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pdf2020 NSDUH Redesign Field Test
Attachment FT-14 – Showcard Booklet
2020 National Survey on
Drug Use and Health
SHOWCARD BOOKLET
RTI INTERNATIONAL
v. FT 7.20
RTI Telephone Numbers
Technical Support: (877) 419-1768
Employee Relations Specialist (Headway): (800) 208-7043
To reach other RTI staff, call [FT TOLL FREE NUMBER] then ask
the operator for the employee with whom you wish to speak.
Website Addresses
NSDUH ................... https://nsduh.rti.org
RTI ......................... http://www.rti.org
SAMHSA ................. http://www.samhsa.gov
Interview Troubleshooting Guide
To suppress a Hard Error involving two questions:
• Read the message box carefully.
–
–
–
If the first question listed is the one to be changed, press [Enter].
If the second question listed is the one to be changed, press the down arrow to
highlight the second question, then press [Enter].
In the rare event that neither question needs to be changed and the data entered
are correct, press [Tab] until the Suppress box is highlighted and press [Enter],
then provide an explanation for why the error was suppressed.
To edit a lengthy response:
•
With the cursor in the answer field, press the Insert key [Insert]. Use the arrow keys to
move to the precise place within the answer field to edit or add to existing text. If
necessary, record additional text in a comment box, by pressing [F8].
To correct range errors:
•
•
•
For numerical questions, read the box carefully, making note of the expected range, if
provided in the message. Press [Enter] to clear the error, then type a new answer
within range.
For pre-coded questions, read the message box carefully, then press [Enter] to clear
the error. Type a new answer that corresponds with a pre-coded answer choice on the
screen.
For multiple choice questions (Code All That Apply), read the message box carefully,
then press [Enter] to clear the error. Type a new answer that corresponds with a
pre-coded answer choice on the screen.
To correct date errors:
•
Review the instructions on the screen to determine the date format for the question.
For “MM-DD-YYYY” format, the date must be entered with a 2-digit month and day and
4-digit year. For “MM-YYYY” format, the date must be entered with a 2-digit month and
4-digit year. Do not enter dashes or spaces—just the number including any leading
zeros for month or day.
If an R needs assistance with an ACASI question, provide the corresponding steps above
for the problem they are having. Take care not to view the screen while assisting the R, to
ensure the confidentiality of their answers. For additional details on entering CAI responses
and troubleshooting error messages, refer to Chapter 5 in your FI Computer Manual.
INTRODUCTION AND INFORMED CONSENT FOR
INTERVIEW RESPONDENTS AGE 18+
INTRODUCE YOURSELF AND STUDY AS NECESSARY: Hello, I’m ________,
and I’m working on a nationwide study sponsored by the U.S. Department of
Health and Human Services. You should have received a letter about this study.
(SHOW LEAD LETTER, IF NECESSARY.)
READ THE BOXED INFORMATION BELOW
BEFORE STARTING EVERY INTERVIEW
This year, we are interviewing about 70,000 people across the nation. You have
been randomly chosen to take part. You may choose not to take part in this study,
but no one else can take your place. We will give you <$30/$50> when you finish the
interview.
GIVE STUDY DESCRIPTION TO R IF YOU HAVE NOT ALREADY DONE SO.
This study asks about tobacco, alcohol, and drug use or non-use, knowledge and
attitudes about drugs, mental health, and other health issues. It takes about an
hour. You will answer most of the questions on the computer, so I will not see your
answers. We are only interested in the combined responses from all study
participants, not just one person’s answers. This is why we do not ask for your
name and we keep your answers separate from your address. RTI may contact you
by phone or mail to ask a few questions about the quality of my work. This is why
we ask for your phone number and current address at the end of the interview.
While the interview has some personal questions, federal law keeps your answers
private. We hope that protecting your privacy will help you to give accurate
answers. You can quit the interview at any time and you can refuse to answer any
questions.
If it is all right with you, let’s get started.
(Can we find a private place to complete the interview?)
INTRODUCTION AND INFORMED CONSENT FOR
INTERVIEW RESPONDENTS AGE 12-17
READ THE SCRIPT BELOW AND OBTAIN PERMISSION FROM THE PARENT/GUARDIAN
Your (AGE) year-old child has been selected to be in this study. Your child’s participation is
voluntary. This interview asks about tobacco, alcohol, and drug use or non-use, knowledge
and attitudes about drugs, mental health, and other health related issues. All of your child’s
answers will be confidential and used only for statistical purposes. Since your child will answer
most of the questions on the computer, I will never see the answers, and you are not allowed
to see them either. If it is all right with you, we’ll get started.
(Can we find a private place to complete the interview?)
ONCE PARENTAL PERMISSION HAS BEEN GIVEN, CONFIRM THE PARENT/GUARDIAN OR
ANOTHER ADULT WILL BE PRESENT FOR THE DURATION OF THE INTERVIEW
THEN, READ THE BOXED INFORMATION BELOW BEFORE STARTING EVERY INTERVIEW
WITH A 12-17 YEAR OLD
This year, we are interviewing about 70,000 people across the nation. You have been
randomly chosen to take part. You may choose not to take part in this study, but no one else
can take your place. We will give you <$30/$50> when you finish the interview.
