3-New PATH Verification Form

Population Assessment of Tobacco and Health (PATH) Study (NIDA)

23_PATH Verification Form (new) 5-8-15

Instruments for Wave 3 of the PATH Study

OMB: 0925-0664

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Population Assessment of Tobacco and Health (PATH) Study (NIDA)

Attachment 23
PATH Study
Verification Form
May 7, 2015

PATH Study Verification Form
START
Program: Include the specifications below for each Wave 2 household unit, defined as:

(A) Sampled address from Wave 1 for which one or more SPs or Shadow Youth were selected to be in the study and completed a W1
interview and address is still best current address.
-OR(B) Address created since Wave 1 data collection closed and prior to fielding for W2 from instances when all (one or more) SPs and
Shadow Youth originally at a W1 sampled address are found to have moved.
-OR(C) Address created during W2 based on Verification Task (VT) data collected at the Wave 2 fielded address and in which we determine
one or more SPs has moved from the Wave 2 fielded address (either (A) or (B) above).
-OR(D) Address updated at the start of “this” Wave 2 VT based on new address/contact information received from another source, e.g. passed
to the Field Interviewer (FI) via Case Alert or obtained via Field Tracing efforts.

(C) and (D) above identified as R02_AddressType = R02_NewVerify.

For each SP in the W2 fielded household unit, calculate Wave 2 Expected Event Type:
W2_ADULT, the SP was an Adult at Wave 1 and is an Adult at Wave 2.

W2_EXPECTEDADULT, the SP was a Youth at Wave 1 and is likely to age-in to the adult cohort either before or during Wave 2. (HIS, SP
Information, Age-in field = Yes or Maybe).
PROGRAM - Exception: If R02_AddressType = R02_NewVerify, for R02_W2_EXPECTEDADULT who was confirmed as 18+ in the
original VT, set SP = W2_ADULT.
W2_YOUTH, the SP was a Youth or Shadow youth at Wave 1 and is likely a Youth/Shadow Youth at Wave 2.
Public reporting burden for this collection of information is estimated to average 2 minutes 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0664). Do not return
the completed form to this address.

PATH ID:

R02_VTA00

Screen ID:

CONFIRM THAT YOU ARE SPEAKING WITH AN ADULT RESIDENT.
ARE YOU CONDUCTING THE VERIFICATION TASK BY TELEPHONE OR IN-PERSON?

1
7

TELEPHONE
IN-PERSON

ASK: All

PATH ID:

R02_VTA00D

Screen ID:

May I please {verify/have} your full address?
IF ADDRESS IS SHOWN, READ ADDRESS ALOUD. VERIFY ALL SPELLING.
IF ADDRESS INFORMATION IS NOT SHOWN, RECORD FULL UPDATED ADDRESS.
STREET ADDRESS
CITY
STATE
ZIP
ASK: If new address collected in Wave 2 VT at fielded address.

PROGRAM: Pre-fill street address city, state, zip with address data collected from original case VT, User should be able to edit OR
enter through each field. User should not be permitted to leave the Address Line 1, City, State or Zip fields blank.
PROGRAM: Pre-filled data may include only partial information available for address, e.g. City and State only.
PROGRAM: Display {have} if all address fields are empty (e.g. there is no address data to pre-fill to any of the fields). Else, display
{verify},

PATH ID:

R02_VTA01

Screen ID:

SELECT THE VERIFICATION TASK RESPONDENT.

1
2
3
4
5
6
7
8
9

BASELINE HOUSEHOLD MEMBER 18+ FIRST NAME/
AGE/GENDER
BASELINE HOUSEHOLD MEMBER 18+ FIRST NAME/
AGE/GENDER
BASELINE HOUSEHOLD MEMBER 18+ FIRST NAME/
AGE/GENDER
BASELINE HOUSEHOLD MEMBER 18+ FIRST NAME/
AGE/GENDER
BASELINE HOUSEHOLD MEMBER 18+ FIRST NAME
/AGE/GENDER
BASELINE HOUSEHOLD MEMBER 18+ FIRST NAME
/AGE/GENDER
BASELINE HOUSEHOLD MEMBER 18+ FIRST NAME
/AGE/GENDER
BASELINE HOUSEHOLD MEMBER 18+ FIRST NAME
/AGE/GENDER
SPEAKING WITH SOMEONE ELSE

GO TO BOX B
GO TO BOX B
GO TO BOX B
GO TO BOX B
GO TO BOX B
GO TO BOX B
GO TO BOX B
GO TO BOX B
GO TO R02_VTA01B

ASK: All.
ASK DESCRIPTION: Asked of all Wave 2 household units that meet (A), (B) (C) or (D) at Start.

PATH ID:

R02_VTA01B

Screen ID:

ENTER FIRST AND LAST NAME OF THE VERIFICATION TASK RESPONDENT.

___

NAME ENTRY FIELDS

GO TO R02_VTA01C

ASK: If selected SPEAKING WITH SOMEONE ELSE (9) at R02_VTA01.
ASK DESCRIPTION: Asked in instances when the FI needs to enter a new VT Respondent.

PATH ID:

R02_VTA01C

Screen ID:

What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.

___

PHONE NUMBER ENTRY FIELDS

GO TO BOX B

ASK: If selected SPEAKING WITH SOMEONE ELSE (9) at R02_VTA01.
ASK DESCRIPTION: Asked in instances when the FI needs to enter a new VT Respondent.

BOX B
Link Verification Task respondent selected in R02_VTA01 or entered in R02_VTA01B to the VT. Set R02_VT_R = respondent PID. If
R02_VT_R is not assigned a respondent PID, set flag NewPersoninVT = 1 and set NewPersonTypeinVT = VT R.
NAVIGATION: Go to Box 1.

BOX 1
Routing: If this VT is for a split address or this VT is being conducted with a VT Respondent who is a new person or this VT is being
conducted with a VT Respondent who is a new parent from a previous VT, go to R02_VTA03_MV. Else, if this is a full household move
address, go to R02_VTA02_MV. Else, go to Box 2.

PATH ID:

R02_VTA02_MV

Screen ID:

I’d like to confirm some information from my records. Were you living at {PROGRAM: INSERT ORIGINAL W1 SAMPLE ADDRESS} in
{PROGRAM: INSERT MONTH/YEAR W1 PH1 SCREENER WAS COMPLETED}?
1
2

YES
NO

GO TO R02_VTA03_MV
GO TO R02_VTA02B_MV

ASK: Ask in all instances when the address is not an original Wave 1 sampled address. In other words, the address was added due to
one or more SPs/Parents moving, as per (B) or (C) above.

PATH ID:

R02_VTA02B_MV

Screen ID:

Did you ever live at {PROGRAM: INSERT ORIGINAL W1 SAMPLE ADDRESS}?
1
YES
GO TO R02_VTA02C_MV
2
NO
GO TO R02_VTA02D_MV
ASK: Ask in all instances when the VT Respondent has indicated that he/she was not living at the original W1 sampled address in the
month/year when the baseline Ph1 screener was completed.

PATH ID:

R02_VTA02C_MV

Screen ID:

When did you last live there?
ENTER MONTH AND YEAR RESPONDENT REPORTS LAST LIVING AT {PROGRAM: INSERT ORIGINAL W1 SAMPLE ADDRESS}.
ENTER MONTH: ENTER YEAR:
ENTER MONTH
ENTER YEAR

GO TO R02_VTA02C_MVYR
GO TO BOX 1B

ASK: Ask in all instances when the VT Respondent reports living at the W1 sample address, but not in the month/year indicated.
BOX 1B
DISPLAY HARD ERROR:
YOU HAVE RECORDED THAT THE RESPONDENT LAST LIVED AT {PROGRAM: INSERT ORIGINAL W1 SAMPLE ADDRESS} ON
A DATE THAT DOES NOT MATCH THE BASELINE DATA COLLECTION PERIOD.
PRESS S IF YES.
PRESS G TO GO BACK AND EDIT ENTRY.

S

SUPRESS

G

GO BACK

GO TO BOX 1C
GO TO R02_VTA02C_MV

Program: Display Box 1B if Month and Year indicated is not between (inclusive of) June 2013 and January 2015.
BOX 1C
PROGRAM LOGIC CHECK:
Run logic check to see if date VT R reports living at W1 sampled address in R02_VTA02C_MV is in the period of (inclusive of) June
2013 and January 2015. If matches, go to R02_VTA03_MV. If date does not fall in the time period indicated, go to Box 2.

PATH ID:

R02_VTA02D_MV

Screen ID:

At what address were you living in {PROGRAM: INSERT MONTH/YEAR W1 PH1 SCREENER WAS COMPLETED}?
STREET ADDRESS, CITY, STATE, ZIP
NAVIGATION: GO TO BOX 2.
ASK: in all instances when the VT Respondent reports not living at the W1 sample address in the Month/Year the Ph1 screener was
done and not ever living at the W1 sample address.

PATH ID:

R02_VTA03_MV

Screen ID:

PROGRAM: VTA03_MV screen display, except when Scrn101_NumofPeople = 1):
Can you give me the name of one person who was living {with you} at {PROGRAM: INSERT ORIGINAL W1 SAMPLE ADDRESS} in
{PROGRAM: INSERT MONTH/YEAR W1 PH1 SCREENER WAS COMPLETED}?
PROGRAM: LIST DISPLAY OF ALL WAVE 1 ENUMERATED PERSONS AT LINKED W1 SAMPLE ADDRESS.
BASELINE HOUSEHOLD MEMBER
NAME/AGE/GENDER
BASELINE HOUSEHOLD MEMBER
NAME/AGE/GENDER
BASELINE HOUSEHOLD MEMBER
NAME/AGE/GENDER
BASELINE HOUSEHOLD MEMBER
NAME/AGE/GENDER
BASELINE HOUSEHOLD MEMBER
NAME/AGE/GENDER
BASELINE HOUSEHOLD MEMBER
NAME/AGE/GENDER
BASELINE HOUSEHOLD MEMBER
NAME/AGE/GENDER
BASELINE HOUSEHOLD MEMBER
NAME/AGE/GENDER
SP LIVED ALONE AT BASELINE

DID RESPONDENT PROVIDE THE NAME OF ONE OF THE PEOPLE IN THE LIST?
1
2

YES
NO

GO TO BOX 2
GO TO BOX 2

ASK: Ask in all instances when the VT Respondent confirmed he/she was living at the W1 sampled address or in instances when the
VT Respondent reports ‘ever living’ at W1 sample address in the time period in Box 1B. Or, ask in all instances when this is a VT for a
split address, or the VT Respondent for this VT is a new person, or the VT Respondent for this VT is a new parent from a previous VT.
SP LIVED ALONE AT BASELINE.
PRESS 1 (YES) TO CONTINUE.

1
2

YES
NO

GO TO BOX 2
GO TO BOX 2

ASK: Ask in all instances when the VT R confirmed he/she was living at the W1 sampled address or in instances when the VT R
reports ‘ever living’ at W1 sample address in the time period in Box 1B. Or, ask in all instances when this is a VT for a split address.
BOX 2
PROGRAM LOGIC CHECK:
1
2

PATH ID:

IDENTITY VERIFIED
IDENTITY NOT VERIFIED

R02_VTA03B_MV

GO TO R02_VTA04
GO TO R02_VTA03B_MV

Screen ID:

Thank you. I am not sure whether my records are correct. I will check the information you have given me against my records and get
back to you.
PRESS 1 TO CONTINUE.
1
EXIT
END
ASK: Ask in all instances when data entered in the route from R02_VTA02 through Box 2 does not verify.
PROGRAM: END Verification Task. Return to IMS. Set Verification Task to IRW (Interim Review). Require FS/HO direction before FI
can continue. Do not enable any subsequent SP tasks.

PATH ID:

R02_VTA04

Screen ID:

We would like your help in getting some updated contact information for {you and the other PATH Study participant(s)/ each PATH
Study participant}.
PROGRAM: List Display all W1 Adult, Youth, Shadow Youth in list format, in age descending order now associated with
W2_LINKED_ADDRESS.
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
PRESS 1 TO CONTINUE.
1

CONTINUE

GO TO START LOOP

ASK DESCRIPTION: (If IDVERIFIED = 1) and (household had at least one SP other than VT Respondent at W1). (If the
W2_LINKED_ADDRESS has only one SP and the SP = VT R. Skip R02_VTA04 and go to R02_VTA05.)
START LOOP
PROGRAM: For each name in list in R02_VTA04, ask items R02_VTA05 through R02_VTA40, following skips as appropriate, then
returning to R02_VTA05 for the next SP in list. While asking questions in the route for one SP instance (defined as SP N), continue to
display associated SP name/age/gender on all screens along the route. Once instrument transitions to the next SP in list (defined as
SP, N+1), display SP name/age/gender for SP N+1. Ask questions about all SPs in the same order as shown in the List Display in
R02_VTA04: age descending where age = R02_CURRENT_AGE_LD. Continue until data is obtained for all SP instances. Create
response panel with all persons in List Display in R02_VTA04; display one person’s data per row.
PATH ID:

R02_VTA05

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{I’d like to update {your/SP Name’s} contact information for my records.}
{Are you/Is NAME} still living at {PROGRAM: INSERT W2_LINKED_ADDRESS}?
{[We will not contact anyone under the age of 18 without first speaking to an adult or parent.]}

1
2

YES
NO

GO TO BOX 3
GO TO R02_VTA10

ASK: Ask in instances when associated address is W1 sample address (SampleID = any), or in instances of partial/full movers, if the
identity of the Respondent at the new address has been verified earlier in this instrument.

PATH ID:

BOX 3

Screen ID:

If SP is W2_ADULT, go to Box 6B. Else if SP=W2_EXPECTEDADULT, go to R02_VTA20. Else, if SP=W2_YOUTH, go to Box 6A.
PROGRAM – Exception: If R02_AddressType = R02_NewVerify, change any W2_EXPECTEDADULT confirmed as 18+ in previous VT
to W2 Expected Event Type = W2_ADULT, and go to Box 6B.

PATH ID:

R02_VTA10

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Did {you/NAME} move or is there another reason why {you are/he is/she is} no longer at this address?
1
7
9

MOVED
DECEASED
ANOTHER REASON

GO TO Box 4
GO TO R02_VTA14
GO TO R02_VTA16

ASK: If any SPs reported to have moved from the W2_LINKED_ADDRESS in R02_VTA05.

PATH ID:

BOX 4

Screen ID:

If this is the first SP instance for which R02_VTA10 = 1 and asking about the Verification Task Respondent, go to R02_VTA12. Or, if
this is the first SP instance for which R02_VTA10 = 1 and this SP instance ! = VT R, go to R02_VTA11.
If this is not the first SP instance (first SP in Loop) for which R02_VTA10 = 1,
go to R02_VTA10X.

PATH ID:

R02_VTA10X

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Did {NAME} also move to (READ POSSIBLE ADDRESSES)?

1
2
3
4
5
6
7
8
9

MOVED TO {INSERT R02_MOVED ADD01}
MOVED TO {INSERT R02_MOVED ADD02}
MOVED TO {INSERT R02_MOVED ADD03}
MOVED TO {INSERT R02_MOVED ADD04}
MOVED TO {INSERT R02_MOVED ADD05}
MOVED TO {INSERT R02_MOVED ADD06}
MOVED TO {INSERT R02_MOVED ADD07}
ENTER DIFFERENT ADDRESS
DON’T KNOW/REFUSE

GO TO Box 4B
GO TO Box 4B
GO TO Box 4B
GO TO Box 4B
GO TO Box 4B
GO TO Box 4B
GO TO Box 4B
GO TO R02_VTA12
GO TO R02_VTA13

ASK: Ask of subsequent SP instances (after the first SP in Loop has found to have moved) for which R02_VTA10 = 1.
PATH ID:

R02_VTA11

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
OBTAIN A NEW ADDRESS FOR (ADULT/YOUTH/SHADOW YOUTH} NAME ONLY IF THIS IS A MOVE.
Do you know {PROGRAM: INSERT SP NAME}’s current address?
{[Right now, I am just looking to update my records. We will not contact anyone under the age of 18 without first speaking to an Adult.]}
1
7
9

YES
NO
DON’T KNOW/REFUSE

GO TO R02_VTA12
GO TO R02_VTA13
GO TO R02_VTA13

ASK: Ask the Verification Task respondent of all Wave 1 SPs displayed in the List Display in R02_VTA04. Do not ask this question of
the VT respondent.

PATH ID:

R02_VTA12

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
OBTAIN A NEW ADDRESS FOR (ADULT/YOUTH/SHADOW YOUTH} NAME ONLY IF THIS IS A MOVE.
What is {your/NAME}’s address?
{[Right now, I am just looking to update my records. We will not contact anyone under the age of 18 without first speaking to an adult.]}
PROGRAM: DISPLAY AND LABEL ADDRESS FIELDS: STREET ADDRESS, CITY, STATE, ZIP
NAVIGATION: GO TO BOX 4B.
ASK: Ask in instances when the VT Respondent has self-reported a move or reported other W1 SPs have moved and he/she knows
the new address.
PROGRAM: Derive new variable, R02_MOVEDADD0n and populate R02_MOVEDADD0n with the new address obtained in
R02_VTA12.Up to 7 new addresses can be created.

PATH ID:

R02_VTA13

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Could you provide any information you may have about where {NAME} is now living, such as the city or state?
PROBE FOR AS MUCH DETAIL AS POSSIBLE.
DOCUMENT ANY INFORMATION PROVIDED ABOUT WHERE THE SP HAS MOVED.
PROGRAM: DISPLAY TEXT FIELD, MAX CHARACTER LENGTH = 250. Make sure response box is large enough for user to see
sufficient amount of typed free text.
NAVIGATION: GO TO BOX 5.
ASK: If R02_VTA11 = 7 or 9 (or) R02_VTA10X = 9.

Screen ID:
PATH ID:

BOX 4B

PROGRAM: Retain new address collected in first (and all previous) SP instance(s) in R02_VTA12 . Then, create/add to array of
moved addresses that is asked/displayed in subsequent SP instances (N+1).
Create a new variable for each new unique moved address, up to 7, obtained:
R02_MOVEDADD01
R02_MOVEDADD02
R02_MOVEDADD03
R02_MOVEDADD04
R02_MOVEDADD05
R02_MOVEDADD06
R02_MOVEDADD07
NAVIGATION: Go to Box 5.

PATH ID:

R02_VTA14

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
YOU’VE INDICATED THAT {NAME} IS DECEASED.
PRESS 1 TO CONFIRM.
PRESS 7 TO GO BACK.
1
7

CONFIRM
GO BACK

GO TO R02_VTA15
GO TO R02_VTA10

ASK: If R02_VTA10 = 7.

PATH ID:

R02_VTA15

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
I am very sorry to hear of your loss. I will update my records and will make sure we don’t follow-up about {NAME} again.
PRESS 1 TO CONTINUE.
1

CONTINUE

GO TO BOX 7

ASK: Ask in all instances when the VT Respondent reports the SP to have deceased.
PROGRAM: If Response = 1, set Adult SP (Task 211/212) or Youth SP (Task 230/231) to Deceased, then continue to Box 7.

PATH ID:

R02_VTA16

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
YOU’VE INDICATED THAT {NAME} DID NOT PERMANENTLY MOVE BUT IS TEMPORARILY AWAY FROM {PROGRAM: INSERT
W2_LINKED_ADDRESS} FOR ANOTHER REASON.
PRESS 1 TO CONFIRM.
PRESS 7 TO GO BACK.

1
7

CONFIRM
GO BACK

GO TO R02_VTA17
GO TO R02_VTA10

ASK: Ask in all instances when the VT Respondent reports the SP is no longer at the W2_LINKED_ADDRESS for another reason
(besides having permanently moved).

PROGRAM: If Response = 1, set Adult SP (Task 211/212) or Youth SP (Task 230/231) to Temporarily Away (IAW).

PATH ID:

R02_VTA17

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Can you provide any information about where {{NAME} is/you are} currently?

PROBE TO OBTAIN THE FOLLOWING INFORMATION:

TYPE OF PLACE AND ADDRESS WHERE SP CURRENTLY RESIDES.

PHONE NUMBER, IF APPLICABLE.

EXPECTED RETURN DATE/LENGTH OF TIME AWAY FROM HOUSEHOLD.

IF RESPONDENT VOLUNTEERS, NOTE IF SP HAS PHYSICAL/MENTAL IMPAIRMENT...
ASK: If R02_VTA16 = 1.

NAVIGATION: GO TO BOX 5.
BOX 5
If SP=W2_ADULT (or) SP=VT R + SP = W2_EXPECTEDADULT) + (R02_AddressType = NewVerify) + (AgeAtBaseline = 17), go to
Box 6C. Else if (SP=W2_EXPECTED ADULT) or (SP = W2_YOUTH + R02_CURRENT_AGE_LD >=18), go to R02_VTA20. Else if
SP=W2_YOUTH, go to Box 6A.
PROGRAM – Exception: If R02_AddressType = R02_NewVerify, change any W2_EXPECTEDADULT confirmed as 18+ in previous VT
to W2 Expected Event Type = W2_ADULT, and go to Box 6C.

