FDA Measures Study
Focus Group Participant Screener
Hello, my name is _______________ and I’m from [name of company]. I’m calling on behalf of RTI International, a non-profit research organization, about a research study. I’m not selling or promoting any product.
The purpose of this study is to learn more about how people find information on and make decisions about prescription drugs. We will be conducting several focus groups on this topic in [city]. To see if you are eligible, I’d like to ask you some questions. If you are eligible and choose to participate, all of your comments will be kept private and we will reimburse you $75 at the end of the focus group. May I proceed?
Yes CONTINUE
No [Thank respondent and end call.]
Eligibility Questions
What year were you born?
_____ |
1994 or Earlier CONTINUE 1995 or Later TERMINATE |
Are you currently taking any prescription drugs (including birth control)?
_____ |
Yes CONTINUE No TERMINATE |
How many prescription drugs do you currently take?
_____ |
One CONTINUE TO 4A More than one CONTINUE TO 4B |
4A. [If taking only one drug] When did you start taking this prescription drug?
Within the last 6 months |
|
CONTINUE |
More than 6 months to one year ago |
|
CONTINUE (HOLD) |
More than one year ago |
|
TERMINATE |
4B. [If taking more than one drug] Please think about the drug you started taking most recently. When did you start taking this prescription drug?
Within the last 6 months |
|
CONTINUE |
More than 6 months to one year ago |
|
CONTINUE (HOLD) |
More than one year ago |
|
TERMINATE |
For what condition (or conditions) are you taking this drug?
|
SCREEN FOR A MIX (ESPECIALLY MIX OF CHRONIC AND ACUTE) |
Which of the following best describes your situation? [Read options below]
This is the only prescription drug I have ever taken for [condition] |
|
CONTINUE TO Q7 (NEW USER) |
I used to take another prescription drug for [condition], but I switched to this one |
|
CONTINUE TO Q6B (SWITCHING USER) |
I take more than one prescription drug for [condition] |
|
CONTINUE TO Q6C |
EXCLUDE FOLLOWING CONDITIONS (Q5):
EXCLUDE FOLLOWING CONDITIONS (Q5), ONLY IN NEW USERS:
|
6B. When did you stop taking the other prescription drug for [condition]?
Within the last 6 months |
|
CONTINUE |
More than 6 months to one year ago |
|
CONTINUE (HOLD) |
More than one year ago |
|
TERMINATE |
6C. Were you prescribed these drugs for [condition] at the same time?
Yes – I was prescribed the drugs at the same time |
|
CONTINUE (NEW USER) |
No – I was prescribed the drugs at different times |
|
CONTINUE (ADDING USER) |
How involved were you in the decision to take this prescription drug? [Read options below]
My healthcare provider made the decision with no input from me |
|
CONTINUE |
My healthcare provider made the decision with some input from me |
|
CONTINUE |
My healthcare provider and I were equally involved in the decision |
|
CONTINUE |
I made the decision with some input from my healthcare provider |
|
CONTINUE |
I made the decision with no input from my healthcare provider |
|
CONTINUE |
SCREEN FOR A MIX |
What is your current occupation?
|
Healthcare Provider (e.g., Physician, Nurse, Counselor) TERMINATE Pharmaceutical Employee (e.g., Pharma Rep) TERMINATE Researcher / Scientist TERMINATE All Other Occupations CONTINUE |
Have you participated in a focus group on any topic in the last 6 months?
_____ |
Yes TERMINTATE No CONTINUE |
What is your sex?
Male |
|
CONTINUE |
Female |
|
CONTINUE |
SCREEN FOR A MIX |
Which of these racial groups best describes you? [Read options below]
White |
|
CONTINUE |
Black / African American |
|
CONTINUE |
American Indian or Alaskan Native |
|
CONTINUE |
Asian |
|
CONTINUE |
Native Hawaiian or Pacific Islander |
|
CONTINUE |
Other |
|
CONTINUE |
SCREEN FOR A MIX |
What is the highest level of education you have attained?
Less than high school |
|
CONTINUE |
High school graduate (or GED) |
|
CONTINUE |
Some college or technical school (No degree) |
|
CONTINUE |
College graduate (2- or 4-year degree) |
|
CONTINUE |
Some graduate school (No degree) |
|
CONTINUE |
Graduate school degree |
|
CONTINUE |
SCREEN FOR A MIX |
Focus Group Invitation:
Thank you for answering all of my questions. Based on your responses, you appear eligible to participate in our study and join one of our focus groups.
Please note two important facts:
Each focus group will include individuals with different illnesses and medication conditions. Not everyone in the group will have the same condition as you.
During the group, we will ask you to talk about your medical condition and the medication that you’re taking for it.
Each focus group will last about two hours and should be very interesting. No one will try to sell you anything, and no one would call you later because you participated. We would reimburse you $75 at the end of the discussion for your time and participation. We can invite only a few individuals to take part, and if it’s okay, we would like to audio tape the discussion. Can I schedule your participation?
The focus groups will take place on [DATES AND TIMES TBD]. Which date and time would work best for you?
Focus Group: 1 2
Your participation in this study is very important. If for some reason you will not be able to attend, please let us know right away. You can call us anytime at [insert phone number], and if we are not here, please leave a message.
Closing for Ineligible Participants:
I’m sorry, but you are not eligible for this study. There are many possible reasons why people are not eligible. These reasons were decided earlier by the researchers. However, thank you for your interest in this study and for taking the time to answer our questions today.
Participant Information
NAME: ________________________________________________________
ADDRESS: ________________________________________________________
CITY: ________________________________________________________
ZIP CODE: ________________________________________________________
EMAIL ________________________________________________________
What is the best time to reach you? What is the best telephone number to reach you at that time?
BEST TIME TO BE REACHED: ________________________________________
BEST PHONE NUMBER: ______________
Is there another time and number we can try if we miss you?
ALTERNATE PHONE NUMBER:
Recruiter: ____________________
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | FDA Online Study |
Author | Jackie Amoozegar |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |