Adult Biometric Measures Recruitment Screener

Form Approved

OMB No. 0920-xxxx

Exp. Date xx/xx/xxxx

Adult Biometric Measures Recruitment Screener

(

Public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-xxxx)

Administered to respondents who have completed the ATSS via paper and call in using the toll-free number provided in the Enhanced Protocol Recruitment Flyer)

[PAPER SCRIPT FOR TIS THAT WILL PRECEDE THE PROGRAMMED SCRIPT]

CALL_IN_1. Hello, this is ___[Interviewer Name]____. Thank you for calling about this important research study being conducted on behalf of the Centers for Disease Control and Prevention. Before I continue, I need to know, are you on a cell phone while driving or doing anything that requires your full attention right now?

IF RESPONDENT INDICATES THAT THEY ARE ON A CELL PHONE WHILE DRIVING OR DOING ANYTHING THAT REQUIRES THEIR FULL ATTENTION, SAY: “I’m sorry, but for your safety we’re not able to continue while you’re driving.” We would like call you back about this study at a time that is more convenient to you. What would be a good time to call you back at? [SET CALLBACK]

CALL_IN_2. I need to look up your case information to be able to help you. Knowing any of the following would help: your case ID number, your telephone number, or the address where you received a mailing from us (a letter, survey booklet, or post card).

LOOK UP CASE IN SYSTEM, USING INFORMATION PROVIDED, PROBE FOR MORE INFORMATION IF CASE NOT LOCATED

CALL_IN_3. IF CASE IS COMPLETE WITH PENDING FIELD APPOINTMENT (2691, 2693), THEN DO NOT ENTER CASE, REFER TO RE-SCHEDULING PROMPT, ELSE

IF NUMBER NOT ALREADY PROVIDED, ASK: In case we get disconnected, would you please provide the number I should use to call you back?

→ UPDATE ROSTER LINE FROM CASE’S MAIN MENU, THEN ENTER CASE

Biometric Field Visit Rescheduling

[TO BE READ ONLY IF CASE FINALIZED IN CATI-CMS]

CALL_IN_4. Our records indicate that you have already completed the survey for the Community Transformation Grants Program Evaluation. Are you calling because you would like to reschedule an appointment or for some other reason?

IF CALLING FOR ANOTHER REASON ADDRESS QUESTIONS USING FAQs.

IF CALLING ABOUT INCENTIVE, REFER TO SURVEY MANAGER AT 800-844-8959 AND SUBMIT PROBLEM SHEET.

IF CALLING TO COMPLETE SURVEY SUBMIT PROBLEM SHEET IF STUDY STAFF SHOULD BE INFORMED ABOUT CALL.

IF CALLING TO RESCHEDULE A FIELD APPOINTMENT:

REFER TO THE CALLER’S CASEID. THE FIRST LETTER IN THE ID WILL IDENTIFY THE FIELD SITE AND PHONE NUMBER FOR RESCHEDULING AN APPOINTMENT WITH THE RESPONDENT

A: BROWARD COUNTY (xxx) xxx - xxxx

D: LOS ANGELES COUNTY (xxx) xxx – xxxx

F: MASSACHUSSETTS (xxx) xxx – xxxx

H: OKLAHOMA COUNTY (xxx) xxx – xxxx

J: PHILADELPHIA COUNTY (xxx) xxx – xxxx

K: TRAVIS COUNTY (xxx) xxx – xxxx

N: JEFFERSON COUNTY (xxx) xxx – xxxx

P: MID-AMERICA (xxx) xxx – xxxx

PROVIDE THE CALLER WITH THE PHONE NUMBER FOR THEIR FIELD SITE SO THAT THEY CAN RESCHEDULE DIRECTLY WITH FIELD PERSONNEL

[PROGRAMMED PORTION OF SCRIPT BEGINS]

INTRO_PPR. ASK IF NOT ALREADY KNOWN: (For our records, where did you find the contact number to reach us?)

1> POST CARD

2> SURVEY BOOKLET

3> LEAD LETTER

4> ANSWERING MACHINE

-1> DON’T KNOW

-2> REFUSED

[TIMESTAMP: VARNAME = CALLINTIME]

INTRO_CCR. (Now that I have your case information), what can I help you with today?

