Attachment B:
ODPHP Physical Activity Guidelines, 2nd Edition
Screener Script for Parent Focus Groups
OMB Control Number: 0990-0281
December 21, 2017
Submitted to:
Sherrette Funn
Office of the Chief Information Officer
U.S. Department of Health and Human Services
Submitted by:
Frances Bevington
Strategic Communication and Public Affairs Advisor
Office of Disease Prevention and Health Promotion
U.S. Department of Health and Human Services
Hello, I’m [RECRUITER FIRST AND LAST NAME] and I'm calling from [RECRUITMENT FIRM]. We are an independent consumer research organization. We are not selling or promoting any product or service. I am calling you because you expressed interest in participating in a focus group about how to help people be more physically active.
This is a study funded by the U.S. Department of Health and Human Services. If you qualify to participate, you will receive a payment of $75 for your participation. The focus group will be held in-person in [CITY, STATE] the week of [MONTH DAY].
Does this sound like something you would be interested in?
Yes
No TERMINATE
Great. Let’s find out if you qualify. My questions should only take a few minutes. Any information you provide will be kept private. You can stop at any time or skip any question. To ensure we include a variety of people in our focus groups, I will ask you some questions about your education level, your racial/ethnic background, and a few other personal characteristics.
Would you like to proceed?
Yes
No TERMINATE
Before we begin, I’d like to let you know that all information you provide will be private. Your help is voluntary, and you do not have to answer every question. If you would rather not answer a question, let me know and you can skip it. You can stop at any time.
[Family Market Research] Do you or any member of your household or immediate family work for a market research company, an advertising agency, a public relations firm, or the media (TV/radio/newspapers/magazines)?
Yes TERMINATE
No
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0281. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer
[Family Health Care] Do you or any member of your household or immediate family work in public health or health care?
Yes TERMINATE
No
[Parent Recent Participant] Within the past 3 months, have you participated in an interview or focus group in which you were asked to give your opinions regarding a product, a service, or advertising?
Yes TERMINATE
No
[Parent Related] Is anyone in your household or family already participating in this project?
Yes TERMINATE
No
[Parent English] Are you comfortable speaking and reading entirely in English?
Yes
No TERMINATE
Now I have some questions about you and your family.
[Parental Status] Are you a parent or guardian?
Yes
No TERMINATE
[Child Age] How old are your children? [Do not read categories, but tally for all categories that apply.]
Ages 2 or younger TERMINATE
Ages 3 to 6
Age 7 or older TERMINATE
[CONTINUE if Q7 “Ages 3 to 6” > 0; otherwise TERMINATE.]
[Parent Physical Activity] How many days a week do you get 20 minutes or more of physical activity? Physical activity is anything that gets your body moving. Would you say… [Read categories]
1 day a week
2 days a week
3 days a week
4 days a week
5 days a week TERMINATE
6 days a week TERMINATE
7 days a week TERMINATE
[Child Physical Activity] For your child between ages 3-6, how well does this statement describe your child? [Please answer thinking about your least active child between ages 3-6.]
My child is very active.
Never
Rarely
Occasionally
Frequently MAY TERMINATE
All the time MAY TERMINATE
[Motivation for Child Physical Activity] For your child between ages 3-6, how well does this statement describe your child? [Please answer thinking about your least active child between ages 3-6.]
My child needs me or someone else (e.g., friends, siblings, other adults) to motivate him/her to be active.
Never MAY TERMINATE
Rarely MAY TERMINATE
Occasionally
Frequently
All the time
Note to Recruiter: For parent to be eligible to participate, they need to provide a non-terminating response for either #9 or #10.
[Parent Age] How old are you? I’m going to read some age ranges. Please stop me when I reach the group you are in.
Younger than 18 years old TERMINATE
Between 18 and 24 years old
Between 25 and 34 years old
Between 35 and 44 years old
Between 45 and 54 years old
Between 55 and 64 years old
65 years old or older
[Parent Gender] What is your gender?
Male
Female
Other
Choose not to answer
[Parent Ethnicity] Are you of Hispanic or Latino origin?
Yes
No
[Parent Race] Which category best describes your race?
White
Black or African American
American Indian or Alaska Native
Asian or Pacific Islander
Other
[Parent Education] What is the highest level of education you have completed? Please stop me when I reach the description that best describes your educational level.
Some elementary or middle school, but did not go to high school
Some high school, but did not finish (9 to 12 years)
High school diploma or GED
Some college
[Household Income] What is your household’s yearly income? Please stop me when I reach the description that best describes your household’s yearly income.
Less than $20,000
$20,000 to $34,999
$35,000 to $49,999
$50,000 to $74,999
$75,000 to $99,999
$100,000 to $149,999
$150 to $199,999
$200,000 or more
TERMINATION SCRIPT
Thank you for answering all of my questions. We are recruiting people from different backgrounds and unfortunately, we have already recruited several individuals with similar characteristics as yours. Again, thank you for the time.
INVITATION SCRIPT
(USE IF PARENT MEETS RECRUITING CRITERIA)
Thank you for answering all of my questions so far.
The group discussion will take place on [DATE, TIME, LOCATION]. Are you able to attend on this day and time?
Yes
No TERMINATE: “Thank you for speaking with me.”
During the group, you will be asked to read several materials and share your opinion. Would you feel comfortable reading the materials and discussing them with others?
Yes
No TERMINATE: “Thank you for speaking with me.”
Great. This is an important project and your opinions will help the U.S. Department of Health and Human Services to promote healthy lifestyles for children and teens. As I said, you will receive a payment of $75 for your participation in the 90-minute focus group. No one will try to sell you anything, and no one will call you as a result of your participation.
Do you agree to participate in the discussion group?
Yes
No TERMINATE: “Thank you for speaking with me.”
CONTINUATION SCRIPT
(USE FOR INDIVIDUALS WHO QUALIFY AND AGREE TO PARTICIPATE)
Let me just mention a few more things:
If you use glasses for reading or watching TV, please be sure to bring them with you, since you will be asked to read several things.
We cannot provide babysitting services, so it will not be possible for you to bring any children with you.
If someone comes with you to the discussion group, they will not be able to join in the group. They will need to wait for you outside the room.
Only one person from the same household or family will be able to participate in the discussion group.
We can only invite a limited number of people to be in the focus group. May we schedule you for the group?
Yes
No TERMINATE. Thank you for speaking with me.
Let me [get/confirm] your contact information so that we can call you a few days before the group to remind you of the date and time.
PARENT NAME:
ADDRESS:
CITY:
ZIP CODE:
PHONE: (DAY)
(EVENING)
(EMAIL)
SCHEDULED FOR:
Recruiter: Date:
If you will not be able to participate, please call [NAME AND NUMBER] to let us know as soon as possible, so we can ask someone else. We need to have a certain number of people for the group. Thank you!
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Lizzie Barnett |
| File Modified | 0000-00-00 |
| File Created | 2021-01-21 |