PATH ID:

R02_VTA20

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Our records indicate that {NAME} is now 18 or older. Is this correct?
1
2
9

YES, SP IS 18 OR OLDER
NO, SP IS 17 OR YOUNGER
DON’TKNOW/REFUSE

ASK: If SP = R02_W2_EXPECTED ADULT. (Routing from Box 3 or Box 5.)

GO TO BOX 5A
GO TO BOX 5B
GO TO BOX 6A

BOX 5A
DISPLAY HARD ERROR:
YOU HAVE INDICATED THE BASELINE YOUTH SP IS NOW 18 YEARS OF AGE, AND IS NOW AN ADULT.
PRESS S IF YES.
PRESS G TO GO BACK AND EDIT ENTRY.

S

SUPRESS

G

GO BACK

GO TO R02_VTA25
GO TO R02_VTA20

BOX 5B
DISPLAY HARD ERROR:
YOU HAVE INDICATED THE BASELINE YOUTH SP IS STILL 17 YEARS OF AGE OR YOUNGER, AND IS STILL A YOUTH.
PRESS S IF YES.
PRESS G TO GO BACK AND EDIT ENTRY.

S

SUPRESS

G

GO BACK

GO TO BOX 6A
GO TO R02_VTA20

.
PATH ID:

R02_VTA25

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
{We would like to get in touch with {NAME} to discuss the next steps in the PATH Study.} What is the best phone number to reach
{NAME}?
(Since {NAME} is now 18, for purposes of this study {he/she} is considered an adult.)
___

PHONE NUMBER ENTRY FIELD

GO TO BOX 7

ASK: If R02_VTA20 = 1.
Program: Display SP name in {NAME}.

PATH ID:

BOX 6A

Screen ID:

Routing Description: If the W1 Parent is not already confirmed as NOT living at the W2_LINKED_ADDRESS, go to VTA26 (which asks
if the W1 Parent is still the best parent to contact). [Assume the Parent is still at this address, until we know otherwise.] If the W1
Parent has been confirmed as NOT living at the W2_LINKED_ADDRESS, go to VTA27.

PATH ID:

R02_VTA26

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Last time we visited your household, we spoke with {BASELINE PARENT NAME/you} about {YOUTH NAME}. {Is this/Are you} still the
best person to contact regarding {YOUTH NAME}’s participation in the PATH Study?
THE PARENT MUST LIVE WITH {YOUTH/SHADOW YOUTH NAME}.
REMINDER: A PARENT OR GUARDIAN CAN BE A ROLE, RATHER THAN A RELATIONSHIP. THE PARENT OR GUARDIAN MUST
LIVE WITH THE CHILD, SHOULD BE KNOWLEDGEABLE ABOUT THE YOUTH AND BE RESPONSIBLE FOR MAKING DECISIONS
ON YOUTH’S ACTIVITIES, LIKE SCHOOL PERMISSIONS, WHERE TO LIVE, ETC.

1
2

YES
NO

GO TO BOX 6B
GO TO R02_VTA27

ASK: Ask when SP = W2_YOUTH and the Parent & Youth have been confirmed as living at the W2_LINKED_ADDRESS. Route to
VTA26 also in instances when the VT R = W1 Parent even if the W1 Parent is not an SP.
PATH ID:

R02_VTA27

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
Who would be the best person to contact regarding {NAME}’s continued participation in the PATH Study?
THE PARENT MUST LIVE WITH {YOUTH/SHADOW YOUTH NAME}.
REMINDER: A PARENT OR GUARDIAN CAN BE A ROLE, RATHER THAN A RELATIONSHIP. THE PARENT OR GUARDIAN
MUST LIVE WITH THE CHILD AND SHOULD BE KNOWLEDGEABLE ABOUT THE YOUTH AND BE RESPONSIBLE FOR MAKING
DECISIONS ON YOUTH’S ACTIVITIES, LIKE SCHOOL PERMISSIONS, WHERE TO LIVE, ETC.
1
2
3
4
5
6
7
8
9
98
99