1 - WANTS TO COMPLETE SURVEY BY PHONE

2 - CALLING ABOUT RECRUITMENT FOR BIOMETRIC STUDY

3 - HAS QUESTIONS ABOUT OWN CASE

4 - HAS OTHER QUESTIONS ABOUT STUDY / QUESTIONS ANSWERED

[IF INTRO_CCR=1 & FRONTEND: SCREENER_PART =0, GO TO INT3 ;

IF INTRO_CCR=1 & (FRONTEND: SCREENER_PART =1 & FRONTEND:ATSSRCONSENT=0), GO TO INTRO_CCR_1;

IF INTRO_CCR=1 & (FRONTEND: SCREENER_PART =1 & FRONTEND:ATSSRCONSENT=1), LAUNCH HATTERAS FROM POINT OF PRIOR BREAKOFF;

IF INTRO_CCR=2 & (IF DATE=>02/1/2014 OR YABSQUOTA for Caller’s AwardeeID =1), GO TO LATE;

IF INTRO_CCR=2 & IF DATE<02/1/2014 AND YABSQUOTA for Caller’s AwardeeID =0, GO TO INTRO_PPR_A;

IF INTRO_CCR=3, LAUNCH SYMPHONY;

IF INTRO_CCR=4, GO TO FAQ]

INTRO_CCR_1. Our records indicate that during a previous call to your household {FILL NAME OR INITIALS FROM FRONTEND:INT5A} was selected to participate in the survey. May I please speak with {FILL NAME OR INITIALS FROM FRONTEND: INT5A} at this time?

1> PERSON ON PHONE IS R [TRANSFER TO FRONTEND: INT6]

2> YES, R COMES TO PHONE [TRANSFER TO FRONTEND: REINTRO2]

3> R UNAVAILABLE—[TRANSFER TO FRONTEND: INT5C]

-1 DON’T KNOW [GO TO FAQ]

-2 REFUSED [GO TO FAQ]

INTRO_PPR_A. {SKIP TO INTRO_PPR_C IF STAGE: 803 – INTERVIEW PAPI ATSS =2712, 2740, 2745, 2750, 2755, 2760, OR 2765} ASK IF NEEDED: Has someone in your household already completed the survey for the Centers for Disease Control and Prevention? (The survey was part of the Community Transformation Grants Program Evaluation.)

1> YES

2> NO

-1> DON’T KNOW / NOT SURE

-2> REFUSED

[IF INTRO_PPR_A=1, GO TO INTRO_PPR_C; IF INTRO_PPR_A=2, GO TO INTRO_PPR_B; IF INTRO_PPR_A=DK/RF, GO TO FAQ]

INTRO_PPR_B. The survey can be completed over the phone. Once an adult household member is selected, the interview should take about 30 minutes. Would you be interested in participating by telephone now?

1> YES

2> NO

3> INTERESTED, BUT NOT AT THIS TIME

-1> DON’T KNOW / NOT SURE

-2> REFUSED

[IF INTRO_PPR_B=1 AND SCREENER_PART=0, TRANSFER TO ATSS_Front End Screening at INT3 ; IF INTRO_PPR_B=1 AND SCREENER_PART=1, GO TO INTRO_CCR_1; IF INTRO_PPR_B=2, GO TO FAQ; IF INTRO_PPR_B=3, SET CALL BACK; IF INTRO_PPR_B=DK/RF, GO TO FAQ]

FAQ. (Do you have any questions about the study that I can address at this time?)

ADDRESS QUESTIONS USING FAQs

IF CALLING FOR BIOMETRIC RECRUITMENT BACKUP TO INTRO_CCR OR INTRO_PPR_B, ELSE END AND SUBMIT PROBLEM SHEET IF STUDY STAFF SHOULD BE INFORMED ABOUT CALL.

1 – END CALL

[IF FAQ=1, END CALL, DO NOT UPDATE CASE STATUS]

INTRO_PPR_C. I would like to ask you some questions and tell you more about our study. In order to evaluate my performance, my supervisors may record and listen as we talk.

1 – CONTINUE

B1. ASK IF NEEDED: (For this study, we need to speak with the member of your household that completed the survey booklet. May I speak with that person at this time?)

1> YES, SPEAKING

2> YES, R COMES TO PHONE

3> NO

-1> DON’T KNOW / NOT SURE

-2> REFUSED

[IF B1=1, GO TO B2; IF B1=2 GO TO REINTROB; IF B1= 3, DK/RF, GO TO CALLUS]

B2. Did you complete the survey booklet within the last three weeks?

1> YES

2> NO

[IF B2=1, GO TO B3; IF B2=2/DK/RF, GO TO INELIG_LATE]

B3. ASK IF NEEDED: (For survey purposes, I need to confirm, are you male or female?)

