RANDS (Round 3) during COVID CROSSWALK

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Overview

Variables and Purposes
Primary Est Var Assumed Prev
Precision

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Sheet 1: Variables and Purposes

Attachment G - RANDS during COVID-19 Variable Crosswalk, Uses, and Power Calculation
Note:	This sheet includes the variables, crosswalk, purposes, and covariate indicator.
	The second sheet presents NCHS' estimates of prevalence used in the power calculation.
	The third sheet presents the power calculation
Variable	Question Wording	Crosswalk to other Surveys	Primary Use Category	Covariate for Estimates
ANXFREQ	How often do you feel worried, nervous or anxious? Would you say daily, weekly, monthly, a few times a year, or never?	NHIS Annual Core; Washington Group	Alignment	Yes
ANXLEVEL	Thinking about the last time you felt worried, nervous or anxious, how would you describe the level of these feelings? [IF MODE=PHONE, READ: Would you say a little, a lot, or somewhere in between?]	NHIS Annual Core; Washington Group	Alignment	Yes
ANXMED	Do you take prescription medication for these feelings?	NHIS Annual Core; Washington Group	Alignment	Yes
COGMEMDFF	Do you have difficulty remembering or concentrating?	NHIS Annual Core; Washington Group	Alignment
COMDIF	Using your usual language, do you have difficulty communicating, for example, understanding or being understood?	NHIS Annual Core; Washington Group	Alignment
DEPFREQ	How often do you feel depressed? Would you say daily, weekly, monthly, a few times a year, or never?	NHIS Annual Core; Washington Group	Alignment	Yes
DEPLEVEL	Thinking about the last time you felt depressed, how depressed did you feel? [IF MODE=PHONE, READ: Would you say a little, a lot, or somewhere in between?]	NHIS Annual Core; Washington Group	Alignment	Yes
DEPMED	Do you take prescription medication for depression?	NHIS Annual Core; Washington Group	Alignment	Yes
DIFF	Do you have difficulty walking or climbing steps?	NHIS Annual Core; Washington Group	Alignment
EMPLASTWK	Last week, did you work for pay at a job or business?	NHIS Annual Core	Alignment
HEARINGDF	Do you have difficulty hearing, even if using hearing aides?	NHIS Annual Core; Washington Group	Alignment
HICOV	Are you covered by any kind of health insurance or some other kind of health care plan?	NHIS Annual Core	Alignment	Yes
PHSTAT	Would you say your health in general is excellent, very good, good, fair, or poor?	NHIS Annual Core; Census' Pulse	Alignment	Yes
PROBE_ DEP	Which of the following statements, if any, describe any of your feelings of being sad or depressed?	Used in RANDS 2 through RANDS during COVID-19 Round 2	Alignment
SMKEV	Have you smoked at least 100 cigarettes in your entire life?	NHIS Annual Core	Alignment
SMNOW	Do you now smoke cigarettes every day, some days or not at all?	NHIS Annual Core	Alignment
UPPSLFCR	Do you have difficulty with self care, such as washing all over or dressing?	NHIS Annual Core; Washington Group	Alignment
USUALPL	Is there a place that you usually go to if you are sick and need health care?	NHIS Annual Core	Alignment	Yes
VISIONDF	Do you have difficulty seeing, even if wearing glasses?	NHIS Annual Core; Washington Group	Alignment
ASEV	[If Mode=Phone, read if necessary: Have you ever been told by a doctor or other health professional that you had] Asthma?	NHIS Annual Core	Calibration	Yes
ASTILL	Do you still have asthma?	NHIS Annual Core	Calibration	Yes
CANEV	[If Mode=Phone, read: Have you ever been told by a doctor or other health professional that you had] Cancer or a malignancy of any kind?	NHIS Annual Core	Calibration	Yes
CHDEV	[If Mode=Phone, read: Have you ever been told by a doctor or other health professional that you had] Coronary heart disease?	NHIS Annual Core	Calibration	Yes
CHLEV	[If Mode=Phone, read: Have you ever been told by a doctor or other health professional that you had] High cholesterol?	NHIS Annual Core	Calibration	Yes
COPDEV	[If Mode=Phone, read if necessary: Have you ever been told by a doctor or other health professional that you had] Chronic Obstructive Pulmonary Disease, C.O.P.D., emphysema, or chronic bronchitis?	NHIS Annual Core	Calibration	Yes
DIBEV	[IF PREDIB=1 or GESDIB=1, fill: Not including prediabetes or gestational diabetes] [If Mode=Phone, read: Have you ever been told by a doctor or other health professional that you had] Diabetes?	NHIS Annual Core	Calibration	Yes
