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2003 NSDUH Field Interviewer Manual

1. INTRODUCTION TO THE STUDY

 

You have been selected as a Field Interviewer (FI) for the National Survey on Drug Use and Health (NSDUH). The project staff welcomes you to the team for this important study and hopes you will find your responsibilities challenging, interesting, and enjoyable. We at Research Triangle Institute (RTI) look forward to working with you and appreciate the commitment and skill you bring to the project.

1.1 Research Triangle Institute (RTI)

Research Triangle Institute is a not–for–profit contract research organization, dedicated to conducting innovative, objective, multidisciplinary research that improves the human condition. RTI is active in health and medicine, environmental protection, technology commercialization, education, and decision support systems. Universities in North Carolina founded RTI in 1958 as the first scientific organization in and centerpiece of the Research Triangle Park, a science park located between the cities of Raleigh, Durham, and Chapel Hill, North Carolina. RTI occupies over 725,000 square feet of laboratory and office facilities and employs a worldwide, full–time staff of over 1,950 individuals. Current research volume is approximately $265 million annually.

RTI research is performed both in the United States and abroad under contract with federal, state, and local governments; public service agencies; and private–sector clients. In keeping with RTI's vision of becoming the world's premier independent research institute, the legal name has been changed to RTI International.1 For survey work here in the United States, we continue to use both Research Triangle Institute and RTI because of positive respondent associations and name recognition.

1.2 Project Organization

You are one of approximately 800 Field Interviewers conducting interviews for the NSDUH. The field staff include the following positions:

Other field staff include Traveling Field Interviewers (TFIs) and a variety of assistant positions at all supervisory levels. All FIs and FSs are employees of Headway Corporate Staffing Services, a subcontractor of RTI.

The chart in Exhibit 1.1 illustrates the data collection management structure for the project as of January 2003. There are two ways to interpret this chart: as presented, the flow from director to interviewer illustrates the necessary communication and support for the overall direction of the project. When viewed from interviewer to director, we see the flow of actual information from the respondents, which is the all–important data to be gathered. You, as an interviewer, are the direct and vital link in the flow of information. Please know that your efforts are critical and very much appreciated!

 

Exhibit 1.1 Data Collection Management Structure

 

1.3 Study Background

1.3.1 Brief History of NSDUH

The National Survey on Drug Use and Health is currently an annual nationwide survey funded by the Substance Abuse and Mental Health Services Administration (SAMHSA), an agency of the United States Public Health Service, part of the Department of Health and Human Services. These goals have been established for the NSDUH:

First conducted in 1971, this study has become the nation's leading source of information on substance use patterns and behaviors. Early on, the study was conducted at various intervals, settling into a pattern of about every two years. The demand for current, accurate information rose sharply by the early 1990s, prompting SAMHSA to conduct the survey annually starting in 1990. In 1992, the design shifted to a quarterly design where one fourth of the cases for the year are contacted and interviewed in each calendar quarter. Beginning in 1999, the sample design was expanded to allow for the reporting of drug use estimates for each of the 50 states and the District of Columbia. Beginning in 2002, the survey name was changed from the National Household Survey on Drug Abuse (NHSDA) to the National Survey on Drug Use and Health (NSDUH). The name was changed to more accurately reflect the survey's interest in the effects of drug use on users' mental health and overall health. Eliminating the term "abuse" from the title also projects a more positive, inclusive tone since researchers need to know the experiences of users and non–users, not just those who might abuse drugs.

Research Triangle Institute has conducted the study since 1988. With each iteration, RTI has revised or implemented new procedures designed to simplify and enhance the data collection process while maintaining the highest level of data quality. Through 1998, data were collected entirely with paper documents, referred to as paper and pencil interviewing (PAPI). With PAPI, the interviewer asked questions and recorded answers in a paper questionnaire, while the answers to more sensitive questions were recorded by the respondent on individual answer sheets. With the development of powerful, yet lightweight, laptop and handheld computers, the entire study was converted to an electronic data collection process.

This conversion occurred over several years, with RTI conducting several field studies to fully test the procedures and equipment. By analyzing data from these tests and listening to suggestions from the field staff involved, the computer programmers and management staff were able to further enhance and refine the computer programs and procedures prior to the full–scale implementation for the 1999 survey. In the years since the full–scale implementation, we have continued to make adjustments to improve the electronic data collection process.

