Screener Protocol 7.12.12
This
document is the Screener Protocol for the Message and Material
Testing project for
Nonpharmaceutical Interventions.
Nonpharmaceutical Interventions, 2012
Evaluation Team:
Principal
Investigator:
Noreen Qualls, Centers for Disease Control and
Prevention
Co-Investigators:
Kathryn Maddox, Chenega Government Consulting, LLC
Tiffani Phelps, Chenega Government Consulting, LLC
Jasmine
Kenney, Chenega Government Consulting, LLC
Jennifer Callais, Oak
Ridge Associated Universities/Oak Ridge Institute for Science and
Education
Mary Jean Brewer, Oak Ridge Associated Universities/Oak Ridge Institute for Science and Education
Rebecca Bryant, Bryant Research, LLC
Form Approved
OMB No. 0920-0572
Exp. Date 2/28/2015
Public reporting burden of this collection of information is estimated to average 2 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. 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 CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-0572).
Recruiters will be using the following questions to screen for potential participants in the online focus groups. (PLEASE NOTE: RECRUITERS SHOULD REARRANGE THE ORDER IN WHICH THE SCREEN OUT QUESTIONS ARE ASKED AS QUOTAS FILL AND SCREEN OUT RATES FOR THE VARIOUS SCREEN OUT QUESTIONS DEMONSTRATE THAT A DIFFERENT QUESTION ORDER WILL SPEED UP THE TERMINATION PROCESS. THE INTENT IS ALWAYS TO GET TO THE APPROPRIATE PARTICIANTS AS EFFICIENTLY AND COURTEOUSLY AS POSSIBLE.)
Hello, my name is ______________, and I am calling from _______________, a professional market research firm. I am not selling anything. We’re currently conducting focus groups for the Centers for Disease Control and Prevention, also known as CDC. Information from these discussions will be used to help them improve communications and activities involving an important public health issue. May I ask you a few questions to see if you are eligible to volunteer for this project? This will take just a few minutes. [IF RESPONDENT INDICATES THAT THIS IS NOT A GOOD TIME, SCHEDULE A CALL BACK TIME]
[IF RESPONDENT DECLINES TO PARTICIPATE, THANK AND TERMINATE]
[RECORD CALL BACK TIME]
Before we begin, I’d like to inform you that your participation is voluntary. You may choose not to participate at any time.
(NOTE TO RECRUITERS: SEE PROTOCOL FOR QUOTA SHEET)
Gender [WHEN ON PHONE, RECORD; DO NOT ASK.]
_____ Male (CONTINUE)
_____ Female (CONTINUE)
ELIGIBILITY AND EXCLUSION CRITERIA
Which of the following ranges includes your age? [READ]
_____ under 18 (THANK, TERMINATE AND TALLY)
_____ 18 - 24 years
_____ 25 – 44 years
_____ 45 - 64 years
_____ 65+ years
Have you participated in a health-related focus group, discussion, or interview in the past 6 months?
01 Yes (THANK AND TERMINATE)
02 No (CONTINUE)
Are you or is any member of your household employed as an employee or contractor in any of the following areas?
_____ In the media, that is, TV, newspaper, magazines, online publications or radio
_____ Advertising or public relations
_____ Marketing or market research
_____ Public health, like the Centers for Disease Control and Prevention (CDC), state health department, or other public health organization
_____ Medical professional that is in a health clinic; doctor or dentist’s office; hospital;
medical laboratory or research institution; health insurance company or agency;
pharmacy or pharmaceutical company; or public health organization
_____ As an attorney
(IF “YES” TO ANY OF THE ABOVE, THANK, TERMINATE AND TALLY)
In your opinion, what is the biggest health education problem in America today? (Probe: Tell me more about that?) [RECORD EXACT RESPONSE. Participants must be articulate, fluent in English, and willing to converse. If respondent has a strong accent, difficulty speaking English (gropes for words), serious speech impediment or has trouble communicating (e.g., “shuts down”) THANK AND TERMINATE.]
Do you live in the United States?