NAME/AGE/GENDER
NAME/AGE/GENDER
NAME/AGE/GENDER
NAME/AGE/GENDER
NAME/AGE/GENDER
NAME/AGE/GENDER
NAME/AGE/GENDER
NAME/AGE/GENDER
(NAME OF VT R)
NO PARENT LIVES WITH YOUTH
NEW PARENT IDENTIFIED

GO TO BOX 6B
GO TO BOX 6B
GO TO BOX 6B
GO TO BOX 6B
GO TO BOX 6B
GO TO BOX 6B
GO TO BOX 6B
GO TO BOX 6B
GO TO BOX 6B
GO TO R02_VTA29B
GO TO R02_VTA28

ASK: Ask of W2_YOUTH or W2_EXPECTED ADULTS confirmed to still be 17 and for which the W1 Parent is not the best person to
contact regarding the youth’s continued participation in the study.

PATH ID:

R02_VTA28

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
ENTER FIRST AND LAST NAME OF NEW PARENT.

___

NAME ENTRY FIELDS

GO TO R02_VTA29

ASK: Collect new Parent first and last name in instances when option of ‘New Parent Identified’ is selected in R02_VTA27.

PATH ID:

R02_VTA29

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
What is their telephone number?

___

TELEPHONE ENTRY FIELDS

GO TO BOX 6AA

ASK: Collect new Parent phone number in instances when option of ‘New Parent Identified’ is selected in R02_VTA27.

PATH ID:

R02_VTA29B

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
DOCUMENT ANY INFORMATION PROVIDED ABOUT SITUATION WHEN NO HOUSEHOLD MEMBER FILLS PARENT ROLE.
ASK: Collect clarifying information in instances when there is no one that fits the Parent role in the household.
NAVIGATION: GO TO BOX 7.

BOX 6AA
(From R02_VTA29):
If original VT results in a split so this VT is R02_AddressType = R02_NewVerify and parent name response option selected in this VT at
R02_VTA27 Parent is a new parent identified from a previous VT, go to Box 6B.
Else, If New Parent identified in R02_VTA27 and named in R02_VTA28 is not yet assigned a respondent PID, set flag NewPersoninVT
= 1 and set R02_PersonType =New Parent.
NAVIGATION: Go to Box 6B

BOX 6B
Routing: If the SP row/instance’s phone number was previously obtained, e.g. the unique person’s telephone number was asked
already b/c the person is an also an Adult SP or a Parent of another Y/SY, go to Box 7. If the parent selected in VTA27 is also the VT
R: R02_VTA01 = 9, R name provided in R02_VTA01B, and phone number obtained in R02_VTA01C, go to Box 7. Else, go to Box 6C.

BOX 6C
If SP row/instance is for the VT R and we have a phone number, go to R02_VTA30. If SP row/instance is for the VT R and we do not
have a phone number, go to R02_VTA35. If SP row/instance is not the VT R and we have a phone number, go to R02_VTA40. If SP
row/instance is not the VT R and we do not have a phone number, go to R02_VTA40B.
PATH ID:

R02_VTA30

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
I have your best phone number as {(XXX) XXX-XXXX}. Is that correct?
1
2

YES
NO

GO TO BOX 7
GO TO R02_VTA35

ASK: Best phone number confirmation question asked of VT R. (Only asked if the VT Respondent = Adult SP (or) Parent.) Only asked
if the VT Respondent has a phone number on record.

PATH ID:

R02_VTA35

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
What is the best telephone number to reach you?
ENTER THE NUMBERS ONLY. DO NOT ENTER HYPHENS OR OTHER SYMBOLS.
DISPLAY TELEPHONE NUMBER FIELDS.
ASK: VT Respondent who needs to correct/update their best phone number, or do not have any phone numbers (routing would have
skipped R02_VTA30).
NAVIGATION: GO TO BOX 7.

PATH ID:

R02_VTA40

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
(We would like to contact {ADULT NAME/PARENT NAME/you} to schedule an appointment for an interview {about {YOUTH NAME}}.)
[I have the following phone numbers for {ADULT NAME/PARENT NAME/you}.] Which is the best number?
READ PHONE NUMBERS BELOW, STOPPING ONCE RESPONDENT IDENTIFIES BEST NUMBER. SELECT 4 to ENTER NEW
PHONE NUMBER.