1.3.2 Current Design for NSDUH

The entire NSDUH data collection process is conducted electronically. All screenings—which determine whom, if anyone, to interview in the household—are completed using a small handheld computer called an Apple Newton MessagePad 2100. Selected respondents are interviewed using CAI on a Gateway laptop computer. Portions of the interview are conducted via computer–assisted personal interviewing (CAPI) where the interviewer asks the questions and records the answers in the computer. The sensitive questions are completed using audio computer–assisted self–interviewing (ACASI), where the respondents listen to the questions and enter their own responses. With ACASI, even you, the interviewer, will not know the responses to these personal questions. Studies repeatedly show that maximizing privacy helps encourage honest, accurate answers and produces high quality data.

For this year's NSDUH, the national sample is designed to yield about 17,500 completed interviews per quarter, for a total of about 70,000 interviews. Data collection continues to take place in all 50 states and Washington, D.C.

1.4 Data Collection Schedule

With the project's quarterly design, separate groups of households are selected and assigned to a specific quarter of the calendar year. This design requires that all screening and interviewing (S/I) activities associated with the selected households be completed by the end of each quarter. IT IS CRITICAL THAT THESE QUARTERLY DEADLINES BE MET. There is no room for extension of the deadlines at the end of quarterly data collection periods. The following are key dates in the quarterly data collection project schedule:

Conduct Screening and Interviewing Start Date Completion Goal
Quarter 1
Quarter 2
Quarter 3
Quarter 4
January 7
April 1
July 1
October 1
February 28
May 31
August 31
November 30
Clean–Up and Reporting Start Date Final Date
Quarter 1
Quarter 2
Quarter 3
Quarter 4
March 1
June 1
September 1
December 1
March 31
June 30
September 30
December 31

Notice that you are to complete most cases within the first eight to nine weeks of each quarter, then use the last few weeks of the quarter for reviewing, verifying, and completing miscellaneous cases. The majority of S/I should be completed prior to these clean–up dates, leaving only a minimum number of cases to be resolved. In some areas, it is possible that only a few FIs will be involved in these clean–up phases. This may result in a cycle where some FIs will work for two months and then have a month with little or no work. It is also possible, however, that completing your assignments early will allow you to assist during the clean–up period in your area or even in other areas if you are interested and available to travel. Exhibit 1.2, the Quarterly Data Collection Schedule, provides a more detailed timetable of the quarterly data collection periods for this study. Please review this schedule CAREFULLY.

At the conclusion of each data collection quarter, data summaries can be produced for the government based on that quarter's processed data. Therefore, it is essential that segment work be completed within the assigned quarter; completed screenings and interviews received after the end of the quarter cannot be used. The late data are discarded, and you do not receive "credit" for these cases. These quarterly deadlines can be achieved with careful planning, diligent work, and follow through with your commitment to the project. Your FS is available to assist you with your work plan, modifying it as necessary as the quarter evolves.

 

Exhibit 1.2 Quarterly Data Collection Schedule

 

1.5 Project Abbreviations and Terminology

Throughout this manual, and in other project materials, abbreviations are used. As a general aid for you, a list of these abbreviations is provided in Exhibit 1.3. Some of the abbreviations and terms used in this manual have exact meanings or refer to specific project materials. These terms are briefly explained in Exhibit 1.4, in alphabetical order. Details regarding the use of the terms are located throughout the manual. Be familiar with these terms and use them consistently in your communications with your fellow interviewers and your supervisor.

1.6 Use of Manual

This procedural manual provides a detailed description of the tasks you will be required to complete for all aspects of the NSDUH. Additionally, a separate FI Computer Manual describes the actual computers, their use, and proper care.

This manual is an excellent reference source. When searching for information, think about where the topic fits in the flow of work. Consult the detailed Table of Contents and the List of Exhibits. Using the key words shown there will help you narrow down your search. Also included for your use is an index which lists broad topics that are discussed in several chapters.

Adherence to prescribed procedures and duties is extremely important to the success of the study. The manual, including all supplements, should be carefully studied before you attend your classroom training (either a New–to–Project session or the annual Veteran session), as you prepare for fieldwork, and throughout data collection each quarter.

You may, however, have questions or encounter field situations for which you do not find an answer in this manual. When in doubt about any field situation, contact your FS. If he/she is unavailable and you need an answer immediately, contact the appropriate RS. Names and contact information will be provided at training. Telephone numbers for all Regional Supervisors and other project management staff are listed in Exhibit 1.5.

