Form Cognitive Intervie Cognitive Intervie Cognitive Interviews

2015 NSDUH Text-to-Speech Pretest,
Supporting Statement
Attachment A – CI Protocols for Cognitive
Interviews

NSDUH Text-to-Speech Cognitive Testing Protocol
Thank you for participating in our study. As I described earlier, I will play survey questions that
have been recorded using different voices. You do not have to answer the recorded questions.
For several of the questions, your task will be to simply repeat the question. After some of the
questions, I will instead ask you some follow up items about the question you just heard. For
example, I might ask you to try to put the question into your own words. That will help me
understand how you have interpreted it. Let me give you an example.
QD12

This question is about your overall health. Would you say your health in general is
excellent, very good, good, fair, or poor?

Putting this in my own words, I might say, “They want to know how good my health is from
excellent to poor.”
My job is to take a lot of notes and to figure out what we can do to make the questions easier
to understand and to determine which voice works best for everyone who takes the survey. If a
survey question doesn't make sense or you don’t understand a certain word used, tell me that.
If you need me to replay any question, just let me know. When we’re done, I’ll ask you a few
overall questions, and then you’ll receive $40 in cash as a token of our appreciation.
Demographics (Interviewer Read)
First I’ll ask a few demographic questions to help us analyze the results of the study.
age1

What is your date of birth?
ENTER MM-DD-YYYY
DOB: ________________
DK/REF

confirm

[IF AGE1 NE DK/REF AND CONFDOB NE DK/REF] That would make you
[CALCAGE] years old. Is this correct?
1
YES
2
NO
DK/REF

QD03 Are you of Hispanic, Latino, or Spanish origin or descent?
1
YES
2
NO
DK/REF

QD05 HAND R SHOWCARD 2 Which of these groups describes you? Just give me the
number or numbers from the card.
TO SELECT MORE THAN ONE CATEGORY, PRESS THE SPACE BAR BETWEEN
EACH CATEGORY YOU SELECT.
RESPONDENTS WHO REPORT THEIR RACE AS NATIVE AMERICAN SHOULD
BE INCLUDED IN RESPONSE CATEGORY 3.
1
2
3

WHITE
BLACK OR AFRICAN AMERICAN
AMERICAN INDIAN OR ALASKA NATIVE (AMERICAN INDIAN
INCLUDES NORTH AMERICAN, CENTRAL AMERICAN, AND SOUTH
AMERICAN INDIANS)
4
NATIVE HAWAIIAN
5
GUAMANIAN OR CHAMORRO
6
SAMOAN
7
OTHER PACIFIC ISLANDER
8
ASIAN (INCLUDING: ASIAN INDIAN, CHINESE, FILIPINO, JAPANESE,
KOREAN, AND VIETNAMESE)
9
OTHER (SPECIFY)
DK/REF
QD11 HAND R SHOWCARD 5. What is the highest grade or year of school you have
completed? Just give me the number from the card.
INCLUDE JUNIOR OR COMMUNITY COLLEGE ATTENDANCE; DO NOT
INCLUDE TECHNICAL SCHOOLS (BEAUTICIAN, MECHANIC, ETC.).
0
1
2
3
4
5
6
7
8
9
10
11

NO SCHOOLING COMPLETED
1ST GRADE COMPLETED
2ND GRADE COMPLETED
3RD GRADE COMPLETED
4TH GRADE COMPLETED
5TH GRADE COMPLETED
6TH GRADE COMPLETED
7TH GRADE COMPLETED
8TH GRADE COMPLETED
9TH GRADE COMPLETED
10TH GRADE COMPLETED
11TH GRADE COMPLETED

12
13

REGULAR HIGH SCHOOL DIPLOMA
12TH GRADE, NO DIPLOMA

14

GED CERTIFICATE OF HIGH SCHOOL COMPLETION

15
16
17

SOME COLLEGE CREDIT, BUT NO DEGREE
ASSOCIATE’S DEGREE (FOR EXAMPLE, AA, AS)
BACHELOR’S DEGREE (FOR EXAMPLE, BA, BS)

18 MASTER’S DEGREE (FOR EXAMPLE, MA, MS, MENG, M. ED, MSW,
MBA)
19 DOCTORATE DEGREE (FOR EXAMPLE, PHD, EDD)
20 PROFESSIONAL DEGREE BEYOND A BACHELOR’S DEGREE (FOR
EXAMPLE, MD, DDS, DVM, LLB, JD)
DK/REF
QD14 Were you born in the United States?
1
Yes
2
No
DK/REF
QD15 [IF QD14 = 2] In what country or U.S. territory were you born?
COUNTRY OR US TERRITORY: _________________
DK/REF
QD55 How well would you say you speak English?
1
Very well
2
Well
3
Not well
4
Not at all
DK/REF
QD56 Do you have any difficulty hearing?
1
Yes
2
No
DK/REF

QD57 Do you have serious difficulty seeing, even when wearing glasses?
1
Yes
2
No
DK/REF
QD58 Do you have any difficulty concentrating, remembering, or making decisions?
1
Yes
2
No
DK/REF

VOICE 1:
LEADCIG These questions are about your use of tobacco products. This includes cigarettes,
chewing tobacco, snuff, cigars, and pipe tobacco. The first questions are about
cigarettes only.
P1.

