Womenshealth.gov Homepage Redesign Testing

Form Approved

OMB No. 0990-0379

Exp. Date 09/30/2020

WOMENSHEALTH.GOV IN-DEPTH USABILITY INTERVIEWS

SCREENER

In-Depth Interviews:

• 8 In-Person, Columbia, SC

• 8 In-Person, Omaha, NE

• 8 In-Person, Spokane, WA

NAME ____

ADDRESS CITY ZIP ____

PHONE (HOME) (WORK) ____

EMAIL: ____________________________________________

INTERVIEWER DATE CONFIRMED BY ____

PHONE INTRO:

Hello, my name is with_________________, a marketing research firm, and we are asking people a few questions about how they seek out health information. We would greatly appreciate your opinions. I have just a few questions at this time, which will take no more than five minutes. This is not a marketing call, but strictly for research purposes. May I ask you a few questions?

1 Yes CONTINUE

2 No THANK AND TERMINATE

[PHONE: GENDER: DO NOT ASK BUT RECORD]

1. Male TERMINATE

2. Female MUST BE ALL FEMALE

1. First, how old are you? MUST BE BETWEEN 18 AND 65. RECRUIT A MIX

2. How many times have you participated in a market research discussion of any kind in the past 6 months?

1. None

2. 1 or more TERMINATE

3. Don’t know TERMINATE

3. How often do you use the internet to seek out health information like heathy habits and wellness, information about diseases or conditions, or information about treatment options?

1. Once a week or more CONTINUE

2. Once every few weeks CONTINUE

3. Once a month CONTINUE

4. Once every few months TERMINATE

5. Less TERMINATE

6. I do not use the internet to search for healthcare information TERMINATE

4. Without giving away personal information or private details, please describe a situation where you used the internet to seek out health information? [ARTICULATION QUESTION TO ENSURE THEY REALLY USE THE INTERNET FOR HEALTH INFORMATION AND CAN TALK ABOUT IT]

5. Which of the following online resources do you use to access health information? Please select all that apply.

1. Health-focused websites or social media pages, like WebMD

2. Websites or social media pages of healthcare institutions, like the Mayo Clinic

3. Websites or social media pages of health insurance companies

4. Websites or social media pages of individual doctors or practices

5. Websites or social media pages of health-focused non-profits, like the American Heart Association

6. Government health agency websites or social media pages, like the Department of Health and Human Services

7. Online articles about health topics

8. Other, please specify: _____________

9. None of the above/not sure TERMINATE

6. Have you heard of or been to the website: womenshealth.gov, which is part of the U.S. Department of Health and Human Services?

   1. Yes

   2. No

   3. Not sure

7. What is your impression of womenshealth.gov, and/or the U.S. Department of Health and Human Services? Do you have a….

   1. Very favorable impression

   2. Somewhat favorable impression

   3. No impression/neutral

   4. Somewhat unfavorable impression TERMINATE

   5. Very unfavorable impression TERMINATE

   6. Not sure

8. When you use the internet to search for health information, do you primarily use…

1. A desktop computer or laptop

2. A mobile device such as a phone or tablet

3. Use both equally

4. Not sure

RECRUIT EVEN SPLIT AMONG DESKTOP (1) OR BOTH (3), AND MOBILE (1) OR BOTH (3)

9. Which, if any, of the following health topics are you interested in learning about? Please select all that apply.

1. PCOS or polycystic ovary syndrome

2. Heart disease

3. Pregnancy

4. Infertility

5. Cancer screening

6. Healthy weight

7. Dermatology and skin care

8. Breastfeeding

9. STIs (Sexually transmitted infections)

10. Menopause

11. Endometriosis

12. Other, specify_____________

13. None of the above EXCLUSIVE/TERMINATE

MUST SELECT AT LEAST ONE OF 1,3,4,6,8-11

Just a few additional questions about you:

10. Which of the following describes your primary health insurance? RECRUIT A MIX

1. Coverage through you or your spouse’s current or former employer

2. Coverage through school, a professional association, union, trade group, or some other organization

3. Coverage purchased directly from health insurance company (you pay for it yourself)

4. Health exchange (Affordable Care Act)

5. Medicaid

6. Medicare

7. Other type of health insurance:_____________

8. None/do not currently have health insurance

11. Which of the following best describes your highest level of education completed? RECRUIT A MIX

1. High school or less

2. Some college

3. Associate’s Degree

4. Bachelor’s Degree

5. Graduate or Professional Degree

6. Other

12. What is your approximate annual household income? RECRUIT A MIX

1. Below $25,000

2. $25-$49,999

3. $50-$74,999

4. $75-$100,000

5. $100,000 or more

6. DON’T KNOW/UNSURE TERMINATE

7. REFUSED TERMINATE

PER LOCATION, WE WANT LOWER SES RANGE: RECRUIT AT LEAST 3 WHO ARE ASSOCIATES OR LESS (Q11) AND EARNING <$50,000 (Q12)

13. Do you consider yourself to be: RECRUIT A MIX

1. White

2. African-American or black

3. Hispanic

4. Asian

5. American Indian/Alaska Native

6. Other, specify:

14. Which of the following best describes the area where you live? RECRUIT A MIX

    1. Urban

    2. Suburban

    3. Small town

    4. Rural RECRUIT AT LEAST 3 RURAL PER LOCATION

    5. Not sure

15. Which of the following best describes your employment status? Are you…

1. Employed full-time

2. Employed part-time

3. Self-employed

4. Active duty military

5. A full-time Homemaker

6. Disabled/not able to work

7. Retired

8. Full-time student

9. Currently seeking employment

10. Other, specify: ______________ TERMINATE

16. [ASK IF EMPLOYED] What is your occupation and where do you work? WRITE OUT, TERMINATE IF RESPONDENT WORKS IN OR HAS EXPERIENCE IN HEALTH CARE, MARKETING, MARKET RESEARCH, ADVERTISING, WEB DEVELOPMENT OR DESIGN
    ____________________________________________________________________________________________________________________________________________________________________

17. According to your responses, you are qualified to participate in a more detailed research interview for which you will be compensated [ $50 for your time/]. The interview will take one hour and will be conducted [at RESEARCH LOCATION on DATE]. Are you interested and willing to participate in this research? This is for research purposes only, and all of your feedback during the In-Depth Interview would be anonymous and confidential. Would you be interested in joining us?

1. Yes

2. No

IF YES; PLEASE SCHEDULE; NEED MAILING ADDRESS FOR INCENTIVE:

Name: ___________________________________

Interview Date/Time: _______________________

Phone Number for IDI: ______________________

Email address for confirmation: __________________________

Mailing address: _________________________________________________________________

FOR IN PERSON, PLEASE CONTINUE WITH YOUR STANDARD METHODS FOR GAINING PARTICIPANT COOPERATION.

Respondent's name _______________________________________

Telephone number _______________________________________

Email address ___________________________________________

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 0990-0379. The time required to complete this information collection is estimated to average 15 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete 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