Recruitment

NSDUH SUD Module
Cognitive Interview Study
Attachment A – Recruitment Flyers

Adolescent Specific Ads (to be handed out at treatment centers) [English only]
*Ages 12 to 17 Needed for Study*
RTI International, a not-for-profit research organization, is looking for youth aged 12 to 17 to provide input on
survey questions for a national study on alcohol and drug use. We are interested in interviewing youth with a recent
history of alcohol, marijuana, or other drug use. All responses will be kept confidential under federal law. No
medical tests or examinations are involved. Requires about 60-75 minutes. The private interview will be conducted
at our offices in [LOCATION]. Eligible participants who complete the interview will receive $40. Parental
permission required.
To see if you are eligible, call [NAME]:
[NUMBER]
or
1-800-334-8571 ext. [ExTENSION]

Ads for Parents of Adolescent Substance Users (to be handed out at support groups for parents of substance
using children) [English only]
*Ages 12 to 17 Needed for Study*
RTI International, a not-for-profit research organization, is looking for youth aged 12 to 17 to provide input on
questions for a national study on alcohol and drug use. We are interested in interviewing youth with a recent history
of alcohol, marijuana, or other drug use. All responses will be kept confidential under federal law. No medical tests
or examinations are involved. Requires about 60-75 minutes. The private interview will be conducted at our offices
in [LOCATION]. Eligible participants who complete the interview will receive $40.
To see if your child is eligible, call [NAME]:
[NUMBER]
or
1-800-334-8571 ext.
[EXTENSION]
Adult Print/Online Advertisements [English and Spanish]
*Research Opportunity for Qualified Participants* (print)
RTI International, a not-for-profit research organization, is looking for individuals to provide input on questions for
a national study on alcohol and drug use. We are interested in interviewing adults (age 18 and over) with a recent
history of alcohol, marijuana, or other drug use. All responses will be kept confidential under federal law. No
medical tests or examinations are involved. Requires about 60-75 minutes. The private interview will be conducted
at our offices in [LOCATION]. Eligible participants who complete the interview will receive $40.
To see if you are eligible, call [NAME]:
[NUMBER]
or
1-800-334-8571 ext. [EXTENSION]

*Research Opportunity for Qualified Participants* (online)

RTI International, a not-for-profit research organization, is looking for individuals to provide input on questions for
a national study on alcohol use, drug use, and other health-related issues. We are interested in interviewing adults
with a recent history of alcohol, marijuana, or other drug use. All responses will be kept confidential under federal
law. No medical tests or examinations are involved. Requires about 60-75 minutes. The private interview will be
conducted at our offices in [LOCATION]. Eligible participants who complete the interview will receive $40.
To see if you are eligible for the study, please complete this short this short questionnaire at
www.XXXXXXXX.XXX

Adult Radio Ad [English and Spanish]

Have you used marijuana or other drugs in the past year? If not you, do you know someone like this? An
independent, non-profit research institute needs adult participants age 18 or older for a 60 minute survey about the
use of drugs. Each participant will receive $40. Interviews can be conducted at our local office or another location
such as a public library. Confidentiality is guaranteed. This research is for a Department of Health and Human
Services Survey. Please call [NAME] at [NUMBER] for more details and to schedule an appointment. Once again,
that is [NUMBER].

NSDUH SUD Module
Cognitive Interview Study
Attachment B – Web Recruitment Screener

Web Screener (Adult)
INTRO1

The purpose of the study is to get feedback on how easy or difficult different
questions about alcohol and drug use are to answer. These questions will be
presented on a laptop computer. We are doing this research to improve the
questions about past drug and alcohol use in a large national survey, called the
National Survey on Drug Use and Health, which is given to about 70,000 people
every year.
The survey is conducted by RTI International, and is funded by the Substance
Abuse and Mental Health Services Administration or SAMHSA. The interview
will take about 60 minutes and be conducted at RTI International’s office at
[LOCATION] between [DATE] and [DATE]. If you qualify and take part in the
interviews, you will receive $40 cash for completing the interviews.
[CONTINUE]
NOTICE: Public reporting burden for this collection of information is estimated to average 60 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. Send comments
regarding this burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden, to SAMHSA Reports Clearance Officer, Paperwork Reduction Project (0930-0290),
Center for Behavioral Health Statistics and Quality; Room 15E57B; 5600 Fishers Lane, Rockville, MD
20857. 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. The OMB control number for this
project is 0930-0290, expiration date 5/31/20.
Instrument Version: 22.XX

