Form 45.1 Survey

Continuation of National Children's Study Vanguard (Pilot) Study Data Collection: Study Visits through 60-Months

FatherPostNatalQuestionnaireChild

Father Post-Natal Interview

OMB: 0925-0593

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OMB #: 0925-0593

OMB Expiration Date: 8/31/2014

Father Post-Natal Questionnaire - Child, Phase 2g

OMB Specification


Father Post-Natal Questionnaire - Child


Event Category:

Trigger-Based

Event:

Post-natal Father

Administration:

9M, 18M

Instrument Target:

Father/Father Figure

Instrument Respondent:

Father/Father Figure

Domain:

Questionnaire

Document Category:

Questionnaire

Method:

Data Collector Administered

Mode (for this instrument*):

In-Person, CAI;
Phone, CAI

OMB Approved Modes:

In-Person, CAI;
Phone CAI;
Web-Based CAI

Estimated Administration Time:

2 minutes

Multiple Child/Sibling Consideration:

Per Event

Special Considerations:

N/A

Version:

1.0

MDES Release:

4.0


*This instrument is OMB-approved for multi-mode administration but this version of the instrument is designed for administration in this/these mode(s) only.


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Father Post-Natal Questionnaire - Child



TABLE OF CONTENTS





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Father Post-Natal Questionnaire - Child



GENERAL PROGRAMMER INSTRUCTIONS:

WHEN PROGRAMMING INSTRUMENTS, VALIDATE FIELD LENGTHS AND TYPES AGAINST THE MDES TO ENSURE DATA COLLECTION RESPONSES DO NOT EXCEED THOSE OF THE MDES. SOME GENERAL ITEM LIMITS USED ARE AS FOLLOWS:


DATA ELEMENT FIELDS

MAXIMUM CHARACTERS PERMITTED

DATA TYPE

PROGRAMMER INSTRUCTIONS

ADDRESS AND EMAIL FIELDS

100

CHARACTER


UNIT AND PHONE FIELDS

10

CHARACTER


_OTH AND COMMENT FIELDS

255

CHARACTER

  • Limit text to 255 characters

FIRST NAME AND LAST NAME

30

CHARACTER

  • Limit text to 30 characters

ALL ID FIELDS

36

CHARACTER


ZIP CODE

5

NUMERIC


ZIP CODE LAST FOUR

4

NUMERIC


CITY

50

CHARACTER


DOB AND ALL OTHER DATE FIELDS (E.G., DT, DATE, ETC.)

10

NUMERIC


CHARACTER



  • DISPLAY AS MM/DD/YYYY

  • STORE AS YYYY-MM-DD

  • HARD EDITS:

MM MUST EQUAL 01 TO 12

DD MUST EQUAL 01 TO 31

YYYY MUST BE BETWEEN 1900 AND CURRENT YEAR.

TIME VARIABLES

TWO-DIGIT HOUR AND TWO-DIGIT MINUTE, AM/PM DESIGNATION

NUMERIC

  • HARD EDITS:

HOURS MUST BE BETWEEN 00 AND 12;

MINUTES MUST BE BETWEEN 00 AND 59


Instrument Guidelines for Participant and Respondent IDs:

PRENATALLY, THE P_ID IN THE MDES HEADER IS THAT OF THE PARTICIPANT (E.G. THE NON-PREGNANT WOMAN, PREGNANT WOMAN, OR THE FATHER).


POSTNATALLY, A RESPONDENT ID WILL BE USED IN ADDITION TO THE PARTICIPANT ID BECAUSE SOMEBODY OTHER THAN THE PARTICIPANT MAY BE COMPLETING THE INTERVIEW. FOR EXAMPLE, THE PARTICIPANT MAY BE THE CHILD AND THE RESPONDENT MAY BE THE MOTHER, FATHER, OR ANOTHER CAREGIVER. THEREFORE, MDES VERSION 2.2 AND ALL FUTURE VERSIONS CONTAIN A R_P_ID (RESPONDENT PARTICIPANT ID) HEADER FIELD FOR EACH POST-BIRTH INSTRUMENT. THIS WILL ALLOW ROCs TO INDICATE WHETHER THE RESPONDENT IS SOMEBODY OTHER THAN THE PARTICIPANT ABOUT WHOM THE QUESTIONS ARE BEING ASKED.



A REMINDER:

ALL RESPONDENTS MUST BE CONSENTED AND HAVE RECORDS IN THE PERSON, PARTICIPANT, PARTICIPANT_CONSENT AND LINK_PERSON_PARTICIPANT TABLES, WHICH CAN BE PRELOADED INTO EACH INSTRUMENT. ADDITIONALLY, IN POST-BIRTH QUESTIONNAIRES WHERE THERE IS THE ABILITY TO LOOP THROUGH A SET OF QUESTIONS FOR MULTIPLE CHILDREN, IT IS IMPORTANT TO CAPTURE AND STORE THE CORRECT CHILD P_ID ALONG WITH THE LOOP INFORMATION. IN THE MDES VARIABLE LABEL/DEFINITION COLUMN, THIS IS INDICATED AS FOLLOWS: EXTERNAL IDENTIFIER: PARTICIPANT ID FOR CHILD DETAIL.