1
2
3
4
9

PHONE NUMBER
PHONE NUMBER
PHONE NUMBER
ENTER NEW PHONE NUMBER
REFUSED / DO NOT CONTACT

GO TO BOX 7
GO TO BOX 7
GO TO BOX 7
GO TO R02_VTA40B
GO TO BOX 7

ASK: Ask of row instances of Adult or Youth who are not the VT Respondent and for who best contact phone number has not
previously been obtained (not previously obtained in any prior loop in this instrument).
NAVIGATION: Go to Box 7 (End of Loop).

PATH ID:

R02_VTA40B

Screen ID:

DISPLAY: {ADULT/YOUTH/SHADOW YOUTH} NAME/AGE/GENDER
[We would like to contact {ADULT NAME/PARENT NAME} to schedule an appointment for an interview {about {YOUTH NAME}}].
What is the best number?
DISPLAY TELEPHONE NUMBER FIELD.

ASK: NON VT Respondent who has new phone number or does not have any phone numbers (routing would have skipped
R02_VTA40).
NAVIGATION: GO TO BOX 7.
BOX 7 – END OF LOOP
If data has been collected for each SP row instance, N, and updated address information was received for any SP row instance, go to
R02_VTA50. Else if data has been collected for each SP row instance N and no updated address information has been received, go to
R02_VTA55.
Else, go to R02_VTA05 for row instance (N+1).

PATH ID:

R02_VTA50

Screen ID:

Before we end, I’d like to summarize some of the updated address information you told me today. I recorded that:
SP Name

New Address Information

ASK: Summary page with data that should be confirmed for each SP, only in instances when new address information was obtained in
R02_VTA12 (or) R02_VTA13, or other known information was obtained in R02_VTA17.
If new address info was obtained for some but not all SPs, display only those SPs for which updated address information/known
information was obtained in R02_VTA10X/R02_VTA12 (or) R02_VTA13 (or) R02_VTA17.
Else, skip R02_VTA50 and go to R02_VTA55..

1
7

CONFIRM
EDIT

GO TO BOX 9
GO TO BOX 8

PROGRAM: Confirm each person’s info one (row) at a time at the very end of the instrument (after the end of all SP Loops.)
PROGRAM: Loop through and display information for each row, user must select 1 = Confirm or
7 = Edit for each SP row instance in the table. If User selects option to edit, go to Box 8.

BOX 8
If R02_VTA50 = 7 for said SP instance, display the following logic check table – hard error:
SELECT ANY ROW FROM THE LIST BELOW TO GO BACK AND EDIT THAT ITEM.
UPDATE INFORMATION WHERE NEEDED:
SP Name (Disable/disallow any edit name functionality)
New Address Information (Able to Edit and go to R02_VTA05 (or) R02_VTA10 (or) R02_VTA12/13 (or) R02_VTA17.
PROGRAM: Display Box 8 with one SP’s data at a time and only if R02_VTA50 = 7 for said SP. Allow user to select row, then click to
change the response given to one or more fields for the associated SP row instance.
PROGRAM: If any one value in any SP instance row is changed, always redisplay R02_VTA50 for the associated SP. Allow for
multiple loops to edit the fields. R02_VTA50 must be confirmed (response option = 1) for each SP instance for which there is new
address information before continuing.

BOX 9
Once data has been confirmed for each SP instance for which updated address information was obtained, go to R02_VTA55, Else,
return to R02_VTA50 for row instance (N+1).

PATH ID:

R02_VTA55

Screen ID:

{TRY TO SCHEDULE ANY SP APPOINTMENTS, AND THEN DOCUMENT THE APPOINTMENT IN AN EROC. TRY TO
TRANSITION DIRECTLY TO SP LEVEL DATA COLLECTION TASKS. }
PRESS 1 TO RETURN TO IMS.
1

EXIT

GO TO END

ASK: When Loop for each SP instance has been completed (or) all fields for all SPs in R02_VTA50 have been confirmed.
PROGRAM: If R02_VTA00 = 1, DISPLAY “TRY TO SCHEDULE ANY SP APPOINTMENTS, AND THEN DOCUMENT THE
APPOINTMENT IN AN EROC.” If R02_VTA00 = 7, DISPLAY “TRY TO TRANSITION DIRECTLY TO SP LEVEL DATA COLLECTION
TASKS. “

END


File Typeapplication/pdf
AuthorMichelle Kiser
File Modified2015-05-18
File Created2015-05-08

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