Can you tell me what this introduction is telling you?

P2.

What are some of the tobacco products that were listed in this question?

RK01a

How much do people risk harming themselves physically and in other ways when
they smoke one or more packs of cigarettes per day?
1
2
3
4

P3.

No risk
Slight risk
Moderate risk
Great risk

In your own words, what is this question asking?

ALCINTR2

P4.

These questions are about drinks of alcoholic beverages. Throughout these
questions, by a “drink,” we mean a can or bottle of beer, a glass of wine or a
wine cooler, a shot of liquor, or a mixed drink with liquor in it. We are not asking
about times when you only had a sip or two from a drink.

What would be considered a “drink” of alcohol according to this question? What would
not be considered a “drink” of alcohol?

AL01 Have you ever, even once, had a drink of any type of alcoholic beverage? Please do not
include times when you only had a sip or two from a drink.
1
2
P5.

Yes
No

Please repeat this question as best you can.

MRJINTRO

The next questions are about marijuana and hashish. Marijuana is also called
pot or grass. Marijuana is usually smoked, either in cigarettes, called joints, or in
a pipe. It is sometimes cooked in food. Hashish is a form of marijuana that is
also called “hash.” It is usually smoked in a pipe. Another form of hashish is
hash oil.

P6.

Can you tell me in your own words what this introduction is telling you?

P7.

Can you recall any of the examples of marijuana or hashish that were mentioned?
[PROBE FOR AS MANY EXAMPLES AS THEY RECALL.]

MJ01 Have you ever, even once, used marijuana or hashish?
1
2
P8.

Please repeat this question as best you can.

RK04a

How often do you get a real kick out of doing things that are a little dangerous?
1
2
3
4

P9.

PR01

Yes
No

Never
Seldom
Sometimes
Always

Please repeat this question as best you can.

Please look at the names and pictures of the pain relievers shown below. Please
note that some forms of these pain relievers may look different from the pictures,
but you should include any form that you have used.
In the past 12 months, which, if any, of these pain relievers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].
1
Vicodin
2
Lortab
3
Norco
4
Zohydro ER
5
Hydrocodone (generic)
95
I have not used any of these pain relievers in the past 12 months
DK/REF

P10.

Based on this question, how would you select more than one drug at a time?

VOICE 2
AD12 Think about the times when you were sad, discouraged, or lost interest in most things.
Did you ever have a period of time like this that lasted most of the day, nearly every
day, for two weeks or longer?
1
Yes
2
No
DK/REF
P11.

Please repeat this question as best you can. [ASK AFTER EACH SENTENCE IN THE
QUESTION.]

INHINTRO These next questions are about liquids, sprays, and gases that people sniff or
inhale to get high or to make them feel good.
We are not interested in times when you inhaled a substance accidentally — such
as when painting, cleaning an oven, or filling a car with gasoline. The questions
use the word ‘inhalant’ to include all the things listed below, as well as any other
substances that people sniff or inhale for kicks or to get high. Take a moment to
look at the substances listed below so you know what kinds of liquids, sprays, and
gases these questions are about.
Amyl nitrite, ‘poppers,’ locker room odorizers, or ‘rush’
Correction fluid, degreaser, or cleaning fluid
Gasoline or lighter fluid
Glue, shoe polish, or toluene
Halothane, ether, or other anesthetics
Lacquer thinner, or other paint solvents
Lighter gases, such as butane or propane
Nitrous oxide or ‘whippits’
Felt-tip pens, felt-tip markers, or magic markers
Spray paints
Computer keyboard cleaner, also known as air duster
Other aerosol sprays
P12.

According to this introduction, do they want to know about times when substances
were inhaled accidentally, on purpose, or both?

IN01c Have you ever, even once, inhaled gasoline or lighter fluid for kicks or to get high?
1
Yes
2
No
DK/REF
P13.

Please repeat this question as best you can. [IF NEEDED: Can you remember what time
period the question was asking about?]

METHINTRO

Methamphetamine, also known as crank, ice, crystal meth, speed, glass, and
many other names, is a stimulant that usually comes in crystal or powder
forms. It can be smoked, “snorted,” swallowed or injected.
Press [ENTER] to continue.