1> MALE

2> FEMALE

[DISABLE DK/RF]

[IF B3=1, GO TO B5; IF B3=2, GO TO B4]

[THIS POINT IN THE SCRIPT IS ONLY REACHED IF THE CALLER CONFIRMED SHE COMPLETED THE ATSS INTERVIEW ON PAPER, SO SHE IS THE ATSS R]

B4. Many of our measurements are temporarily affected by pregnancy. For that reason, we would like to know, are you currently pregnant?

1> YES

2> NO

-1 DON’T KNOW

- 2 REFUSED

[IF B4=1, GO TO INELIG_PREG; IF B4=2/DK/RF, GO TO B5]

B5. Do any children who are 3 to 17 years old live in your household?

1 - YES [LAUNCH HATTERAS AT CHILDNum & SET TIMESTAMP: BACKENDBEGIN]

2 - NO [IF AdultOnlyInterview =0, GO TO NOKIDSA; ELSE LAUNCH HATTERAS AT SCHD1 & SET TIMESTAMP: BACKENDBEGIN]

-1 DON’T KNOW [IF AdultOnlyInterview =0, GO TO NOKIDSA ELSE LAUNCH HATTERAS AT SCHD1 & SET TIMESTAMP: BACKENDBEGIN]

-2 REFUSED [IF AdultOnlyInterview =0, GO TO NOKIDSA ELSE LAUNCH HATTERAS AT SCHD1 & SET TIMESTAMP: BACKENDBEGIN]

NOKIDSA. Thank you for calling to express interest in participating in the biometric assessment for the CTG. Unfortunately, we will be unable to include you in this part of the study.

READ ONLY IF NEEDED: Since we are currently focusing on households with children aged 3-17 years old and you have no children in your household in that age range, your household is not eligible to participate at this time.

(If you have any questions about this study, or would like additional information, you can call us at 1-800-844-8959. Thank you and have a nice day/evening.)

[SELECT 1 TO END]

[AFTER NOKIDS_A, EXIT CASE AND IF STAGE 803: INTERVIEW PAPI ATSS =2740, 2745, 2750, 2755, 2760, OR 2765, CODE 2692 “ATSS Paper Complete - No YABS” ELSE CODE 1289 “ATSS Pending - No YABS” ]

LATE. Thank you for calling to express interest in participating in the biometric assessment for the CTG. Unfortunately, we have concluded the field interview scheduling period and will be unable at this time to include you in this part of the study.

(If you have any questions about this study, or would like additional information, you can call us at 1-800-844-8959. Thank you and have a nice day/evening.)

[SELECT 1 TO END]

[AFTER LATE, EXIT CASE DO NOT UPDATE STATUS ]

INELIG_LATE. Thank you for calling to express interest in participating in the biometric assessment for the CTG. Unfortunately, we are unable at this time to include you in this part of the study. Many of the biometric assessments are time sensitive and need to be recorded within a certain time.

(If you have any questions about this study, or would like additional information, you can call us at 1-800-844-8959. Thank you and have a nice day/evening.)

[SELECT 1 TO END]

[AFTER INELIG_LATE, IF STAGE 803: INTERVIEW PAPI ATSS = 2740, 2745, 2750, 2755, 2760, OR 2765 CODE AS 2692 “ATSS Paper Complete - No YABS”; ELSE, CODE AS 1289 “ATSS Pending - No YABS”]

INELIG_PREG. Thank you for calling to express interest in participating in the biometric assessment for the CTG. Unfortunately, we are unable at this time to include you in this part of the study.

(We are excluding pregnant women from this the second part of our study because some of the measurements we take are temporarily affected by pregnancy.)

(If you have any questions about this study, or would like additional information, you can call us at 1-800-844-8959. Thank you and have a nice day/evening.)

[SELECT 1 TO END]

[AFTER INELIG_PREG, IF STAGE 803: INTERVIEW PAPI ATSS = 2740, 2745, 2750, 2755, 2760, OR 2765 CODE AS 2692 “ATSS Paper Complete - No YABS”; ELSE, CODE AS 1289 “ATSS Pending - No YABS”]

CALLUS. Thank you for calling. However, we will need to speak with the person who completed the survey. Please ask that person to give call us at 855-500-1437 when they are able to. Thank you and have a nice day/evening.

[AFTER CALLUS, EXIT CASE AND DO NOT UPDATE STATUS]

REINTROB. Hello, my name is {name}. We are interested in the health, experiences, and perspectives of people in <<county name>>. Our study is conducted by RTI International with funding from the United States Centers for Disease Control and Prevention. A member of your household has called us because you recently received a survey from us. Are you interested in participating in the biometric part of the study?

1> Yes

2> No

[IF REINTROB =1 GO TO B2; IF REINTROB =2/DK/RF, GO TO FAQ]

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