HYPEV	[If Mode=Phone, read: Have you ever been told by a doctor or other health professional that you had] Hypertension, also called high blood pressure?	NHIS Annual Core	Calibration	Yes
PREDIB	[If Mode=Phone, read if necessary: Have you ever been told by a doctor or other health professional that you had] Prediabetes or borderline diabetes?	NHIS Annual Core	Calibration	Yes
ALT_TELMED	Does this provider offer telephone or video appointments, so that you don't need to physically visit their office or facility?	New Question for this RANDS	Estimation
COVID_NOWK	Were you unable to work because you or a family member was sick with the Coronavirus?	New Question for this RANDS	Estimation
COVIDNOCAR	[FILL: “Regarding your NOCARTYP”] Were you unable able to get this because of the Coronavirus pandemic?	New Question for this RANDS	Estimation
DNG_CARE	At any time in the last 4 weeks, did you need medical care for something other than Coronavirus, but not get it because of the Coronavirus pandemic?	CPS, Census Pulse Survey	Estimation
NOCARTYP	In the last two months, were you unable to get any of the following types of care for any reason?	New Question for this RANDS	Estimation
TELEMEDUSE	In the last two months, have you had an appointment with a doctor, nurse, or other health professional by video or by phone?	New Question for this RANDS, Planned for NHIS	Estimation
TELMED	In the last two months, has this provider offered you a telephone or video appointment	New Question for this RANDS, Planned for NHIS	Estimation
TELMEDNEW	Did this provider offer telephone or video appointments before the Coronavirus pandemic?	New Question for this RANDS, Planned for NHIS	Estimation
COVID_HES	Thinking specifically about potential COVID-19 vaccines, how hesitant would you consider yourself to be?	New Question for this RANDS; Adapted from CCQDER-designed childhood vaccine hesitancy set for NIS	Measurement Research
GAD71	[If Mode=Phone, read: Over the last 2 weeks, how often have you been bothered by any of the following problems?] Feeling nervous, anxious, or on edge. [If Mode=Phone, read if necessary: Would you say not at all, several days, more than half the days, or nearly every day?]	NHIS Rotating Core	Measurement Research
GAD72	[If Mode=Phone, read: Over the last 2 weeks, how often have you been bothered by any of the following problems?] Not being able to stop or control worrying. [If Mode=Phone, read if necessary: Would you say not at all, several days, more than half the days, or nearly every day?]	NHIS Rotating Core	Measurement Research
LIFESAT1	Using a scale of 0 to 10 where 0 means ‘‘Very dissatisfied’’ and 10 means ‘‘Very satisfied,” how do you feel about your life as a whole these days?	New Question for this RANDS	Measurement Research
LIFESAT2	In general, how satisfied are you with your life? Would you say very satisfied, satisfied, dissatisfied, or very dissatisfied?	New Question for this RANDS	Measurement Research
PHQ81	[If Mode=Phone, read: Over the last 2 weeks, how often have you been bothered by any of the following problems?] Little interest or pleasure in doing things [If Mode=Phone, read: Would you say not at all, several days, more than half the days, or nearly every day?]	NHIS Rotating Core	Measurement Research
PHQ82	[If Mode=Phone, read: Over the last 2 weeks, how often have you been bothered by any of the following problems?] Feeling down, depressed, or hopeless. [If Mode=Phone, read if necessary: Would you say not at all, several days, more than half the days, or nearly every day?]	NHIS Rotating Core	Measurement Research
PROBE_ANX	Which of the following statements, if any, describe any of your feelings of being nervous or anxious?	Used in RANDS 3 through RANDS during COVID-19 Round 2	Measurement Research
PROBE_GETCAR	How much of the care that [your provider/you/you and your provider] delayed or cancelled were eventually able to reschedule or receive?	New Question for this RANDS	Measurement Research
PROBE_HES	Please list the reasons you say you [fill based on VAX_HES: are/are not] hesitant about vaccines in general	New Question for this RANDS	Measurement Research
PROBE_LIFESAT	When you answered the previous question [FILL LIFESAT1 or LIFESAT2], what were you thinking about?	New Question for this RANDS	Measurement Research