INTRO2

To determine if you are eligible, we must ask you a few questions about your
alcohol and drug use as well as your background. All responses to the survey
will remain confidential. We will not share information you give us with anyone
other than necessary project staff.
If you are eligible for the study, a staff person will call or email you to schedule a
time for the interview.
[CONTINUE]

AGE

What is your age?
1
2
3
4
5

11 or younger [GO TO TERM]
12-17 [GO TO TERM]
18-34
35-54
55 or older

GEO

In what geographic area do you currently live?
1
2
3
4
5
6
7

Raleigh, Durham, Chapel Hill area
Washington, DC metro area
Baltimore, MD metro area
Portland, OR metro area
Houston, TX metro area
Miami, FL metro area
Other [GO TO TERM1]

ALCOHOL This question is about alcoholic beverages, such as beer, wine, brandy, and mixed
drinks. How long has it been since you last drank an alcoholic beverage?
1
2
3
4
5
ALC_AMT

[IF ALCOHOL=2 or 3] On how many days in the past 12 months did you drink
an alcoholic beverage?
1
2
3

MARIJU

I have never used marijuana or hashish
Within the past 30 days
More than 30 days ago but within the past 12 months
More than 12 months ago but with the past 5 years
More than 5 years ago

[IF MARIJU=2 or 3] On how many days in the past 12 months did you use
marijuana or hashish?
1
2
3

OTHERD

1 to 5 days
6 to 10 days
11 or more days

This question is about marijuana or hashish. Marijuana is also called pot or grass.
How long has it been since you last used marijuana or hashish?
1
2
3
4
5

MJ_AMT

I have never had an alcoholic beverage
Within the past 30 days
More than 30 days ago but within the past 12 months
More than 12 months ago but with the past 5 years
More than 5 years ago

1 to 5 days
6 to 10 days
11 or more days

This question is about certain types of illegal drugs. Have you ever used cocaine,
heroin, hallucinogens, or methamphetamine?

1
2

Yes
No

LASTDRUG [IF OTHERD=1] How long has it been since you last used cocaine, heroin,
hallucinogens, or methamphetamine?
1
2
3
4
RX_DRUG

Within the past 30 days
More than 30 days ago but within the past 12 months
More than 12 months ago but with the past 5 years
More than 5 years ago

This question is about using prescription drugs in any way a doctor did not
direct you to use them.
When you answer this question, please think only about your use of the drug in
any way a doctor did not direct you to use it, including:




Using it without a prescription of your own
Using it in greater amounts, more often, or longer than you were told to take it
Using it in any other way a doctor did not direct you to use it

Have you ever, even once, used any prescription drug in any way a doctor did
not direct you to use it?
1
2
LAST_RX

[IF RX_DRUG=1] How long has it been since you last used any prescription
drug in any way a doctor did not direct you to use it?
1
2
3
4

SEX

Within the past 30 days
More than 30 days ago but within the past 12 months
More than 12 months ago but with the past 5 years
More than 5 years ago

Are you male or female?
1
2

EDUC

Yes
No

Male
Female

What is highest grade or year of school you have completed?
1
2
3

High school or less
High school diploma or GED
Some college, but no degree

4
5
6
HISP

Are you of Hispanic, Latino, or Spanish origin?
1
2

RACE

Yes
No

Which of these groups describes you? Select all that apply.
1
2
3
4
5
6

RACE2

Associate’s Degree (for example, A.A., A.S)
Bachelor’s Degree (B.A., B.S.)
Graduate Degree (for example, MA, MS, PhD, JD, MD, DDS)

White
Black or African American
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Asian
Other

[IF RACE=6] Please describe your other race.
______________________________________

LANG

What is your primary language?
1
2
3

LANG2

English
Spanish
Other

[IF LANG=3] What is your primary language?
______________________________________

BLIND

Are you blind or do you have serious difficulty seeing?
1
2

Yes
No

DEAF

Are you deaf or do you have serious difficulty hearing?
1
Yes
2
No

TERM

[IF AGE=1 or 2] Thank you, but you are not eligible to participate in this study.