_____ Yes (CONTINUE)
_____ No (THANK, TERMINATE AND TALLY)
PROJECT CATEGORIES:
Tell me if each of the following statements is true about you or not. [NOTE TO RECRUITERS: THIS CRITERIA IS TO HELP CATEGORIZE PARTICIPANTS BUT MAY BECOME A SCREENING QUESTION. IF THE QUOTA FOR ONE OR MORE CATEGORIES IS REACHED THIS BECOMES A SCREENING QUESTION AND SHOULD BE ASKED FIRST. ONLY PERSONS FROM UNFILLED CATEGORIES SHOULD BE INCLUDED AND ASKED ADDITIONAL QUESTIONS]
[READ ALL, CHECKING IF STATEMENT “TRUE”]
_____ I am the parent of a child or children under the age of 18 who attends child care, preschool, kindergarten, or school (MUST FOR GENERAL PUBLIC PARENTS; OK FOR ALL OTHERS)
_____ I am employed at a location that is not my home (MUST FOR GENERAL
PUBLIC WORKERS EMPLOYED OUTSIDE HOME SEGMENT; OK FOR ALL OTHERS)
_____ I have attended at least one mass gathering event, such as a concert, festival, or sports event of at least 1,000 people lasting two hours or more in the last year (MUST FOR GENERAL PUBLIC MASS GATHERING ATTENDEE; OK FOR ALL OTHERS)
_____ I am an administrator of a child care, preschool, kindergarten, and/or school for children under the age of 18 and am responsible for closing school due to weather or other dangerous situations (MUST FOR ADMINISTRATOR; OK FOR ALL OTHERS)
_____ I am the business administrator responsible for making the decision to close
a workplace in the event of bad weather or other dangerous situations (MUST FOR BUSINESS OWNER / DECISION MAKER SEGMENT; OK FOR ALL OTHERS)
_____ I am a mass gathering administrator responsible for scheduling, postponing, or canceling events that have at least 1,000 attendees and last two hours or more in the event of bad weather or other dangerous situations. (MUST FOR MASS GATHERING ADMINISTRATOR; OK FOR ALL OTHERS)
DEMOGRAPHIC INFORMATION:
In which state do you live in? (RECORD) ______________________
(NOTE TO RECRUITERS: RECORD CENSUS REGION; SEE PROTOCOL FOR LIST OF STATES BY REGION)
Which of the following best describes the area where you live? (READ ALL)
_____ Urban area or inner city (RECORD AND CONTINUE)
_____ Suburban area (RECORD AND CONTINUE)
_____ Rural area (RECORD AND CONTINUE)
Which do you consider yourself? (READ ALL)
____ Hispanic or Latino
____ Non Hispanic or Non Latino
Do you consider yourself…? (READ ALL; CHECK ALL THAT APPLY)
____ American Indian or Alaska Native
____ Asian
____ Black or African American
____ Native Hawaiian or Other Pacific Islander
____ White
What is the highest level of education you have completed?
_____ Some elementary, middle, or high school, but not a high school graduate
_____ High school graduate
_____ Some college, but no degree
_____ Associate’s degree
_____ Bachelor’s degree
_____ Advanced degree, like a Masters or Ph.D.
INSERT AUDIENCE-SPECIFIC QUESTIONS
We would like you to participate in a secure online discussion group sponsored by the CDC. The discussion will take no more than 90 minutes. The group will take place online, using web cameras. Each session will be audio and video recorded and observed by CDC staff and others on the research team. Please tell me if you are willing to be audio and video recorded during the focus group.
01 YES (Continue)
02 NO (Thank and Terminate)
You may leave the group at any time. Those who log into the session at the scheduled time and participate in the discussion will each receive an incentive as a token of our appreciation. If you are able to volunteer and participate fully, we will pay you or your favorite charity [INSERT APPROPRIATE $ AMOUNT]. The sessions will be audio and video recorded, but these will never be used for any purpose other than for reporting purposes. Are you interested in volunteering to participate?
01 YES (Continue)
02 NO (Thank and Terminate)
Two days before the group, expect to receive a package from us. This package will contain hard copies of materials that we will view during the group. You will receive a packet of materials—clearly labeled with instructions— that you agreed not to open until prompted by the moderator during the focus group. Do you agree to open these materials as instructed – and to have these with you during the session?
01 YES (Continue)
02 NO (Thank and Terminate)
The next series of questions relate to the technology that will be needed for you to participate in these groups.
Do you have access to a computer with high speed Internet – meaning, DSL or faster?
01 Yes (CONTINUE)
-------------------------------------------------------------------------
02 Not Sure (CLARIFY) _______________________________
03 Possibly – needs to explore some possible options
04 Other: ___________
05 NO (NEGOTIATE A NEW LOCATION OR COMPUTER. IF UNABLE THANK AND TERMINATE)
Do you have a working web camera for that computer?
