OMB Control Number: 0970-0355
Expiration Date: 1/31/2015
A) IF POTENTIAL PARTICIPANT CALLS IN:
Thank you for calling us. Child Trends is leading a study on healthy marriage and relationship education (HMRE) programs for the Administration for Children and Families in the U.S. Department of Health and Human Services. The goal of this study is to learn more about questions that may be used in healthy marriage and relationship education (HMRE) programming and evaluation. We want to make sure that the questions make sense to different types of families. As part of this effort, we will be doing cognitive interviews with parents in diverse types of families.
Cognitive interviews are conversations in which participants are asked what they think of different questions. For example, we might ask if the wording of a question makes sense or not. The goal of cognitive interviews is to improve the quality of the questions. The goal is not to get answers to the questions.
Your participation is voluntary. Specifically, 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. The OMB control number for this collection is 0970-0355and it expires 01/31/2015.
The interview will last approximately an hour and a half. As a token of our appreciation, we will give you a $50 gift card at the end of the interview.
In order to make sure that you are eligible to participate in the study, I need to ask you a few questions. This will take about 5 minutes. Do you have any questions before I begin?
Just in case we get disconnected, can I get the phone number that you are calling from?
(cell/landline)_______________________
B) IF RETURNING A CALL:
Hello. My name is [SCREENER’S NAME]. I’m calling from Child Trends. May I speak with [POTENTIAL PARTICIPANT]?
Once you verify that you are speaking to the correct person, proceed.
Child Trends is leading a study on healthy marriage and relationship education (HMRE) programs for the Administration for Children and Families in the U.S. Department of Health and Human Services. The goal of this study is to learn more about questions that may be used in healthy marriage and relationship education (HMRE) programming and evaluation. We want to make sure that the questions make sense to different types of families. As part of this effort, we will be doing cognitive interviews with parents in diverse types of families.
Cognitive interviews are conversations in which participants are asked what they think of different questions. For example, we might ask if the wording of a question makes sense or not. The goal of cognitive interviews is to improve the quality of the questions. The goal is not to get answers to the questions.
Your participation is voluntary. Specifically, 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. The OMB control number for this collection is 0970-0355and it expires 01/31/2015.
The interview will last approximately an hour and a half. As a token of our appreciation, we will give you a $50 gift card at the end of the interview.
In order to make sure that you are eligible to participate in the study, I need to ask you a few questions. This will take about 5 minutes. Do you have any questions before I begin?
Before we start, I want to let you know participating is completely up-to-you. Your responses will be combined with others and will stay private. If we come to a question that you do want to answer, please let me know and we will move on to the next question.
Are you in a committed romantic relationship? (IF NEEDED: Do you have a husband, wife, partner, boyfriend, or girlfriend)?
Yes
No (GO TO STOP SCREENER)
Do you have any biological children with your current partner?
How many biological children do you have with your current partner?
0 (GO TO STOP SCREENER)
1
2 or more (GO TO STOP SCREENER)
How old is the child you have with your current partner?
Under the age of five
Five or older (GO TO STOP SCREENER)
Do you have any other biological children?
Yes
No
Does your current partner have biological children with a former partner?
Yes
No [GO TO STOP SCREENER IF ALSO ANSWERED “NO” TO QUESTION 5]
GO TO STOP SCREENER IF NEITHER R NOR R’S PARTNER HAS CHILD WITH PREVIOUS PARTNER
[IF NEEDED] What is your gender?
Male
Female
Other
How old are you?
Under 18 (GO TO STOP SCREENER)
18 – 24
25 – 34
35 +
Where in the United States do you live?
_________________________
Are you Hispanic or Latino/a?
Hispanic or Latino/a
Not Hispanic or Latino/a
What is your race? (Mark one or more.)
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
What was your household’s income last year? Your best guess is fine.
_________________________
[CHECK THE CATEGORY THAT HOUSEHOLD INCOME IS JUST BELOW]
Household Size |
100% |
|
200% |
|
300% |
|
3 |
19,790 |
|
39,580 |
|
59,370 |
|
4 |
23,850 |
|
47,700 |
|
71,550 |
|
5 |
27,910 |
|
55,820 |
|
83,730 |
|
6 |
31,970 |
|
63,940 |
|
95,910 |
|
7 |
36,030 |
|
72,060 |
|
108,090 |
|
8 |
40,090 |
|
80,180 |
|
120,270 |
|
|
||||||
[IF NEEDED] Can you tell me how you learned about the study?
Flyer, specify where____________________________________________________
Craigslist_____________________________________________
Other, specify_________________________________________________________
[IF NEEDED:] Are you able and interested in doing an interview in English?
Yes
No (GO TO STOP SCREENER)
Based on what you have told me, you are eligible for the study.
Which time/day would work best for you?
CHECK INTERVIEWER AVAILABILITY
At the end of the interview, you will receive $50.
Within the next day, we will be mailing/emailing you a reminder letter with the time, date, and location of your interview. The letter/email will also include a copy of the study consent form describing the study, your rights as a study participant, and other important information. Please read the consent form before your interview. You will have a chance to ask any questions before the interview. Would you tell me your mailing address/email so that I can you send you this?
Is the number you provided us the best number to reach you? If not, can I have a phone number where I can reach you?
Thank you for agreeing to participate in this important study. We look forward to talking with you on [DATE] at [TIME]. Please find a quiet place with good phone service for the interview. We will ask you to print materials for the interview before the call. So please make sure you are able to access and print the materials ahead of the scheduled interview time. The day before the interview you will also receive a reminder call. If you have any questions before then, please feel free to call us at 202 553-2900.
Attachment O. Cognitive Interview Screener –Complex Families.
3M Cognitive Interviews. V1. Page
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Heather Fish |
| File Modified | 0000-00-00 |
| File Created | 2021-01-26 |