B.9 Quality Assurance Interview

B.9 Quality Assurance Interview OMB #: 0925-0661

Parental Mental Health Expiration Date: 06/30/2015

Quality Assurance Interview

Validation Script

TIMESTAMP

SCHEDULING ID

Hello, my name is [INTERVIEWER’S NAME]. I’d like to speak to [Name of respondent]. Is he/she available?

If not, ask:

1. What is a good phone number to reach him/her?

2. Is that his/her: work, home, cell, friend/relative, other?

3. What are the best days of the week to reach [Name of respondent]?

4. What would be a good time to reach her/him at this number?

If there is no answer, try again later

I am calling on behalf of the Parental Mental Health Research Study. You recently spoke with one of our staff members to complete an interview or two. We routinely re-contact some people to assure the strength of our study. I am calling today about the second interview you completed.

V1. …..No response or positive response ………..…….. (V2)

……Participant reports that no interview was conducted …………… (Describe the interview to the degree needed:

The interview was about feelings, moods, and substance use during your lifetime. There were questions about feelings of sadness, feelings of panic “out of the blue”, periods of high energy, use of alcohol and drugs. Does any of this sound familiar? Did you complete an interview with questions like these?

Yes ……………………...1 (V2)

No …………………….…2 (Thank you for your time and best of luck with your baby. END CALL)

Don’t know………….98

Refused ………………99

V2. Is this a good time to talk for a few minutes?

Yes …………………….1 (V3)

No ……………………..2 (What would be a better time for you? Schedule the call in Genbook using the Scheduling ID, your initials, followed by the term Ver. Call. Thank you. We will call you on (DATE) at (TIME). END CALL)

V3. All information will be kept private and used for Study purposes only. You may refuse to answer any question or stop at any time. According to our record, (INTERVIEWER’S NAME) spoke with you on (DAY AND DATE OF INTERVIEW). Do you remember speaking with our staff member?

Yes ……………………….1 (V4)

No …………………….….2 (END CALL)

Don’t know………….98 (END CALL)

Refused ………………99 (END CALL)

V4. Did the interviewer call on time?

Yes ………………..…….1 (V5)

No …………………...….2 (V5)

Don’t know………….98 (V5)

Refused ………………99 (V5)

V5. How long did the interview take to complete?

______________ number (fractions allowed)

Don’t know………….98 (V6)

Refused ………………99 (V6)

V5a. Unit

___ minutes

___ hour

I would like to ask you two questions that were included in the 2^nd interview. For quality control purposes, I would appreciate your providing a response to these questions again.

V6. First question. Were you a peacekeeper or relief worker in a war zone or place where there was ongoing terror of people?

Yes ………………..……. 1 (V7)

No ………………..…….. 2 (V7)

Don’t know………….98 (V7)

Refused ………………99 (V7)

V7. Second question. Regarding traumatic experiences: Sometimes people have experiences they don't want to talk about in interviews? I won't ask you to describe anything like this, but, without telling me what it was, did you ever have a traumatic event that you didn't tell me about because you didn't want to talk about it?

Yes ……………………… 1 (V8)

No ………………………. 2 (V8)

Don’t know………….98 (V8)

Refused ………………99 (V8)

V8. When you had your second interview, did the interviewer thank you for completing the questionnaire?

Yes ……………………… 1 (V9)

No ………………………. 2 (V9)

Don’t know………….98 (V9)

Refused ………………99 (V9)

V9. Did the interviewer explain when you would receive your gift card?

Yes ……………………… 1 (V10)

No ………………………. 2 (V10)

Don’t know………….98 (V10)

Refused ………………99 (V10)

V10. Is there any feedback you would like to give us about our interview or interviewer?

____________________________________________________________________________________________________________________________________________________________________________________

V11. After your experience with this study, how likely are you to participate in another study if asked?

Very likely ……………….……...…..1

Somewhat likely …………………..2

Somewhat unlikely ……………...3

Not at all likely ………..………....4

Don’t know…………………….….98

Refused ………………….…………99

V12. Notes box

Those are all the questions I have. Thank you so much for your time and help.

TIMESTAMP

Public reporting burden for this collection of information is estimated to average 5 minutes. 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0661). Do not return the completed form to this address

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