01 Yes (Skip to Q.17)
-------------------------------------------------------------------------
02 No (CONTINUE)
03 Not sure (CLARIFY) _______________________________
04 Possibly – needs to explore some possible options
05 Other: ___________
(IF THEY NEED TO BE SHIPPED A WEB CAMERA):
Also, would the computer that is connected to high speed internet at that location be Macintosh or IBM compatible?
01 Macintosh
02 IBM compatible
03 Not sure (CLARIFY) _______________________________
And what is the operating system for that computer?
01 IBM compatible: W98, 2000, XP, VISTA, Windows 7
02 Macintosh OS X, v.10.2 or newer (CONTINUE)
-----------------------------------------------------------------------------------------
03 Not sure (CLARIFY) _______________________________
IBM compatible: W95, NT
05 Other Macintosh OS (NEGOTIATE A NEW LOCATION OR COMPUTER. IF UNABLE, THANK AND TERMINATE)
16A. What would be the best address for us to send you a web camera to use during the focus group? The reason for the web camera is that everyone can see and hear each other – without having to travel anywhere. (NOTE TO RECRUITERS: CANNOT SHIP TO P.O. BOXES)
_______________________________________________
16B. Is that a business or residence? (IF “BUSINESS”): No problem. To make sure it gets to the right location, what is the NAME of that business?
__________________________________________________
16C. And will you need assistance with installing and testing the web camera?
Yes (THEN): No problem. It will take about 10 minutes, and we will have a technician call you. For that purpose, 1-2 days prior to the focus group, what is the best day, time and phone number to reach you at? Please allow a 2-hour window, where the call could happen plus or minus one hour from the time you specify. (RECORD INFO) _______________________
03 Not sure (CLARIFY) _______________________________
Other: _________________________
No (THEN): OK. You should receive a web camera by (INSERT DAY 3 BUSINESS DAYS IN FUTURE) We’ll send you a tech-check email. This takes about 4 minutes to complete. Are you willing and able to complete this within 24 hours of receiving the web camera?
_____ Yes (CONTINUE)
_____ No (NEGOTIATE TIME FRAME. IF UNABLE, THANK, TERMINATE
AND TALLY)
Think of the interview as a telephone conversation but one where participants also look at their computer screen to see each other and see various concepts. So, at that same location, will you also have access to a telephone line on which to dial an 800 toll-free conference call number to participate in the discussion?
01 Yes (CONTINUE)
-------------------------------------------------------------------------
02 Not sure (CLARIFY) _______________________________
03 Possibly – needs to explore some possible options (“Cell phone?”)
04 Other: ___________
05 NO (THANK AND TERMINATE)
18. What time zone are you in? (CIRCLE CORRECT TIME ZONE AFTER CONFIRMING
BY ASKING RESPONDENT FOR LOCAL TIME)
EST CST MT PT
Groups are scheduled for the following times… (INSERT DATES AND TIMES), which of these works with your calendar?
General public, mass gathering attendees - Day, Month, Date |
General public, mass gathering attendees - Day, Month, Date |
General public, mass gathering attendees - Day, Month, Date |
|
General public, work out of the home - Day, Month, Date |
General public, work out of the home - Day, Month, Date |
General public, work out of the home - Day, Month, Date |
|
General public, parents - Day, Month, Date |
General public, parents - Day, Month, Date |
General public, parents - Day, Month, Date |
|
Administrators - Day, Month, Date |
Administrators - Day, Month, Date |
Administrators - Day, Month, Date |
|
Business administrators A - Day, Month, Date |
Business administrators B - Day, Month, Date |
Business administrators C - Day, Month, Date |
|
Mass gathering administrators - Day, Month, Date |
Mass gathering administrators - Day, Month, Date |
Mass gathering administrators - Day, Month, Date |
Now, I just need to get a little more information. [CONFIRM ALL SPELLINGS]
Name _________________________________ [ask for preferred title, first name and last name]
EMAIL Address: __________________________________________
Delivery Address (MUST BE SURFACE MAILING ADDRESS FOR SHIPPING. OKAY IF WORK ADDRESS AS LONG AS THEY CAN RECEIVE A PACKAGE THERE)
Street _______________________________________
_______________________________________
City _______________ State____ Zip __________
Daytime Phone ______________________
Evening Phone ______________________
Mobile Phone ______________________
Fax (if available) ______________________________
You may receive a call from my supervisor verifying the information that you and I have discussed.
[IF HAVE WEB CAMERA, SAY]
I will send you an email at [CONFIRM EMAIL ADDRESS] with the tech-check instructions. This email will include phone numbers to call should you have any questions during the tech check. The tech check takes about 4 minutes to complete. Are you willing and able to complete this by tomorrow evening?