THANK

Thank you! We will review your responses to see if you are eligible for this study.
If you are eligible to participate in the study and we are still recruiting
participants, we will contact you within 2 weeks to schedule an interview. The
interview will last about 60-75 minutes and you will receive $40 in cash.
Please provide your contact information on the following screens. When we
contact you, we will only say that we are contacting you about a health study for
RTI International.

NAME

Please provide your first name or a nickname.
NAME: _______________________________

EMAIL

Please provide an email address where we can contact you about this study.
__________________________

PHONE

Please provide a phone number where we can contact you about this study.
PHONE 1: _ _ _ - _ _ _ - _ _ _ _
PHONE 2: _ _ _ - _ _ _ - _ _ _ _

WHEN

What is the best time to contact you?
____________________________________________________________
Eligibility Determination

Alcohol users: IF ALC_AMT = 2 or 3
Marijuana users: IF MJ_AMT = 2 or 3
Other drug users: IF (LASTDRUG = 1 or 2) OR (LASTRX = 1 or 2)
IF BLIND=1 OR DEAF=1, CONTACT RESPONDENT TO CONFIRM WHETHER THIS
WILL BE A PROBLEM

NSDUH SUD Module
Cognitive Interview Study
Attachment C – Telephone Recruitment
Screener

Telephone Recruitment
INTRO1

My name is _______ from RTI International. I understand that you're calling
about participation in an upcoming study. Is that correct?
1

FOR ADULTS CALLING FOR ADULT INTERVIEWS, THE RECRUITER
SHOULD DIRECT CALLERS TO THE WEB SCREENER OR LOG ONTO
THE WEB SCREENER AND ADMINISTER THE QUESTIONS TO THE
RESPONDENT. THIS WILL ALLOW THE SCREENING INFORMATION
FOR ALL ADULTS TO BE STORED IN THE SAME PLACE.

2

FOR ADULTS CALLING FOR CHLD, GO TO AVAIL2 ON PAGE 2

3

FOR ADOLESCENT CALLING FOR SELF, CONTINUE WITH
QUESTIONS BELOW.

4

OTHER/UNKNOWN, CONTINUE WITH QUESTIONS BELOW

Let me ask you a few questions about you to see if you are eligible.
AGE

What is your age?
1
2
3
4
5

PARENT

11 OR YOUNGER [GO TO TERM1]
12-17
18-34 [ADMINISTER WEB SCREENER]
35-54 [ADMINISTER WEB SCREENER]
55 OR OLDER [ADMINISTERWEB SCREENER]

Since you are under 18, I will need to talk with a parent or guardian and ask them
if it is okay for you to participate. I will describe the study to your parent or
guardian, including the types of questions that we will ask and what you will need
to do to participate. Your parent or guardian will need to tell us if it is okay for
you to participate in the study.
May I speak with your parent or guardian now to ask if it is okay for you to
participate?
1
2
3

NOAVAIL

YES – GO TO AVAIL
NO, PARENT IS NOT AVAILABLE – GO TO NOAVAIL
NO, REFUSE – CONCLUDE THE CALL

When would be a good time for me to call back to talk with them? And what
phone number should I call?
______________________________________________________________

1

Thank you. If I can't get in touch with your (parent/guardian), I may need to leave
a message for them to call me back. If that happens, I will only say that I'm
calling about a health study, and will not tell anything more about the study until I
have them on the phone. Likewise, when I call you back, if I can't get in touch
with you, I may need to leave a message, but I'll only say that I'm calling about a
health study. We won't ask you anything further for the study until I have a
chance to talk with a (parent/guardian). CONCLUDE CALL.
IF PARENT IS AVAILABLE
AVAIL

Your child responded to an advertisement we placed for research participants
between the ages of 12 and 17.

AVAIL2

This study will help us see how well young people understand survey questions
about alcohol and drug use. We would like to talk with you further about your
child’s participation in this study. [IF SPEAKER IS NOT PARENT, VERIFY
THEY ARE THE LEGAL GUARDIAN.]
The purpose of the study is to get feedback on how easy or difficult different
questions about alcohol and drug use are to answer. These questions will be
presented on a laptop computer. I will also ask follow-up questions about some of
the survey questions. For example, I might ask, “How did you come up with your
answer to that question?” There are no right or wrong answers to the questions I
ask. Our main goal is to make sure that the questions make sense and that people
can answer them easily.
We are doing this research to improve the questions about past drug and alcohol
use in a large national survey, called the National Survey on Drug Use and
Health, which is given to about 70,000 people every year.
The survey is conducted by RTI International and is funded by the
Substance Abuse and Mental Health Services Administration or
SAMHSA.
The interview will take about 60-75 minutes and be conducted between
[DATE] and [DATE] at [LOCATION]. If your child qualifies and takes
part in the interview, [he/she] will receive $40 cash for completing the
interview. Since your child is under 18, he or she must be accompanied to
the interview by a parent or guardian who can provide permission for the
child to complete the interview in person.
Are you and your child interested in participating?
1