GIVE STUDY DESCRIPTION TO R IF YOU HAVE NOT ALREADY DONE SO.
This study asks about tobacco, alcohol, and drug use or non-use, knowledge and attitudes
about drugs, mental health, and other health issues. It takes about an hour. You will answer
most of the questions on the computer, so I will not see your answers. Your answers will
never be seen by either your parents or your school. We are only interested in the combined
responses from all study participants, not just one person’s answers. This is why we do not
ask for your name and we keep your answers separate from your address. RTI may contact
you by phone or mail to ask a few questions about the quality of my work. This is why we ask
for your phone number and current address at the end of the interview.
While the interview has some personal questions, federal law keeps your answers private.
We hope that protecting your privacy will help you to give accurate answers. You can quit the
interview at any time and you can refuse to answer any questions.
If it is all right with you, let’s get started.
SHOWCARD 1
1
MEXICAN, MEXICAN AMERICAN, MEXICANO
OR CHICANO
2
PUERTO RICAN
3
CENTRAL OR SOUTH AMERICAN
4
CUBAN OR CUBAN AMERICAN
5
DOMINICAN (FROM DOMINICAN REPUBLIC)
6
SPANISH (FROM SPAIN)
SHOWCARD 2
1
WHITE
2
BLACK OR AFRICAN AMERICAN
3
AMERICAN INDIAN OR ALASKA NATIVE
(AMERICAN INDIAN INCLUDES NORTH
AMERICAN, CENTRAL AMERICAN, AND SOUTH
AMERICAN INDIANS)
4
NATIVE HAWAIIAN
5
GUAMANIAN OR CHAMORRO
6
SAMOAN
7
OTHER PACIFIC ISLANDER
8
ASIAN (INCLUDING: ASIAN INDIAN, CHINESE,
FILIPINO, JAPANESE, KOREAN, AND
VIETNAMESE)
SHOWCARD 3
1
ASIAN INDIAN
2
CHINESE
3
FILIPINO
4
JAPANESE
5
KOREAN
6
VIETNAMESE
SHOWCARD 4
1
SEPTEMBER 2001 OR LATER
2
AUGUST 1990 TO AUGUST 2001 (INCLUDING
PERSIAN GULF WAR)
3
MAY 1975 TO JULY 1990
4
VIETNAM ERA (MARCH 1961 TO APRIL 1975)
5
FEBRUARY 1955 TO FEBRUARY 1961
6
KOREAN WAR (JULY 1950 TO JANUARY 1955)
7
JANUARY 1947 TO JUNE 1950
8
WORLD WAR II (DECEMBER 1941 TO DECEMBER
1946)
9
NOVEMBER 1941 OR EARLIER
SHOWCARD 5
1
ARMY, ARMY RESERVE, OR ARMY NATIONAL
GUARD
2
AIR FORCE, AIR FORCE RESERVE, OR AIR
NATIONAL GUARD
3
NAVY OR NAVY RESERVE
4
MARINE CORPS OR MARINE CORPS RESERVE
5
COAST GUARD OR COAST GUARD RESERVE
SHOWCARD 6
NO SCHOOLING COMPLETED
0
No schooling completed
GRADE 1 THROUGH GRADE 12
1
Completed 1st grade
2
Completed 2nd grade
3
Completed 3rd grade
4
Completed 4th grade
5
Completed 5th grade
6
Completed 6th grade
7
Completed 7th grade
8
Completed 8th grade
9
Completed 9th grade
10
Completed 10th grade
11
Completed 11th grade
12
12th grade - NO DIPLOMA
HIGH SCOOL GRADUATE OR GED
13
Regular high school diploma
14
GED certificate of high school completion
COLLEGE OR SOME COLLEGE
15 Some college credit, but no degree
16 Associate’s degree (AA, AS)
17 Bachelor’s degree (BA, BS)
AFTER BACHELOR’S DEGREE
18
Master’s degree (MA, MS, MEng, M.Ed, MSW, MBA)
19
Doctorate degree (PhD, EdD)
20
Professional degree beyond a bachelor’s degree
(MD, DDS, DVM, LLB, JD)
SHOWCARD 7
1
SELF
2
HUSBAND
3
SON (INCLUDES STEP, FOSTER, ADOPTIVE)
4
SON-IN-LAW
5
BROTHER (INCLUDES HALF, STEP, FOSTER,
ADOPTIVE)
6
BROTHER-IN-LAW
7
FATHER (INCLUDES STEP, FOSTER,
ADOPTIVE)
8
FATHER-IN-LAW
9
UNCLE
10
NEPHEW
11
GRANDFATHER
12
GRANDSON
13
COUSIN
14
EX-HUSBAND
15
UNMARRIED PARTNER
16
HOUSEMATE OR ROOMMATE
17
TENANT, BOARDER, OR EXCHANGE STUDENT
18
OTHER RELATIVE
19
OTHER NON-RELATIVE
SHOWCARD 8
1
SELF
2
WIFE
3
DAUGHTER (INCLUDES STEP, FOSTER,
ADOPTIVE)
4
DAUGHTER-IN-LAW
5
SISTER (INCLUDES HALF, STEP, FOSTER,
ADOPTIVE)
6
SISTER-IN-LAW
7
MOTHER (INCLUDES STEP, FOSTER,
ADOPTIVE)
8
MOTHER-IN-LAW
9
AUNT
10
NIECE
11
GRANDMOTHER
12
GRANDDAUGHTER
13
COUSIN
14
EX-WIFE
15
UNMARRIED PARTNER
16
HOUSEMATE OR ROOMMATE
17
TENANT, BOARDER, OR EXCHANGE STUDENT
18
OTHER RELATIVE
19
OTHER NON-RELATIVE
SHOWCARD 9
1
PERSON IN FAMILY WITH HEALTH INSURANCE LOST
JOB OR CHANGED EMPLOYERS
2
LOST MEDICAID OR MEDICAL ASSISTANCE
COVERAGE BECAUSE OF NEW JOB OR INCREASE IN
INCOME
3
LOST MEDICAID OR MEDICAL ASSISTANCE