PROBE_NOCAR	Why do you say you were unable to get care because of the pandemic (select all that apply)?	New Question for this RANDS	Measurement Research
PROBE_REL6	Why do you say that?	National Survey of Family Growth	Measurement Research
PROBE_TELMED	When answer the previous question about telephone or video appointments, were you thinking about whether or not …	New Question for this RANDS	Measurement Research
PROBE_VAX	When thinking about your plan to [fill based on VAX_COVID: get/not get] a COVID-19 vaccine, which of the following, if any, were you thinking about?	New Question for this RANDS	Measurement Research
REL1	In what religion were you raised, if any?	National Survey of Family Growth	Measurement Research
REL2	Which of these were you raised as, if any?	National Survey of Family Growth	Measurement Research
REL3	When you were 14, about how often did you usually attend religious services?	National Survey of Family Growth	Measurement Research
REL4	What religion are you now?	National Survey of Family Growth	Measurement Research
REL5	Which of these are you now, if any?	National Survey of Family Growth	Measurement Research
REL6	Currently, how important is religion in your daily life? Would you say it is very important, somewhat important, or not important?	National Survey of Family Growth	Measurement Research
REL7	About how often do you attend religious services?	National Survey of Family Growth	Measurement Research
VAX_COVID	Do you plan on getting a COVID-19 vaccine if and when one becomes available?	New Question for this RANDS; Adapted from CCQDER-designed childhood vaccine hesitancy set for NIS	Measurement Research
VAX_HERD	Do you believe that getting vaccinated helps protect others from getting disease?	New Question for this RANDS; Adapted from CCQDER-designed childhood vaccine hesitancy set for NIS	Measurement Research
VAX_HES	Overall, how hesitant about vaccines in general would you consider yourself to be?	New Question for this RANDS; Adapted from CCQDER-designed childhood vaccine hesitancy set for NIS	Measurement Research
VAX_KNOW	Has a doctor or other health professional ever told you that you have or likely have Coronavirus or COVID-19?	New Question for this RANDS; Adapted from CCQDER-designed childhood vaccine hesitancy set for NIS	Measurement Research
VAX_MD	Is your doctor or health provider your most trusted source of information about vaccines?	New Question for this RANDS; Adapted from CCQDER-designed childhood vaccine hesitancy set for NIS	Measurement Research
VAX_RISK	How confident are you that the benefits of vaccines outweigh their risks?	New Question for this RANDS; Adapted from CCQDER-designed childhood vaccine hesitancy set for NIS	Measurement Research
VAX_SIDE	Have concerns about serious, long-term side effects impacted your decision to get vaccinated in the past?	New Question for this RANDS; Adapted from CCQDER-designed childhood vaccine hesitancy set for NIS	Measurement Research
COVID_S6A	In the last week, did you socially distance when you were…	Question being run by CDC's COVID response group on a web-only Porter Novelli survey. Question has not been previously tested or validated	Measurement Research
COVID_S6B	Did you do this activity inside, outside, or both?	Question being run by CDC's COVID response group on a web-only Porter Novelli survey. Question has not been previously tested or validated	Measurement Research
COVID_S6C	When doing this activity, did you always wear a mask?	Question being run by CDC's COVID response group on a web-only Porter Novelli survey. Question has not been previously tested or validated	Measurement Research
PROBE_DISTANCE	When you were answering about social distancing in the previous questions, what were you thinking about?	New Question for this RANDS.	Measurement Research
PROBE_MASKTYPE	When asked about wearing a mask in the previous question, which of the following, if any, were you thinking about?	New Question for this RANDS.	Measurement Research
PROBE_MASKUSE	Which of the following, if any, do you commonly see in your community?	New Question for this RANDS.	Measurement Research
COVID_S2	How important are the following reasons for social distancing during the COVID-19 pandemic? [Not at all important, a little important, somewhat important, very important]	Question being run by CDC's COVID response group on a web-only Porter Novelli survey. Question has not been previously tested or validated	Measurement Research

