1 Interview Script

OMB # 0925-0334

Exp: 09-30-2007

TELEPHONE SCRIPT FOR RELATIVE OF DECEASED PARTICIPANT

(Out-of-Hospital Deaths)

^{Public reporting burden for this collection of information is estimated to average 1 minute 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 burden, to: NIH, Projects Clearance Office, 6701 Rockledge Drive, MSC 7730, Bethesda, MD 20892-7730, ATTN: PRA OMB No. 0925-0334. .}

Hello. This is ________________ from the Cardiovascular Health Study at the University of Pittsburgh. May I please speak to ________________________ .

If informant is already speaking, proceed.

If informant comes to telephone, reintroduce yourself.

If informant is not available, find out a good time to call

back and call then.

If informant is no longer at that number, try to find out

how to reach informant.

If the relative is a participant in CHS (or lived with the decedent):

I am calling from the CHS study in which you and <name of

decedent> have been participants (in which <name of

decedent> was a participant). We were sorry to learn of

his/her death.

Would you be willing to answer a short questionnaire? What would be a good day and time for us to visit you?

DATE: / / TIME: : am/pm

(Pause. Allow informant to respond if he/she wants to. It may be necessary to reschedule the interview. Informant may refuse interview at this point. If so, pursue this interview no further. Ask whether informant can recommend someone else who would be willing to talk.)

If the relative is not a cohort member and did not live with the decedent:

Let me explain why I am telephoning. Heart

disease has been so widespread in the United States that the

National Institutes of Health is conducting a study to look

at its causes and treatment. I understand from our records

that <name of decedent>, a participant in this study, died in

(month and year). I would like to talk to you about him/her.

<name of decedent> gave us his/her consent

to contact a family relative if we needed additional medical

information. The events surrounding <name of decedent>'s

death may provide clues which will help in the fight against

heart disease. Would you be willing to answer a short questionnaire?

What would be a good day and time for us to call you back?

DATE: / / TIME: : am/pm

(Pause. Allow informant to respond if he/she wants to. It may be necessary to reschedule the interview. Informant may refuse interview at this point. If so, pursue this interview no further. Ask whether informant can recommend someone else who would be willing to talk to you..