COVERAGE FOR SOME OTHER REASON
4
COST IS TOO HIGH / CAN’T AFFORD PREMIUMS
5
BECAME INELIGIBLE BECAUSE OF AGE OR
LEAVING SCHOOL
6
EMPLOYER DOES NOT OFFER COVERAGE, OR
NOT ELIGIBLE FOR COVERAGE
7
GOT DIVORCED OR SEPARATED FROM PERSON
WITH INSURANCE
8
DEATH OF SPOUSE OR PARENT
9
INSURANCE COMPANY REFUSED COVERAGE
10
DON’T NEED IT
11
RECEIVED MEDICAID OR MEDICAL INSURANCE
ONLY WHILE PREGNANT
SHOWCARD 10
1
COST IS TOO HIGH / CAN’T AFFORD PREMIUMS
2
EMPLOYER DOES NOT OFFER COVERAGE, OR
NOT ELIGIBLE FOR COVERAGE
3
INSURANCE COMPANY REFUSED COVERAGE
4
DON’T NEED IT
SHOWCARD 11
INCOME EARNED AT A JOB OR BUSINESS
RETIREMENT, DISABILITY, OR SURVIVOR PENSION
UNEMPLOYMENT OR WORKER’S COMPENSATION
VETERAN’S ADMINISTRATION PAYMENTS
CHILD SUPPORT
ALIMONY
INTEREST INCOME
DIVIDENDS FROM STOCKS OR MUTUAL FUNDS
INCOME FROM RENTAL PROPERTIES, ROYALTIES,
ESTATES OR TRUSTS
SHOWCARD 12
1
LESS THAN $1,000
2
$1,000 - $1,999
3
$2,000 - $2,999
4
$3,000 - $3,999
5
$4,000 - $4,999
6
$5,000 - $5,999
7
$6,000 - $6,999
8
$7,000 - $7,999
9
$8,000 - $8,999
10
$9,000 - $9,999
11
$10,000 - $10,999
12
$11,000 - $11,999
13
$12,000 - $12,999
14
$13,000 - $13,999
15
$14,000 - $14,999
16
$15,000 - $15,999
17
$16,000 - $16,999
18
$17,000 - $17,999
19
$18,000 - $18,999
20
$19,000 - $19,999
SHOWCARD 13
21
$20,000 - $24,999
22
$25,000 - $29,999
23
$30,000 - $34,999
24
$35,000 - $39,999
25
$40,000 - $44,999
26
$45,000 - $49,999
27
$50,000 - $74,999
28
$75,000 - $99,999
29
$100,000 - $149,999
30
$150,000 OR MORE
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Quick Reference Guide
In the CAI Manager, if you want to:
CLICK
Start an interview ....................................................................................... Start CAI
Cancel the start of an interview .......................................................................Cancel
Resume (re-start) an interview .................................................................. Start CAI
Transmit data to RTI ..................................................................Transmit to RTI, Yes
List the cases by Descending Order (by date, most recent first) ............. Descending
List the cases in Ascending Order (by date, oldest first)............................ Ascending
Hide previous quarters’ interviews ..................................................................... Hide
Exit CAI Manager ................................................................................................. Exit
To begin a CAI Interview:
Enter QuestID from tablet for selected sample member. Double check!
In the Interview, if you need to:
Break off an interview............................................................................ [Alt] [F], [X]
Enter Don’t Know ................................................................................................ [F3]
Enter Refused ..................................................................................................... [F4]
Return to the first screen .................................................................................... [F5]
Return to the first unanswered question ............................................................ [F6]
Enter a comment ................................................................................................. [F8]
Save a comment............................................................................................ [Alt] [S]
Back up one screen ............................................................................................. [F9]
Replay audio ..................................................................................................... [F10]
Edit a lengthy text field ................................................................................. [Insert]
Return the focus to the CAI window ......................................................... [Alt] [Tab]
| File Type | application/pdf |
| Author | gmchenry |
| File Modified | 2019-09-09 |
| File Created | 2019-09-09 |