P14.

What is this introduction telling you?

INTROST

These next questions are about any use of prescription stimulants. People
sometimes take these drugs for attention deficit disorders, to lose weight, or to
stay awake. Please do not include “over-the-counter” stimulants such as
Dexatrim, No-Doz, Hydroxycut, or 5-Hour Energy.

P15.

Can you tell me in your own words what this introduction is saying?

P16.

This introduction said not to include certain types of stimulants. What stimulants should
not be included?

INTROSV

These next questions ask about any use of prescription sedatives or
barbiturates. These drugs are also called “downers” or “sleeping pills.” People
take these drugs to help them relax or help them sleep. Please do not include
“over-the-counter” sedatives such as Sominex, Unisom, Nytol, or Benadryl.

P17.

Can you tell me in your own words what this introduction is saying?

P18.

According to this introduction, what are some of the reasons that people take these
drugs?

PRINTROYR1 [IF PR12MON = 1] Earlier you reported having used certain prescription
pain relievers during the past year. Now please think about whether you used
any of these pain relievers in any way a doctor did not direct you to use
them.
When you answer these questions, please think only about your use of the
drug in any way a doctor did not direct you to use it, including:




Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to
take it
Using it in any other way a doctor did not direct you to use it

Press Enter to continue.
P19.

This introduction provided examples of using prescription drugs in a way a doctor did
not direct you to use. Do you recall what those were? [PROBE FOR ALL THREE
RESPONSES]

SV01

Please look at the names and pictures of the sedatives shown below. Please note
that some forms of these sedatives may look different from the pictures, but you
should include any form that you have used.
In the past 12 months, which, if any, of these sedatives have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].

1
Ambien
2
Ambien CR
3
Zolpidem (generic)
4
Extended-release zolpidem (generic)
95
I have not used any of these sedatives in the past 12 months
DK/REF
P20.

Can you recall what time period the question was asking about?

Voice 3
SD01

The last questions were about prescription drugs. The next question is about nonprescription cough or cold medicines, also known as “over-the-counter”
medicines. Have you ever, even once, taken a non-prescription cough or cold
medicine just to get high?
1
Yes
2
No
DK/REF

P21.

In your own words, what is this question asking?

CG06 [IF CG05 = 2] How long has it been since you last smoked part or all of a cigarette?
1
2
3

More than 30 days ago but within the past 12 months
More than 12 months ago but within the past 3 years
More than 3 years ago

P22.

Can you tell me in your own words what that question was asking? [And what were the
response categories provided?]

INTROBK [IF SP02 = 1 - 99 OR DK/REF] The next questions are about offenses that are against
the law. As you read each question, please answer whether you were arrested and
booked for that offense during the past 12 months.
SP03a [IF SP02 = 1 - 99 OR DK/REF] In the past 12 months, were you arrested and booked for
motor vehicle theft?
1
2
P23.

Yes
No

In your own words, what is this question asking?

senrelat[IF CURNTAGE = 18 OR OLDER] During the past 12 months, how many times did
you attend religious services? Please do not include special occasions such as weddings,
funerals, or other special events in your answer.
1
2
3
4
5
6

0 times
1 to 2 times
3 to 5 times
6 to 24 times
25 to 52 times
More than 52 times

P24.

Can you tell me in your own words what that question was asking?

P25.

Can you recall what sort of occasions should be excluded when answering this question?

YE09 [IF CURNTAGE = 12 - 17] Have you attended any type of school at any time during the
past 12 months?
1
2
P26.

Yes
No

Please repeat this question as best you can.

YDS23
[IF YDS22 = 2 OR DK/REF] Have you ever had a period of time lasting several
days or longer when you lost interest and became bored with most things you usually
enjoy, like work, hobbies, and personal relationships?
1
Yes
2
No
DK/REF
P27.

In your own words, what is this question asking?

P28.

Can you remember what time period the question was asking about?

QD17 The next questions are about school. Are you now attending or are you currently enrolled
in school? By “school,” we mean an elementary school, a junior high or middle school, a
high school, or a college or university. Please include home schooling as well.
1
Yes
2
No
DK/REF
P29.

In your own words, what is this question asking?

TR01

Please look at the names and pictures of the tranquilizers shown below. Please
note that some forms of these tranquilizers may look different from the pictures,
but you should include any form that you have used.
In the past 12 months, which, if any, of these tranquilizers have you used?
To select more than one drug from the list, press the space bar between each
number you have typed. When you have finished, press [ENTER].

1
Xanax
2
Xanax XR
3
Alprazolam (generic)
4
Extended-release alprazolam (generic)
95
I have not used any of these tranquilizers in the past 12 months
DK/REF
P30.

Can you tell me in your own words what that question was asking?