36M_HomeSocialDirectObservationInstrument

36M_HomeSocialDirectObservationInstrument.docx

Continuation of National Children's Study Vanguard (Pilot) Study Data Collection: Study Visits through 60-Months and Sibling Birth Enrollment

36M_HomeSocialDirectObservationInstrument

OMB: 0925-0593

Document [docx]
Download: docx | pdf

OMB #: 0925-0593

OMB Expiration Date: 8/31/2014

Home Social Direct Observation Instrument, Phase 2g

OMB Specification


Home Social Direct Observation Instrument


Event Category:

Time-Based

Event:

36M

Administration:

N/A

Instrument Target:

Child

Instrument Respondent:

Data Collector

Domain:

Neuro-Psychosocial

Document Category:

Observation

Method:

Data Collector Administered

Mode (for this instrument*):

In-Person, CAI

OMB Approved Modes:

In-Person, CAI;
Web, CAI

Estimated Administration Time:

0 minutes

Multiple Child/Sibling Consideration:

Per Child

Special Considerations:

N/A

Version:

1.0

MDES Release:

4.0


*This instrument is OMB-approved for multi-mode administration but this version of the instrument is designed for administration in this/these mode(s) only.


This page intentionally left blank.


Home Social Direct Observation Instrument



TABLE OF CONTENTS





This page intentionally left blank.



Home Social Direct Observation Instrument



GENERAL PROGRAMMER INSTRUCTIONS:

WHEN PROGRAMMING INSTRUMENTS, VALIDATE FIELD LENGTHS AND TYPES AGAINST THE MDES TO ENSURE DATA COLLECTION RESPONSES DO NOT EXCEED THOSE OF THE MDES. SOME GENERAL ITEM LIMITS USED ARE AS FOLLOWS:


DATA ELEMENT FIELDS

MAXIMUM CHARACTERS PERMITTED

DATA TYPE

PROGRAMMER INSTRUCTIONS

ADDRESS AND EMAIL FIELDS

100

CHARACTER


UNIT AND PHONE FIELDS

10

CHARACTER


_OTH AND COMMENT FIELDS

255

CHARACTER

  • Limit text to 255 characters

FIRST NAME AND LAST NAME

30

CHARACTER

  • Limit text to 30 characters

ALL ID FIELDS

36

CHARACTER


ZIP CODE

5

NUMERIC


ZIP CODE LAST FOUR

4

NUMERIC


CITY

50

CHARACTER


DOB AND ALL OTHER DATE FIELDS (E.G., DT, DATE, ETC.)

10

NUMERIC


CHARACTER



  • DISPLAY AS MM/DD/YYYY

  • STORE AS YYYY-MM-DD

  • HARD EDITS:

MM MUST EQUAL 01 TO 12

DD MUST EQUAL 01 TO 31

YYYY MUST BE BETWEEN 1900 AND CURRENT YEAR.

TIME VARIABLES

TWO-DIGIT HOUR AND TWO-DIGIT MINUTE, AM/PM DESIGNATION

NUMERIC

  • HARD EDITS:

HOURS MUST BE BETWEEN 00 AND 12;

MINUTES MUST BE BETWEEN 00 AND 59


Instrument Guidelines for Participant and Respondent IDs:

PRENATALLY, THE P_ID IN THE MDES HEADER IS THAT OF THE PARTICIPANT (E.G. THE NON-PREGNANT WOMAN, PREGNANT WOMAN, OR THE FATHER).


POSTNATALLY, A RESPONDENT ID WILL BE USED IN ADDITION TO THE PARTICIPANT ID BECAUSE SOMEBODY OTHER THAN THE PARTICIPANT MAY BE COMPLETING THE INTERVIEW. FOR EXAMPLE, THE PARTICIPANT MAY BE THE CHILD AND THE RESPONDENT MAY BE THE MOTHER, FATHER, OR ANOTHER CAREGIVER. THEREFORE, MDES VERSION 2.2 AND ALL FUTURE VERSIONS CONTAIN A R_P_ID (RESPONDENT PARTICIPANT ID) HEADER FIELD FOR EACH POST-BIRTH INSTRUMENT. THIS WILL ALLOW ROCs TO INDICATE WHETHER THE RESPONDENT IS SOMEBODY OTHER THAN THE PARTICIPANT ABOUT WHOM THE QUESTIONS ARE BEING ASKED.



