Screener

Telephone Screening Script
Revision: 2019-10-02
Thank you for your interest in this research study. I will ask you some questions to determine if
your child is eligible for this study. If your child does not participate, we will not keep your
answers to any of these questions.
How old is your child? [Convert to months if given in years]
[require 18 to 71]
Does your child have normal physical development?
[if no concerns expressed, continue..]
Can he/she participate in normal physical activities, such as running and playing on playground
equipment?
[require yes]
In this study, we will ask your child to push and pull very hard with his/her hands and feet, and
climb up on laboratory equipment between 4 and 18 inches above a padded floor. Does that
sound like something your child would be able to do?
[require yes]
Does he/she currently have any illness or injury that would make it difficult for your child to
participate?
[require no]
Is your child able to follow spoken instructions in English at a level appropriate for his/her age?
[require yes]
Are you able to read English well? [require yes, for consent form]
[if no]: We’re need a caregiver who understands English well.
I’ll explain a bit more about the study so you can see if you’re interested.
We are conducting a study for the US Consumer Product Safety Commission to gather data on
child strength and climbing behavior related to furniture tip-over. These data are useful for
ensuring the products for children are safe. We will ask your child to push and pull on handles

while standing and sitting. We will encourage him/her to push or pull as hard as possible,
because we want to record the greatest force they can exert. We will also ask your child to
climb up on a laboratory apparatus between 4 and 18 inches above a padded floor.
During the testing, we will record video of your child. The video is necessary so that we can
understand the postures your child uses when pushing and pulling. We will maintain the
confidentiality of the videos. We will blur your child’s face and any other identifying
characteristics if we share the videos outside the study team.
Do you have any questions?
Are you interested in having your child participate?
Is it OK for us to record video of your child?
[If yes, schedule for consent and installation visit.]