40.3 Survey

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

NoiseMeasurementPickUpInstrument

Noise Subsample Study

OMB: 0925-0593

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OMB #: 0925-0593

OMB Expiration Date: 8/31/2014

Noise Measurement Pick-Up Instrument, Phase 2g

OMB Specification


Noise Measurement Pick-Up Instrument


Event Category:

Time-Based

Event:

36M, 60M

Administration:

N/A

Instrument Target:

Child's Primary Residence

Instrument Respondent:

Data Collector

Domain:

Environmental

Document Category:

Sample Collection

Method:

Data Collector Administered

Mode (for this instrument*):

In-Person, CAI

OMB Approved Modes:

In-Person, CAI

Estimated Administration Time:

0 minutes

Multiple Child/Sibling Consideration:

Per Event

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.


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Noise Measurement Pick-Up Instrument



TABLE OF CONTENTS





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Noise Measurement Pick-Up 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.





NOISE MONITOR PICK-UP


(TIME_STAMP_NMP_ST).


PROGRAMMER INSTRUCTIONS

  • INSERT DATE/TIME STAMP

  • PRELOAD DWELLING_UNIT_ID FOR THE DWELLING UNIT

  • PRELOAD PARTICIPANT ID (P_ID) FOR PARTICIPANT AND RESPONDENT ID (R_P_ID) FOR RESPONDENT

  • PRELOAD ENVIRONMENTAL NOISE MEASUREMENT SAMPLE ID (SAMPLE_ID) FROM THE NOISE MEASUREMENT SET-UP INSTRUMENT

  • PRELOAD NOISE MONITOR ID (EQUIP_ID) FROM THE NOISE MEASUREMENT SET-UP INSTRUMENT

  • INSTRUMENT SHOULD ONLY BE LAUNCHED WHEN MON_SETUP = 1 IN THE NOISE MEASUREMENT SET-UP INSTRUMENT


NMP01000/(STAFF_ID). ENTER STAFF ID

__________________________________________

STAFF ID


NMP02000. NOISE MONITOR PICK UP INSTRUCTIONS:


DATA COLLECTOR INSTRUCTIONS

  • PICK UP THE NOISE MONITOR FOLLOWING THE INSTRUCTIONS IN THE ENVIRONMENTAL NOISE MEASUREMENT SOP


NMP03000/(SAMPLE_ID). ENVIRONMENTAL NOISE MEASUREMENT SAMPLE ID

 

|  E  |___|___|___|___|___|___|___|___| - N E 0 1

NOISE-ENVIRONMENTAL ID


PROGRAMMER INSTRUCTIONS

  • DISPLAY THE NOISE MEASUREMENT SAMPLE ID

  • ID MUST BE FORMATTED WITH TWO ALPHA 7 NUMERIC DASH NE 01


NMP04000/(SAMPLE_ID_SAME). {SAMPLE_ID}

 

IS THE DISPLAYED SAMPLE ID THE SAME AS THE SAMPLE ID SHOWN ON THE LABEL PLACED ON THE NOISE MONITOR?


Label

Code

Go To

YES

1


NO

2


DON'T KNOW

-2



PROGRAMMER INSTRUCTIONS

  • DISPLAY PRELOADED SAMPLE_ID IN {SAMPLE_ID}


NMP05000/(EQUIP_ID). NOISE MONITOR ID

______________________________________________


DATA COLLECTOR INSTRUCTIONS

  • DISPLAY THE ID OF THE NOISE MONITOR


NMP06000/(EQUIP_ID_SAME). {EQUIP_ID}

 

IS THE DISPLAYED EQUIPMENT ID THE SAME AS THE EQUIPMENT ID ON THE NOISE MONITOR?


Label

Code

Go To

YES

1


NO

2


DON'T KNOW

-2



PROGRAMMER INSTRUCTIONS

  • DISPLAY PRELOADED EQUIP_ID IN {EQUIP_ID}


NMP07000. MONITOR PICK-UP DATE


(MON_PICK_DATE_MM) MONTH:  |____|____|

                  M      M


(MON_PICK_DATE_DD) DAY:      |____|____|

                 D       D


(MON_PICK_DATE_YYYY) YEAR:     |____|____|____|____|

                  Y       Y       Y       Y


PROGRAMMER INSTRUCTIONS

  • DISPLAY HARD EDIT IF MM, DD OR YYYY ARE OUTSIDE CRITERIA DEFINED IN GENERAL PROGRAMMER INSTRUCTIONS.


NMP08000/(MON_PICK_TIME). MONITOR PICK-UP TIME

 

|____|____|  :  |____|____|

    H      H             M      M


NMP09000/(MON_PICK_TIME_UNIT). MONITOR PICK-UP TIME AM/PM


Label

Code

Go To

AM

1


PM

2



NMP10000/(MON_PICKUP_ROOM). DID YOU PICK UP THE NOISE MONITOR FROM THE ROOM WHERE IT WAS SET UP?


Label

Code

Go To

YES

1

MON_PICKUP_PROBLEM

NO

2


DON'T KNOW

-2



NMP11000/(MON_PICKUP_ROOM_DIFF). RECORD THE ROOM FROM WHERE THE NOISE MONITOR WAS PICKED UP.


Label

Code

Go To

COMMON LIVING AREA

1

MON_PICKUP_PROBLEM

CHILD'S BEDROOM

2

CHILD_BEDROOM_SHARED

ADULT BEDROOM

3

MON_PICKUP_PROBLEM

OTHER

-5



NMP12000/(MON_PICKUP_ROOM_DIFF_OTH). SPECIFY:  ___________________________________________


NMP13000/(CHILD_BEDROOM_SHARED). DOES THE CHILD SHARE THE BEDROOM WITH OTHER FAMILY MEMBER(S)?