YES [CONTINUE]

2

2

NO [Since you or your child are unable to participate, we cannot
interview your child for this study either. Thank you for your time
and interest. CONCLUDE THE CALL.]

OK, great! I just need to ask your child a few additional questions to
determine if your child is eligible to participate.

3

ASK REMAINING QUESTIONS OF CHILD
GEO

In what city do you live?
1
2
3
4
5
6
7

ALC_AMT

This question is about alcoholic beverages, such as beer, wine, brandy, and mixed
drinks. On how many days in the past 12 months did you drink an alcoholic
beverage? Was it …
0
1
2
3

MJ_AMT

0 days
1 to 5 days
6 to 10 days, or
11 or more days

This question is about marijuana or cannabis products, such as pot, weed, hashish
and concentrates. On how many days in the past 12 months did you have
marijuana or cannabis products? Was it …
0
1
2
3

OTHERD

RALEIGH, DURHAM, CHAPEL HILL AREA
WASHINGTON, DC METRO AREA
PORTLAND, OR METRO AREA
BALTIMORE, MD METRO AREA
HOUSTON, TX METRO AREA
MIAMI, FL METRO AREA
OTHER [GO TO TERM1]

0 days
1 to 5 days
6 to 10 days, or
11 or more days

This question is about certain types of illegal drugs. Have you ever used cocaine,
heroin, hallucinogens, or methamphetamine?
1
2

YES
NO

LASTDRUG [IF OTHERD=1] How long has it been since you last used cocaine, heroin,
hallucinogens, or methamphetamine? Has it been….
1
2
3
4

Within the past 30 days
More than 30 days ago but within the past 12 months
More than 12 months ago but with the past 5 years, or
More than 5 years ago

4

TRTMT

Have you received treatment for alcohol, drugs, or alcohol and drug use in the
past 12 months?
1
2
3
4

HISP

Are you of Hispanic, Latino, or Spanish origin?
1
2

RACE

YES
NO

Which of these groups describes you? You may select all that apply.
1
2
3
4
5
6

RACE2

YES, ALCOHOL
YES, DRUGS
YES, ALCOHOL AND DRUGS
NO

White
Black or African American
American Indian or Alaska Native
Native Hawaiian or Pacific Islander
Asian
Other

[IF RACE=6] Please describe your other race.
______________________________________

Gender

[CONFIRM VERBALLY IF NEEDED]
1
2

LANG

Is your primary language English, Spanish, or another language?
1
2
3

LANG2

MALE
FEMALE

ENGLISH
SPANISH
OTHER

[IF LANG=3] What is your primary language?
______________________________________

BLIND

Are you blind or do you have serious difficulty seeing?

5

1
2
TERM1

YES
NO

[IF AGE=1 OR (ALC_AMT=0 AND MJ_AMT=0 AND LASTDRUG>2) OR
BLIND=1] Thank you, but you are not eligible to participate in this study.
CONCLUDE THE CALL.

THANK

[IF ELIGIBLE AND RECRUITING] Thank you! You are eligible to participate
in the study. The interview will last about 60-75 minutes in total. You will be
asked to answer questions about alcohol and drug use. The interviewer will ask
how well you understand the questions in the interview. If you take part in the
interview, you will receive $40 cash. The interviews will be held at
[LOCATION]. Since you are under 18, you must be accompanied to the interview
by a parent or guardian who can provide permission for you to complete the
interview in person. If your parent or guardian does not come with you, you will
not be able to participate and you will not receive the $40.
Are you interested in participating? Do you have any questions for me?
ANSWER QUESTIONS, COLLECT CONTACT INFORMATION, AND
SCHEDULE A TIME FOR INTERVIEW.

WAITLIST [IF ELIGIBLE BUT NOT RECRUITING] ASK IF THEY ARE WILLING TO
BE ON WAIT LIST. COLLECT CONTACT INFO.

6