_____ Yes (CONTINUE)
_____ No (NEGOTIATE TIME FRAME. IF UNABLE, THANK, TERMINATE AND TALLY)
Once you’ve completed your tech check, we can then provide you with final confirmation of your participation.
[IF GETTING TECH SUPPORT FOR WEB CAMERA SET UP, SAY]:
Our technical support team will be following up with you by email and by phone as discussed earlier.
[ALL]
I or someone else from the recruiting team will follow up to make sure that you receive everything on time. You are one of a small group of individuals who has been recruited for this work. So your participation is very important. As a volunteer, you have the right to opt-out. We do ask that you give us as much advance notice as possible should you be unable to participate so that we have the opportunity to recruit someone to replace you. Again, thank you very much for your willingness to participate in this important project.
(Note to recruiters: See Quota Sheet for guidelines.)
GP1. Which one of the following best describes you? [READ ALL]
_____ The primary location of my work place is somewhere other than my home (OK FOR EMPLOYEE AND NON-EMPLOYEE GROUPS)
_____ The primary location of my work place is inside the home (OK FOR NON-EMPLOYEE GROUPS)
_____ I do not currently have a job (OK FOR NON-EMPLOYEE GROUPS)
GP2. How often in the past year did you attend an event lasting 2 hours or more where at least 1,000
others gathered, such as a concert, sporting event, or festival?
_____ Did not attend any event as defined above (OK FOR ALL)
_____ Attended at least 1 event as defined above (OK FOR ALL)
(Note to recruiters: See Quota Sheet for guidelines.)
P1. Are you the person who usually makes the healthcare decisions for the child or children in your household?
_____ Yes (CONTINUE)
_____ No (ASK TO SPEAK WITH RESPONSIBLE PERSON; IF NOT AVAILABLE
ASK FOR THE NAME AND FOR CONTACT INFORMATION OF THE
INDIVIDUAL WHO IS; RECORD FOR FOLLOW UP, THEN THANK,
TERMINATE AND TALLY)
P2. How many children do you make healthcare decisions for who are:
_____ under the age of 5
_____ between the ages of 5 and 10
_____ between the ages of 11 and 17
P3. For each of the following, tell me if your child / children under 18 years of age and younger attends child care, preschool, kindergarten, and/or school in a location other than your home.
[MARK IF CHILD DOES ATTEND CHILD CARE, PRESCHOOL, KINDERGARTEN, OR SCHOOL OUTSIDE HOME]
_____ your child / children under the age of 5
_____ your child / children between the ages of 5 and 10
_____ your child / children between the ages of 11 and 17
SA1. Are you responsible for setting policies and closing a child care facility, pre-school or K-12 school due to weather or other dangerous situations?
(Note to recruiters: See Quota Sheet for guidelines.)
B1. Are you the person responsible for setting policies and making decisions about closing your place of work due to weather or other dangerous situations?
_____ Yes (CONTINUE)
_____ No (ASK TO SPEAK WITH RESPONSIBLE PERSON; IF NOT AVAILABLE
ASK FOR THE NAME AND FOR CONTACT INFORMATION OF THE
INDIVIDUAL WHO IS; RECORD FOR FOLLOW UP, THEN THANK,
TERMINATE AND TALLY)
B2. How many employees does your company have?
_____ under 100
_____ 100 to 499
_____ 500 or more
B3A. Which one of the following best describes the type work your organization does?
_____ Transportation Services, Material Moving
_____ Manufacturing, Production, Construction, Extraction, Maintenance
_____ Farming, Fishing, Forestry
_____ Retail, Sales
_____ Food Services, Restaurant Service
_____ Financial and Office
_____ Technology
_____ Other (specify) _______________________(Include in most related group. Call researcher with any questions about categorizing. )
(Note to recruiters: Get a good mix, with no more than 3 from each category per segment. A segment is defined as the groups that see the same message maps.)
B3B. Which one of the following best describes the workplace or jobsite situation where most of your employees work?
_____ Indoors with a lot of interaction with the general public (A)
_____ Indoors with very little interaction with the general public (B)
_____ Outdoors (C)
(Note to recruiters: divide business groups into these 3 categories, A, B, C.)
M1. Are you responsible for postponing or canceling an event of at least 1,000 people lasting 2 hours or more due to weather or other dangerous situation?
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | brownca |
| File Modified | 0000-00-00 |
| File Created | 2021-01-25 |