Label

Code

Go To

YES

1


NO

2


DON'T KNOW

-2



NMP14000/(MON_PICKUP_PROBLEM). DID YOU OBSERVE ANY PROBLEMS WITH THE NOISE MONITOR STAND AND/OR THE NOISE MONITOR?


Label

Code

Go To

YES

1


NO

2

MON_PICKUP_ROOM_WINDOW_OPEN


NMP15000/(MON_PICKUP_PROBLEM_OBS). RECORD THE PROBLEMS YOU OBSERVED WITH THE NOISE MONITOR STAND AND/OR THE NOISE MONITOR.


DATA COLLECTOR INSTRUCTIONS

  • SELECT ALL THAT APPLY.


Label

Code

Go To

STAND MISSING

1


EQUIPMENT/SUPPLIES MISSING

2


STAND MOVED

3


STAND DAMAGED

4


STAND UNLOCKED

5


NOISE MONITOR NOT RUNNING

6


NOISE MONITOR DAMAGED

7


OTHER

-5



PROGRAMMER INSTRUCTIONS

  • IF MON_PICKUP_PROBLEM_OBS = 1, DO NOT ALLOW SELECTION OF ANY OTHER RESPONSE AND GO TO NMP17000.

  • IF MON_PICKUP_PROBLEM_OBS = -5 OR ANY COMBINATION OF 2 THROUGH 7 AND -5, GO TO MON_PICKUP_PROBLEM_OBS_OTH.

  • IF MON_PICKUP_PROBLEM_OBS = 4 OR 7 OR ANY COMBINATION OF 2, 3, 5, 6 AND 4 AND/OR 7, GO TO NMP17000.

  • OTHERWISE, GO TO MON_PICKUP_DISTANCE.


NMP16000/(MON_PICKUP_PROBLEM_OBS_OTH). SPECIFY:  __________________________________________


NMP17000. NOISE MONITOR AND/OR STAND DAMAGED


DATA COLLECTOR INSTRUCTIONS

  • IF MON_PICKUP_PROBLEM_OBS = 1, 4, OR 7 OR ANY COMBINATION INCLUDING 1, 4, AND/OR 7, COMPLETE THE ENVIRONMENTAL EQUIPMENT PROBLEM LOG.


PROGRAMMER INSTRUCTIONS

  • IF MON_PICKUP_PROBLEM_OBS = 1, GO TO MON_PICKUP_COMMENTS.

  • IF MON_PICKUP_ROOM = 1 AND MON_PICKUP_PROBLEM_OBS ≠ 3 OR ANY COMBINATION INCLUDING 3, GO TO MON_PICKUP_ROOM_WINDOW_OPEN.

  • OTHERWISE, GO TO MON_PICKUP_DISTANCE.


NMP18000/(MON_PICKUP_DISTANCE). RECORD THE DISTANCE OF THE NOISE MONITOR FROM THE WALL IN THE PICK-UP ROOM.


Label

Code

Go To

LESS THAN 2 FT FROM WALL

1


MORE THAN OR EQUAL TO 2 FEET FROM WALL

2



NMP19000/(MON_PICKUP_HEIGHT). RECORD THE HEIGHT OF THE NOISE MONITOR FROM THE FLOOR IN THE PICK-UP ROOM.


Label

Code

Go To

LESS THAN 3 FT FROM FLOOR

1


MORE THAN OR EQUAL TO 3 FT FROM FLOOR

2



NMP20000/(MON_PICKUP_ROOM_WINDOW). ​RECORD WHAT IS OUTSIDE OF THE WINDOW(S) IN THE PICK-UP ROOM


DATA COLLECTOR INSTRUCTIONS

  • SELECT ALL THAT APPLY


Label

Code

Go To

NO WINDOWS

1


STREET WITH LIGHT TRAFFIC

2


STREET WITH HEAVY TRAFFIC

3


FREEWAY OR HIGHWAY

4


YARD, GARDEN, GREENBELT, COURTYARD

5


OTHER

-5



PROGRAMMER INSTRUCTIONS

  • IF MON_PICKUP_ROOM_WINDOW  =  ANY COMBINATION OF 2 THROUGH 5, GO TO MON_PICKUP_ROOM_WINDOW_OPEN.

  • IF MON_PICKUP_ROOM_WINDOW  =  -5, OR ANY COMBINATION OF 2 THROUGH 5 AND -5, GO TO MON_PICKUP_ROOM_WINDOW_OTH.

  • IF MON_PICKUP_ROOM_WINDOW  =  1, DO NOT ALLOW ANY OTHER SELECTION AND GO TO MON_PICKUP_COMMENTS.


NMP21000/(MON_PICKUP_ROOM_WINDOW_OTH). SPECIFY:   _____________________________________________


NMP22000/(MON_PICKUP_ROOM_WINDOW_OPEN). RECORD IF WINDOW(S) IN THE PICK-UP ROOM IS/ARE OPEN.


Label

Code

Go To

YES

1


NO

2



NMP23000/(MON_PICKUP_COMMENTS). RECORD ANY COMMENTS ABOUT THE NOISE MONITOR PICK-UP:

 

COMMENT:  __________________________________________


(TIME_STAMP_NMP_ET).


PROGRAMMER INSTRUCTIONS

  • INSERT DATE/TIME STAMP


 

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