A REMINDER:

ALL RESPONDENTS MUST BE CONSENTED AND HAVE RECORDS IN THE PERSON, PARTICIPANT, PARTICIPANT_CONSENT AND LINK_PERSON_PARTICIPANT TABLES, WHICH CAN BE PRELOADED INTO EACH INSTRUMENT. ADDITIONALLY, IN POST-BIRTH QUESTIONNAIRES WHERE THERE IS THE ABILITY TO LOOP THROUGH A SET OF QUESTIONS FOR MULTIPLE CHILDREN, IT IS IMPORTANT TO CAPTURE AND STORE THE CORRECT CHILD P_ID ALONG WITH THE LOOP INFORMATION. IN THE MDES VARIABLE LABEL/DEFINITION COLUMN, THIS IS INDICATED AS FOLLOWS: EXTERNAL IDENTIFIER: PARTICIPANT ID FOR CHILD DETAIL.





DIRECT OBSERVATION FROM HOME


(TIME_STAMP_NHS_ST).


PROGRAMMER INSTRUCTIONS

INSERT DATE/TIME STAMP.


DO01000/(CONVERSE_TWICE). CAREGIVER CONVERSED WITH CHILD AT LEAST TWICE .


DATA COLLECTOR INSTRUCTIONS

  • THE OBJECT OF THIS ITEM IS TO RECORD WHETHER THE CAREGIVER SPEAKS POSITIVELY WITH THE CHILD AT LEAST TWICE.  

  • POSITIVE SPEECH INCLUDES OBSERVATIONS OR COMMENTS ABOUT THE SITUATION OR THE CHILD’S ACTIVITIES; ENCOURAGEMENT; INVITATIONS OR OFFERS; INQUIRIES; OR COMPLIMENTS.  SCOLDING OR ACCUSATORY COMMENTS, OR COMMENTS MADE IN AN UNPLEASANT OR ANGRY TONE OF VOICE,  ARE NOT COUNTED AS CONVERSING POSITIVELY.  

  • NEGATIVE  COMMENTS MIGHT ALSO INCLUDE COMMENTS FROM THE CAREGIVER TO THE CHILD THAT THE OBSERVER IS CLEARLY NOT INTENDED TO OVERHEAR.


Label

Code

Go To

YES

1


NO

2


NOT OBSERVED

3



SOURCE

Modified from Home Observation Measurement of the Environment – Short Form


DO02000/(QUESTION_VERBALLY). CAREGIVER ANSWERED CHILD’S QUESTIONS OR REQUESTS VERBALLY.


Label

Code

Go To

YES

1


NO

2


NOT OBSERVED

3



SOURCE

Modified from Home Observation Measurement of the Environment – Short Form


DO03000/(HUG_ONCE). CAREGIVER CARESSED, KISSED OR HUGGED CHILD AT LEAST ONCE.


Label

Code

Go To

YES

1


NO

2


NOT OBSERVED

3



SOURCE

Modified from Home Observation Measurement of the Environment – Short Form


DO04000/(PHYSICAL_RESTRICT). CAREGIVER PHYSICALLY RESTRICTED OR SHOOK/GRABBED CHILD.


Label

Code

Go To

YES

1


NO

2


NOT OBSERVED

3



SOURCE

Modified from Home Observation Measurement of the Environment – Short Form


DO05000/(SLAP_ONCE). CAREGIVER SLAPPED OR SPANKED CHILD AT LEAST ONCE.


Label

Code

Go To

YES

1


NO

2


NOT OBSERVED

3



SOURCE

Modified from Home Observation Measurement of the Environment – Short Form


DO06000/(VOICE_POSITIVE). CAREGIVER’S VOICE CONVEYED POSITIVE FEELING ABOUT THIS CHILD.


Label

Code

Go To

YES

1


NO

2


NOT OBSERVED

3



SOURCE

Modified from Home Observation Measurement of the Environment – Short Form


DO07000/(PLAY_ENV_SAFE). CHILD’S PLAY ENVIRONMENT IS SAFE (NO POTENTIALLY DANGEROUS STRUCTURAL OR HEALTH HAZARDS WITHIN A PRESCHOOLER’S RANGE).


Label

Code

Go To

YES

1


NO

2


NOT OBSERVED

3



SOURCE

Modified from Home Observation Measurement of the Environment – Short Form


DO08000/(HOME_MONOTONOUS). INTERIOR OF THE HOME IS DARK OR PERCEPTUALLY MONOTONOUS.


Label

Code

Go To

YES

1


NO

2


NOT OBSERVED

3



SOURCE

Modified from Home Observation Measurement of the Environment – Short Form


(TIME_STAMP_NHS_ET).


PROGRAMMER INSTRUCTIONS

INSERT DATE/TIME STAMP.


 

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File Modified0000-00-00
File Created2021-01-28

© 2024 OMB.report | Privacy Policy