Parents/Caregivers (who refuse)

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HEALTHY COMMUNITIES STUDY
DATA COLLECTION PROTOCOL FOR PARENTS WHO REFUSE 
TO PARTICIPATE IN THE STUDY

This document provides an overview of the data collection process for a random sample of parents/caregivers who refused to participate in the Healthy Communities Study.

At the end of the field data collection in each community, an attempt will be made to contact and interview parents who were invited but who opted not to take part in the study using the non-respondent interview script.  Contact will be attempted with five "failed contact" and five "refusal" randomly-selected parents to administer a ten-minute survey.  The number of non-responders per community was selected to provide sufficient data (pooled across all communities) to assess whether there are significant differences between responders and non-responders, and to make appropriate adjustments for such biases if they exist.  


HEALTHY COMMUNITIES STUDY
NONRESPONDENT HOUSEHOLD DATA COLLECTION PROTOCOLSCRIPT



Hello, my name is __________ and I am calling from the Healthy Communities Study.  A few weeks ago we [contacted you/attempted to contact you] to participate in our study.  Since you were one of the families that did not take part in our study, we are calling you today to ask a few basic questions.  The answers to these questions will let us check if the families who did not participate in our study are different to those families that did participate – this is important in understanding our study results.  Your responses will be kept private under the Privacy Act and you and your family’s name will not be identified in any report.

This call should take about 5 to 10 minutes.  We will not be calling you again with more questions or asking for any other commitment from you.  Is now a good time for you?

 [IF RESPONDENT WHO ANSWERS PHONE DOES NOT SPEAK ENGLISH OR SPANISH, TRY TO SPEAK WITH SOMEONE IN HOUSEHOLD WHO DOES SPEAK ENGLISH OR SPANISH.  IF THERE ARE NO ENGLISH/ SPANISH -SPEAKING HOUSEHOLD MEMBERS, RECORD THAT THERE IS A LANGUAGE BARRIER AND END CALL.]  

If yes, proceed  
If no, Ok, I can call back.  When would be a more convenient time for you?  [RECORD CALLBACK DETAILS AND END CALL]

These first set of questions are to find out if your family would have been eligible to take part in our study.

    1. We are working in [Name of community].  We have on file that your current address is [address from Interest Form].  Is that your current address?

If yes, Great!  (proceed to Q.2)  

If no, Would you please give me your current address so I can see if it is within the community we are looking at?

If person does not want to disclose address: If you’d prefer to provide me with the closest intersection to your house (for example, 1st street and Pennsylvania Avenue), I can use that to see if it falls into our community boundaries.

If address is in community: Thank you!  Your address is within the community. (proceed to Q.2)  

If address is NOT in community: I apologize – it appears that your address is not within the community we are studying.  Thank you for taking the time to speak with me today.  Have a great day!  [END CALL]
 
    2. Do you have any children in grades K through 8 who are in your household and are attending any of the following schools: [Name of Schools Recruited in Community]?

If yes, Ok.  (proceed to Q.3)  
If no, Thank you for taking the time to speak with me today.  Have a great day!  [END CALL]

    3. Has your family lived in this community for the past 1 year?

If yes, Great.  (proceed to Q.4)  
If no, Thank you for taking the time to speak with me today.  Have a great day!  [END CALL]

    4. Next I need to know the age and gender of each child who are in grades K through 8 who lives in your household attending [Name of Schools Recruited in Community].  Please give me a first name, or the initials, for each child along with their age in years and gender, their current school grade, and the name of the school they are attending.  RECORD NAME/INITIALS, AGE, GENDER, SCHOOL GRADE AND SCHOOL NAME OF EACH CHILD


    5. For each child, I need to confirm that the child lives at home and is able to walk.  [REPEAT LIST OF CHILDREN PROVIDED IN Q. 5 AND RECORD IF CHILD LIVES AT HOME AND IS AMBULATORY]


These next set of questions are to collect some basic demographic information

    6. Do you consider yourself Hispanic/Latin(o/a)?
YES	1
NO	(SKIP TO Q8)	2
REFUSED	 (SKIP TO Q8)	97
DON’T KNOW	 (SKIP TO Q8)	98
If yes,
Which of the following represent your Hispanic origin or ancestry?  [READ ANSWERS AND CODE ALL THAT APPLY]
DON’T KNOW	98

    7. (In addition to being Hispanic, what/What) race do you consider yourself to be?  [SELECT ONE OR MORE]
If response includes Native Hawaiian or Pacific Islander,
Which Native Hawaiian and/or Pacific Islander group?  [SELECT ONE OR MORE]
OTHER PACIFIC ISLANDER (SPECIFY)	4
REFUSED	97
DON’T KNOW	98

SPECIFY:	

If response includes Asian,
Which Asian group?  [SELECT ONE OR MORE]

    8. Where were you born?
US STATE (SPECIFY)	(SKIP TO Q10)	1
US TERRITORY OR FOREIGN COUNTRY(SPECIFY)	2
REFUSED	(SKIP TO Q10)	97
DON’T KNOW	(SKIP TO Q10)	98
SPECIFY:________________________________________



That completes our survey!

Thank you so much for taking the time to answer our questions.  If you have any questions or concerns please call [phone number].  Have a wonderful day!