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Sheet 2: Primary Est Var Assumed Prev

Question	Wording	Assumed Prevelence Before Rounds 1 and 2 Approval	Estimate round 1	Estimate round 2
COVID_NOWK	Were you unable to work because you or a family member was sick with the Coronavirus?	Low (prop w/ as of today is about 0.35%, but multiplied by the average US HH size of 2.52 is .882%, multiplied by average rands3 hhsize of 3.2 is 1.12% )	0.9	1.1
TELMED	In the last two months, has this provider offered you a telephone or video appointment	Low/Med (~18 %--about 90 % of ppl have access a usual place of care, and I saw pre-covid estimates that about 20% of medical offices offered telemed)	36.6	37.1
TELEMEDUSE	In the last two months, did you schedule and participate in a telephone or video appointment?	Low(<18 %--about 90 % of ppl have access a usual place of care, and I saw pre-covid estimates that about 20% of medical offices offered telemed)	24.2	24.3
TELMEDNEW	Did this provider offer telephone or video appointments before the Coronavirus outbreak?	Low/Med (~18 %--about 90 % of ppl have access a usual place of care, and I saw pre-covid estimates that about 20% of medical offices offered telemed)	14.1	14.1
NOCARTYP	Were you unable to get any of the following types of care in the last two months?	Unknown, but less than than the overall of covid_Care for each individual area	48.4	38.1
COVIDNOCAR	[FILL: “Regarding your NOCARTYP”] Were you unable able to get this because of the Coronavirus epidemic?	Unknown, but less than than the overall of covid_Care for each individual area	38.7	28.2

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Sheet 3: Precision

Experimental estimates for the primary estimation variables below will be released. Because adults with chronic condiditons may be affected more than the general population, estimates for selected subgroups defined by chronic conditions and and factors related to chronic conditions (e.g. insurance, age) will be presented, when available. The table below shows the expected coefficients of variation (CV) for the primary experimental estimates for all adults and for smaller samples for subgroups. CV of 30% has been used as a threshold by NCHS for presentation criteria. Current NCHS presentation standards** moved away from CV and are based on exact confidence intervals but were established to be consistent with prior criteria. The current standards generally allow for more low prevalence estimates to be released. Beyond the subgroups shown in this table, other covariates indicated in the "Variables and Purposes" tab will be investigated as part of NCHS' evaluation of the data.
CV were calculated for the sample of all adults (n=6000) and for sample sizes 2500, 2000, 1500, 1000, 750, and 500. Chronic disease subgroups that correspond to these sample sizes are identified in row 17. These expected sample sizes were based on RANDS 3 or NHIS.
CV were calculated assuming a design effect of 2. The average design effect for RANDS 3 was 1.83. The average design effects for RANDS during COVID round 1 and 2 were 1.96 and 2.15, respectively. CV in RED are estimates that would not have met the CV critieria for presention.
Table. Coefficients of Variation for primary estimation variables with varying expected prevalence by expected sample sizes according to covariates
		Covariate subgroups (expected sample size based on RANDS 3)	Any health insurance (5700*)	Between 70% and 75% report one or more chronic condition		Hypertension (2224)	Age > 65 (1329)	Ever asthma (984), Fair/poor health (992), Current smoking (928), Hispanic (946)	non-Hispanic black (619)	Diabetes (636), COPD (485), Cancer (561*)
			All adults, n=6000	n=4000	n=2500	n=2000	n=1500	n=1000	n=750	n=500
Primary estimation variable	Actual Prevalence (Round 2)	Assumed prevalence	CV (DEFF=2)
COVID_NOWK	1.10%	1%	18.17	22.25	28.14	31.46	36.33	44.50	51.38	62.93
Variables with prevalence 10%		10%	5.48	6.71	8.49	9.49	10.95	13.42	15.49	18.97
TELMEDNEW	14.10%	15%	4.35	5.32	6.73	7.53	8.69	10.65	12.29	15.06
Variables with prevalence 20%		20%	3.65	4.47	5.66	6.32	7.30	8.94	10.33	12.65
TELEMEDUSE	24.30%	25%	3.16	3.87	4.90	5.48	6.32	7.75	8.94	10.95
COVIDNOCAR (OVERALL)	28.20%	30%	2.79	3.42	4.32	4.83	5.58	6.83	7.89	9.66
NOCARTYP (OVERALL)	38.10%	35%	2.49	3.05	3.85	4.31	4.98	6.09	7.04	8.62
TELMED	37.10%	35%	2.49	3.05	3.85	4.31	4.98	6.09	7.04	8.62
*based on NHIS, not fielded on RANDS 3
**https://www.cdc.gov/nchs/data/series/sr_02/sr02_175.pdf