Parents’ Perceptions of Public Service Announcement Concepts
on Electronic Nicotine Delivery Systems
Focus Group Screener
Parents of one or more children 12-17 years of age
Hello, my name is _______________. I am calling from [FACILITY NAME]. We are working with the Centers for Disease Control and Prevention (or CDC) to develop messages for the public focusing on preventing nicotine use by youth. I am calling to invite you to take part in discussion groups to get your opinions about these messages. Your participation would help us to gain a better understanding of how to effectively communicate messages to adults about how to talk with youth about preventing the use of products containing nicotine such as e-cigarettes.
We are holding a group discussion on [DATE] with 9 other persons like you. The discussion group starts at [TIME] and will last approximately 1.5 hours. For study purposes, the focus group discussion will be audio recorded; however, your participation in the group discussion will remain private as all audio files of the discussion will be stored by ICF on a secure share drive and password-protected computers. Transcripts and reports will not include any identifiable information. The recordings will be used to help the focus group moderator generate a combined report with non-identifying comments. Only your first name will be used. The focus group will be streamed live on the internet through a password-protected site for project staff from the Centers for Disease Control and Prevention and ICF. A recording will not be made of the stream. If you qualify for this project and participate in our focus group, you will receive $75.00 as an appreciation for your time and expenses. Your opinions will help to contribute to current messages being developed as part of nationwide public service announcements about youth use of e-cigarettes.
May I ask you a few questions to see if you are eligible to participate in this study?
Yes [Continue]
No [Thank you; end call]
Are you or is anyone in your household an employee of an ad agency, market research firm, the Centers for Disease Control and Prevention, also known as the CDC, or a company involved in the manufacture or retail sale of tobacco or electronic-cigarette products.
Yes [Thank you; end call]
No [Continue]
Have you participated in a focus group within the last six months?
Yes [Thank you; end call]
No [Continue]
Are you the parent/guardian of one or more children who lives with you between the ages of 12 and 17?
Yes [Continue]
No [Thank you; end call]
Enter child/ren age(s): _____, ______, ______, ______
Are you between the ages of 30 and 60?
Yes [Continue]
No [Thank you; end call]
Which of the following groups includes your total annual household income? [Note: recruit a mix of participants from low to mid-levels; do not include highest two ranges.]
$19,999 or less [Continue]
$20, 000-34,999 [Continue]
$35, 000-59,999 [Continue]
$60,000-99,999 [Thank you; end call]
$100,000 and over [Thank you; end call]
What gender do you identify as? [Gather information; not an exclusive criterion.]
Male [Continue to Q13]
Female [Continue to Q12]
Other [Continue to Q13]
The next questions are about electronic vapor products, which include e-cigarettes or electronic cigarettes. For the purposes of this study, we will use the word “e-cigarette.” An electronic vapor product looks like a conventional cigarette, but it runs on a battery and produces vapor instead of smoke. You may also know them as e-cigs, vape-pens, hookah-pens, electronic hookahs (e-hookahs), electronic cigars (e-cigars), electronic pipes (e-pipes), or e-vaporizers. Some brand examples are Blu, NJOY, Vuse, LOGIC, MarkTen, and Starbuzz.
Yes [Continue to Q10]
No [Continue to Q11; this person is either a “smoker” or “non-smoker”]
Every day [Continue to Q11; this person is an “e-cig user exclusively” or “e-cig and conventional cigarette user”]
Some days [Continue to Q11; this person is an “e-cig user exclusively” or “e-cig and conventional cigarette user”]
Rarely [Continue to Q11; this person is an “e-cig user exclusively” or “user of e-cigarettes and conventional cigarettes”]
Not at all [Continue to Q11; this person is either a “smoker” or “non-smoker”]
The next questions are about conventional cigarettes which are tobacco wrapped in paper.
Do you smoke conventional cigarettes now?
Yes [Continue to Q12]
No [Continue to Q13; this person is a “e-cig user exclusively” or “non-smoker”]
Every day [Continue to Q13; this person is a “smoker of conventional cigarettes (No ENDS use)” or “user of e-cigarettes and conventional cigarettes”]
Some days [Continue to Q13; this person is a “smoker of conventional cigarettes (No ENDS use)” or “user of e-cigarettes and conventional cigarettes”]
Rarely [Continue to Q13; this person is a “smoker of conventional cigarettes (No ENDS use)” or “user of e-cigarettes and conventional cigarettes”]
Qualified Respondent Category |
SCREENING LOGIC |
Non-Smoker (Group 1) |
Answers No to 9 Answers Not at All to 10 Answers No to 11 |
Conventional Cigarette Smoker Only (Group 2) |
Answers No to 9 Answers Not at All to 10 Answers Yes to 11 Answers Every day, Some days, or Rarely to 12 |
ENDS User (Group 3) |
Answers Yes to 9 Answers Every day, Some days, or Rarely to 10 |
Please indicate your race or ethnic background. You may select more than one option. Are you…? [Note: recruit a mix of various racial/ethnic groups.]
Hispanic or Latino [Continue]
Not Hispanic or Latino [Continue]
Refused to answer [For interviewer use only; not a
response option.]
Which of the following best describes your race? You may select more than one option.
American Indian or Alaska Native [Continue]
Asian [Continue]
Black or African American [Continue]
Native Hawaiian or Other Pacific Islander [Continue]
White [Continue]
Refused to answer [For interviewer use only; not a
response option.]
The focus group will take place on:
__________ Day
__________ Date
__________ Time
__________ Place
Will you be available to participate at this time?
__________ Yes [Continue]
__________No [Thank you; end call]
Note: If respondent can participate, please make sure to place individual in the appropriate group.
Adult parent of 12-17 year olds who do not smoke conventional cigarettes and do not use ENDS. This individual is a “non-smoker” and should be placed in Group 1.
Adult parent of 12-17 year olds who smokes conventional cigarettes only (no ENDS use). This individual is a “smoker” and should be placed in Group 2.
Adult parent of 12-17 year olds who uses ENDS exclusively or in combination with conventional cigarettes. This individual is primarily an “ENDS user” and should be placed in Group 3.
I am pleased that you can join us. I would like to send you a confirmation letter. In order to participate in the focus group, you will need to sign a consent form. Please share with me your contact information which not shared with anyone.
If you wear glasses or a hearing aid, please bring them to the group.
Adult Name ________________________________________________
Address _____________________________________________________
City _________________________State _______ Zip ________________
Day Phone____________________ Evening Phone_____________________
Cell Phone ___________________________ FAX______________________
Email _________________________________________________________
Confirm:
Date of Focus Group __________________ Time ______________________
Thank you very much. I appreciate you taking time to respond to my questions and look forward to your participation in this focus group.
| File Type | application/msword |
| File Modified | 2015-11-24 |
| File Created | 2015-11-20 |