PATERNAL INVOLVEMENT


(TIME_STAMP_PI_ST).


PROGRAMMER INSTRUCTIONS

  • INSERT DATE/TIME STAMP

  • PRELOAD PARTICIPANT ID (P_ID) FOR CHILD AND RESPONDENT ID (R_P_ID) FOR PRIMARY CAREGIVER-IDENTIFIED FATHER.

  • PRELOAD FIRST NAME OF CHILD (C_FNAME) FROM  PARTICIPANT VERIFICATION, SCHEDULING, & TRACING QUESTIONNAIRE (INSTRUMENT_ID = XX) AND DISPLAY APPROPRIATE NAME IN “C_FNAME” THROUGHOUT THE INSTRUMENT.

  • OTHERWISE, IF C_FNAME = -1 OR -2, DISPLAY “the child” IN APPROPRIATE FIELDS THROUGHOUT THE INSTRUMENT.


PI01000. Now I'd like to ask about {C_FNAME/the child}.   


PI02000/(F_CHILD_1HR). In the past month, how often have you spent one or more hours a day with {C_FNAME/the child}?  Have you spent one or more hours a day;  every day or almost every day, a few times a week, a few times a month, once or twice, or never? 


Label

Code

Go To

EVERY DAY OR ALMOST EVERY DAY

1


A FEW TIMES A WEEK

2


A FEW TIMES A MONTH

3


ONCE OR TWICE

4


NEVER

5


REFUSED

-1


DON’T KNOW

-2



SOURCE

Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) Nine-month Non-resident Father Questionnaire (Question 3) 


PI03000. Next I’d like to ask you about different things you may do with {C_FNAME/the child}.  In a typical week, how often do you do the following things with {C_FNAME/the child}? ?Would you say not at all, once or twice, 3 to 6 times, or every day?


SOURCE

New


PI04000/(F_READ). Read books to {C_FNAME/the child}?  


INTERVIEWER INSTRUCTIONS

  • RE-READ STATEMENT (Would you say not at all, once or twice, 3 to 6 times, or every day?) AS NEEDED.


Label

Code

Go To

NOT AT ALL

1


ONCE OR TWICE

2


3 TO 6 TIMES

3


EVERY DAY

4


REFUSED

-1


DON’T KNOW

-2



SOURCE

Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) Nine-month Resident Father Questionnaire (Question 2) 


PI05000/(F_STORIES). Tell stories to {C_FNAME/the child}?  


INTERVIEWER INSTRUCTIONS

  • RE-READ STATEMENT (Would you say not at all, once or twice, 3 to 6 times, or every day?) AS NEEDED.


Label

Code

Go To

NOT AT ALL

1


ONCE OR TWICE

2


3 TO 6 TIMES

3


EVERY DAY

4


REFUSED

-1


DON’T KNOW

-2



SOURCE

Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) Nine-month Resident Father Questionnaire (Question 2) 


PI06000/(F_SONGS). Sing songs with {C_FNAME/the child}?  


INTERVIEWER INSTRUCTIONS

  • RE-READ STATEMENT (Would you say not at all, once or twice, 3 to 6 times, or every day?) AS NEEDED.


Label

Code

Go To

NOT AT ALL

1


ONCE OR TWICE

2


3 TO 6 TIMES

3


EVERY DAY

4


REFUSED

-1


DON’T KNOW

-2



SOURCE

Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) Nine-month Resident Father Questionnaire (Question 2) 


PI07000/(F_ERRANDS). Take {C_FNAME/the child} along while doing errands like going to the post office, the bank, or the store?  


INTERVIEWER INSTRUCTIONS

  • RE-READ STATEMENT (Would you say not at all, once or twice, 3 to 6 times, or every day?) AS NEEDED.


Label

Code

Go To

NOT AT ALL

1


ONCE OR TWICE

2


3 TO 6 TIMES

3


EVERY DAY

4


REFUSED

-1


DON’T KNOW

-2



SOURCE

Early Childhood Longitudinal Study-Birth Cohort (ECLS-B) Nine-month Resident Father Questionnaire (Question 2) 


PI08000. My next question is about your goals for {C_FNAME/the child}’s future.


SOURCE

New introductory text prepared and tested in pilot study telephone interviews to develop NCS Father Follow-Up Telephone Interview (modified) 


PI09000/(SCHOOL_GOAL). How far in school do you want {C_FNAME/the child} to go?  Would you say you want {C_FNAME/the child}...


Label

Code

Go To

To receive less than a high school diploma

1


To graduate from high school

2


To go to vocational, trade, or business school after high school

3


To attend two or more years of college

4


To finish a four- or five-year college degree

5


To earn a Master's degree or equivalent

6


To finish a Ph.D., M.D., or other advanced degree

7


REFUSED

-1


DON’T KNOW

-2



SOURCE

Early Childhood Longitudinal Study-Kindergarten (ECLS-K) 1998-99, Fall Parent Interview Question PIQ 120 (modified)


(TIME_STAMP_PI_ET).


PROGRAMMER INSTRUCTIONS

  • INSERT DATE/TIME STAMP


Public reporting burden for this collection of information is estimated to average 2 minutes 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 this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0593*). Do not return the completed form to this address.

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