Child Survey - HEADS UP_Rocket Blades

Form Approved

OMB No. 0920-1009

Exp. Date: 3/31/2017

Public Reporting burden of this collection of information is estimated at 60 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 NW, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-1009).

HEADS UP Child Survey

Introduction

Researcher will:

• Make introductions

• Bring parent and child into the interview room and explain this is where we’ll spend some time, let him/her know his/her parent will be close, and that he/she can ask for the parent at any time

• Explain to the child what we are doing today: “We will be looking at a game on a phone or tablet…”

• Remind the child we are going to have fun today, that this is not a test; there are no right or wrong answers – you get to tell me what you think

• Explain to the child if he/she has questions or needs to take a break, he/she can ask at anytime; reinforce we are going to have fun today!

Do you have any questions for me before we get started? Before your mom/dad steps out, I wanted to talk to both of you together.

1. Tell me a little bit about what games you play (see if they talk about physical or online).

   1. Probe on physical or online to get understanding of both.

2. Can you tell me how often you get to use a tablet or phone?

3. What do you do on your phone?

4. Does mom/dad have certain rules (about using those devices)?

5. How do you guys find new games to play on your devices?

6. Tell me about the games / apps you like?

7. What about mom/dad?

   1. Probe both mom/dad and child on what makes them download and use games and what’s important (i.e., educational component)

After these questions, team will escort parent to the back to observe the rest of the session.

1. Before we move on, let’s get to know each other a little bit better…we can play a little game. I’ll ask you a question and then you get to ask me a question. You can ask me ANYTHING you want!

2. I’ll go first, how old are you?

3. Do you have a pet?

4. What’s your favorite game to play? Why do you like that game?

5. Tell me about a rule you have in school?

6. How did you learn about that rule? How do you remember it?

Now I want to ask you a few questions before we begin playing the game.

1. Have you heard of the word “concussion”? [yes, no]

   1. If so, how did you learn about the word “concussion”? [open-ended]

2. What do you think a concussion is? [open-ended]

Initiate game play

This is where we’ll set up the task/scenario to initiate game play.

Observe child’s interaction and initial behavior with the game

First play questions:

1. What did you think of that game?

• Was it fun?

• What was it about?

• What did you like about it?

• What do you remember about it?

Let’s play again…

2. Now that you’ve played again…

• _{What do you think?}

• _{Did you see/read the messages on the screen?}

• _{Do you remember what any of them said?}

• _{What role does the coach play?}

• _{What role does the doctor play?}

• Would you tell your friends about this game? Why/why not?

• What would you tell them? Why would you tell them that?

• What would make this game better?

• Why are they wearing helmets?

• What happens when they fall? What do you think you should do when they get hurt?

• What would you do if this was real life and you fell like that?

Let’s play again…

Observe child’s reaction to 3^rd play, are they excited? Does the child mention anything else while he/she is playing?

Debrief

Have children compare the site experience to their ideal experience and assess key learning points

Questions

1. Overall, how was the game we played with today?

• Did you learn anything new the last time you played?

• What did you learn?

2. If your mom/dad could download this game, would you want them to? Why/why not?

• Do you like this game?

• What do you remember about the game?

3. If you are playing ___________ (reference sport/activity they play) and you hit your head, what should you do?

• How did you know you should do that?

• Did the game tell you anything about what you should do?

4. What is a concussion?

5. How can a person get an injury to their brain?

• What sort of activities might he or she be doing when the brain injury happens?

6. If you thought that you had an injury to your brain, would you tell someone?

• If yes, who would you tell?

7. If you get an injury to your brain while playing should you keep playing or should you rest? [open-ended]

8. If you get an injury to your brain while playing sports and DON’T take time to rest, what do you think will happen? [open-ended]

9. Does wearing a helmet protect you from getting an injury to your brain? [yes, no]

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