondent Unavailable
Neighbor Indicates Occupancy
Incapable
Language Barrier (Spanish)
Language Barrier (Other)
Refusal to Screening Questions
Unable to Locate SDU
Other

Final Screening Codes

Requires
FS Approval

Verification
Info Required

iPAQ
Auto Codes

Requires
FS Approval

Verification
Info Required

iPAQ
Auto Codes

Ineligible SDUs
10
13
18
19
20
22
25
26
29

Vacant
Not a Primary Residence
Not a Dwelling Unit
GQU Listed as HU
HU Listed as GQU
DU Contains Only Military Personnel
No Eligible SDU Members
In DU less than ½ of the Quarter
Listing Error





















Screening Not Obtained
11
12
14
15
16
17
21
23

No One at DU after Repeated Visits
SR Unavailable after Repeated Visits
Incapable
Language Barrier (Spanish)
Language Barrier (Other)
Refusal
Denied Access to Building/Complex
Other










Screening Completed
30
31
32

No One Selected for Interview
One Selected for Interview
Two Selected for Interview

22

Result Codes (continued)

50
51
52
53
54
55
56
57
58
59

Pending Interview Codes
Appointment for Interview
No One at DU
Respondent Unavailable
Breakoff (Partial Interview)
Incapable
Language Barrier (Spanish)
Language Barrier (Other)
Refusal (By Respondent)
Parental Refusal for 12-17 Year Old
Other

70
71
72
73
74
75
76
77
78
79

Final Interview Codes
Interview Complete
No One at Home after Repeated Visits
Respondent Unavailable
Breakoff (Partial Interview)
Incapable
Language Barrier (Spanish)
Language Barrier (Other)
Final Refusal by Respondent
Parental Refusal for 12-17 Year Old
Other

Requires
FS Approval

Verification
Info Required

iPAQ
Auto Codes

Requires
FS Approval

Verification
Info Required

iPAQ
Auto Codes












23

Instructions for Using the Certificate of Participation
At the end of the interview, you can give a Certificate of Participation that authenticates the
respondent’s participation in NSDUH. Youth and other interested respondents may use the
completed certificate to verify with teachers or group leaders that they participated in NSDUH, and
may then receive credit for participating in the study. Possibilities include:




extra credit for school
incorporating the NSDUH experience into a school project
credit towards community service hours.

It is the respondents’ responsibility to arrange to receive any possible credit. Respondents and
parents must understand that:




they are responsible for making arrangements for any credit
their school or group may or may not give credit; credit is not guaranteed
no advance arrangements have been made with any schools or community groups.

The certificate is worded to allow for use with respondents other than middle or high school students,
such as a young adult required to perform community service or for classes beyond high school.
However, the certificate should be used primarily with youth respondents. Adult respondents should
not receive a certificate unless they ask for acknowledgement that he/she completed the survey or
seem very interested in receiving one.
Upon completion of the interview, prepare the certificate by:



filling in the date the interview was completed
and your FI name and ID number.

To preserve confidentiality, the respondent adds his or her name at a later time.
Also provide a Question and Answer Brochure along with the certificate, as it contains additional
details and includes contact information and Website addresses where interested persons can obtain
additional information.

24

Procedures After an Automobile Accident
Immediately After an Accident...







Check for injuries. Life and health are more important than damage to vehicles.
Make note of specific damages to all vehicles involved.
Write down the names, addresses and license numbers of persons involved in the accident. Also, write
a description of the other vehicles.
Call the police, even if the accident is minor.
Jot down names and addresses of anyone who may have witnessed the accident. This can prevent
disagreement concerning how the accident actually happened.

DOs and DON’Ts





DO jot down details about the accident and circumstances such as weather conditions and visibility.
DO notify your FS, Headway, and your insurance agent about the accident immediately. If you are
working as a traveling interviewer in a rental car, notify the car rental agency as well.
DO NOT sign any document unless it is for the police or your insurance agent.

Headway Accident/Injury Reporting Procedures


In the event of an accident, the employee must contact his/her FS immediately. The employee must
also contact a Headway Representative directly to report the accident within 24 hours of the injury. If
you’re calling after hours, leave a message.



Employees are expected to seek treatment at an Emergency Room, Urgent Care Facility, or General
Practitioner. If the employee seeks treatment elsewhere, the employee may be responsible for
payment depending on the applicable state workers’ compensation laws.



Whenever possible, the employee will notify a Headway representative before seeking medical
treatment.



The employee will provide a signed written statement to Headway detailing the nature and extent of all
injuries sustained at work.



The employee is required to submit the results of all evaluations to a Headway representative, as well
as any doctor’s notes that prevent the employee from working, within 24 hours of any doctor’s visit
related to injury.



Headway will investigate all on-the-job injuries thoroughly to determine causes and
contributing factors. The employee will cooperate with the investigation of any accident
he/she is involved in or witness to. Workers’ Compensation fraud is a felony offense and
Headway will prosecute anyone proven to be committing fraud.



If physical therapy or surgery (in the event of a non-threatening injury) is recommended, preauthorization must be obtained from the worker’s compensation insurance carrier in order to guarantee
payment of services. The physician should contact the Human Resources Department of Headway at
(800) 948-9379 for approval.

Failure to comply with these policies and procedures may jeopardize your workers’ compensation benefits.
Please also be reminded that workers’ compensation laws vary from state to state. There may be additional
requirements that you must meet in compliance with your state’s laws.

25

EQUIPMENT MAINTENANCE CHECKLIST
Before Leaving Home to Screen/Interview:
Ensure iPAQ is in the canvas case and fully charged
Ensure you have all accessories needed [car charger and mini-USB cable]
Check iPAQ date & time, and transmit to correct if necessary

While Screening/Interviewing:
Reset from Today Screen or Admin menu every 30 minutes *
Turn off iPAQ between screenings
Be careful not to drop iPAQ
Be extremely careful to select the correct case when screening
Keep an eye on the battery level and charge as needed
Before leaving the field, exit screener program to the Today Screen **

Upon Returning Home from Screening/Interviewing:
Exit to the Today Screen if not done earlier **
Transmit
Plug in iPAQ to charge when not in use, noticing an orange light to ensure you have a
good connection

When Transmitting/Charging:
Reset iPAQ from Today Screen or Admin Menu
Follow steps in computer manual for transmission
If problems occur, refer to computer manual

Never remove the battery from the iPAQ unless instructed to do so while on the phone with
Tech Support. Data loss can occur!
* Resetting enhances the function of your iPAQ by cleaning up memory leaks
** Exiting screening program saves all data to the storage card—if the iPAQ battery runs down before you have
exited the screening program, you will lose data

26

English
Spanish

Lead Letter

Lead Letter

English
Spanish

Study Description

Study Description

English
Spanish

Introduction and Informed Consent for
Interview Respondents age 18+
Intro to CAI/
Informed Consent [18+]

English
Spanish

Introduction and Informed Consent for
Interview Respondents ages 12-17

Intro to CAI/
Informed Consent [12-17]

Showcards 1-5

Pillcards A-D

Showcards 5-19

English
Spanish

Summary of the NSDUH Questionnaire
Questionnaire
Summaries

Page

Quick Reference Guide .................................................. Inside
Back Cover

Equipment Maintenance Checklist ....................................... 26

Procedures After an Automobile Accident............................. 25

Instructions for Using the Certificate of Participation ............. 24

Result Codes ............................................................... 22, 23

Helpful Hints for Gathering Good I&O Data .................... 20, 21

The Interview Process .................................................. 18, 19

Refusal Reasons ................................................................ 17

Counting and Listing Abbreviations...................................... 16

ROC Comments ................................................................. 15

Guidelines for Speaking With Neighbors............................... 14

Reconciling Missed DUs ...................................................... 13

Checking for and Adding Missed DUs ................................. 12

Editing Address Protocol ............................................... 10, 11

Physical Features Data Reference Sheet ............................ 8, 9

Screening and Interviewing Tasks ......................................... 7

Overview of the Screening and Interview Process.................. 6

Sampling Process Explanation ........................................... 4, 5

Steps to Maximize Data Quality ......................................... 2, 3

Enumeration Rules............................................................... 1

Informed Consent FAQ .............................Back of Job Aids Tab

Interviewer Job Aids

Interviewer
Job Aids

 

o If R cannot read the Study Description themselves, you must read it to them

 When instructed, give the R a Study Description to read and keep (if not done earlier)

 Read the Intro to CAI 18+ to R

ADULT INFORMED CONSENT PROCEDURES:

 When instructed, give the youth a Study Description to read and keep

 Read the main box of the Intro to CAI 12-17 to the youth

After Obtaining Parental Permission:

o If parent speaks Spanish, have the parent read the Spanish translation of the Intro to CAI
themselves (if you are not a RTI-Certified bilingual FI who could read it to them)
 If parent cannot read, the youth or another translator may read script to the parent,
along with reading the Spanish Study Description
o If language is other than Spanish, the youth or another translator may use the script and
Study Description and translate the information for the parent
o Use the youth or translator to answer any questions the parent may have

 If the parent/guardian cannot communicate well enough in English to understand the Intro to
CAI script:

 If you obtain permission from one parent/guardian who is not home when you return to do
the interview, you may only proceed if the other parent/guardian is available and grants
permission for the interview

o Exceptions: Explicit permission was given to conduct interview without parent/guardian
present
 In this case, you must read the top box of the Intro to CAI 12-17 to parent/guardian in
person to obtain permission and give parent/guardian a copy of the Q&A Brochure
o OR youth is an emancipated minor (such as a college student)
 In this case, proceed with youth Informed Consent procedures without parental
permission, using the Intro to CAI 12-17 script

 Parent/guardian should be present during interview (not in interview room)

o Introduce yourself to parent/guardian
o Read the top box of the Intro to CAI 12-17 to parent/guardian and obtain their permission
o Consent MUST be given IN PERSON

 Must obtain parental permission to interview youth BEFORE speaking with youth

Parental Permission:

YOUTH INFORMED CONSENT PROCEDURES:

This reference guide is not a replacement for information contained in your FI Manual, but is a listing of crucial
protocols that must be followed when obtaining informed consent. Refer to pages 7-22 and 7-23 in your FI
  more information on informed consent procedures.
Manual for

Informed Consent Reference Guide


File Typeapplication/pdf
Authorlchilds
File Modified2012-05-24
File Created2012-05-24

© 2024 OMB.report | Privacy Policy