 

Exhibit 1.3 List of Abbreviations


ACASI Audio Computer–Assisted Self–Interviewing
ADDED DU Added Dwelling Unit
CAI Computer–Assisted Interviewing
CAPI Computer–Assisted Personal Interviewing
Case ID Case Identification Number
C/L Counting/Listing
DHHS U.S. Department of Health and Human Services
DU Dwelling Unit
E–mail Electronic Mail
ePTE Electronic Production, Time, and Expense Report
FI Field Interviewer
FS Field Supervisor
GQU Group Quarters Unit
HH Household
HU Housing Unit
ID Identification
INS Immigration and Naturalization Services
NHSDA National Household Survey on Drug Abuse (past name)
NSDUH National Survey on Drug Use and Health (current name)
OAS Office of Applied Studies (the SAMHSA office in charge of NSDUH)
PAPI Paper and Pencil Interviewing
PHS Public Health Service
PT&E Production, Time, and Expense Report
Q&A Question and Answer Brochure
QuestID Questionnaire ID
R Respondent
RD Regional Director
ROC Record of Calls
RS Regional Supervisor
RTI Research Triangle Institute
SAMHSA Substance Abuse and Mental Health Services Administration
SAMS Survey Automated Mapping System
S/I Screening/Interviewing
SDU Sample Dwelling Unit
SR Screening Respondent
TFI Traveling Field Interviewer
VerifID Verification ID

 

Exhibit 1.4 Definitions of Project Terminology

Added DU
a DU discovered in connection with an SDU which was not included on the original List of Dwelling Units in a segment, but should have been.

Audio Computer–Assisted Self–Interviewing (ACASI)
a type of computer–assisted interviewing used to collect information from selected respondents for questions of a sensitive or personal nature. Respondents listen through headphones as the questions are read from computer audio files and enter the answers themselves directly into the computer.

CAI Manager
computer software program on the laptop computer developed by RTI programmers for management of questionnaire data and several interviewer administrative tasks.

Case Identification (Case ID)
a ten–character code that starts with the state abbreviation and uniquely identifies a dwelling unit selected for the study.

Case Management
a broad term used to describe the process of organizing, keeping track of and completing your work in a timely fashion.

Computer–Assisted Interviewing (CAI)
a generic term used to indicate that a computer is used during the interview. It includes CAPI and ACASI (see definitions).

Computer–Assisted Personal Interviewing (CAPI)
using a computer, the FI reads the questions displayed on the computer screen to the respondent, then enters the response directly into the computer.

Consent
agreement to participate in a research study given by an adult or by a parent or guardian for his/her child. Giving consent indicates that he/she understands the meaning of, and has agreed to participate in, the study. The consent process used in any research project must be approved by a Human Subject's Committee or Institutional Review Board. Before interviewing a minor, you must have parental consent unless the youth is an emancipated minor (see definition).

Counting and Listing (C/L)
the process of creating a list of all the dwelling units contained within a segment (a specified land area). This phase has already been completed.

Dwelling Unit
a place where a person or persons could reside. This general term refers to both housing units and group quarters units (see definitions).

E–Mail
through the one–way electronic messaging program on the Gateway, FIs can receive e–mail messages from supervisors and project management.

Electronic Production, Time, and Expense Report (ePTE)
FIs maintain an accurate record of daily production, time and expenses while working on this study and enter their information into the ePTE system on the Gateway. Payments for hours worked and reimbursement of expenses are based on the information submitted through the ePTE system. (In case of computer problems, paper PT&E forms are available as a backup).

Emancipated Minor
a person under the age of 18 who is living on his/her own; that is, not as a dependent of parents or a guardian.

FormLogic
the software program used by RTI programmers to develop the Newton screening program.

Gateway (Gateway Solo 5100/5150 Multimedia Notebook)
a laptop computer used for administering NSDUH interviews and collecting data.

Group Quarters Structure
generally, any single structure in which ten or more unrelated persons reside; also these persons must live and eat together, not separately. Examples include a college dormitory, a homeless shelter, and a convent.

Group Quarters Unit
a single living unit within a group quarters structure. Examples include a room in a sorority house, a bed in a halfway house, and an individual person in a migratory workers camp.

Householder
the person or one of the persons in whose name the home is owned or rented. This individual must reside in the SDU for most of the 3–month data collection period.

Housing Unit
a group of rooms or a single room occupied, or intended for occupancy, as separate living quarters. Examples include a single family home, an apartment, a mobile home, and a 'house mother' apartment in a fraternity house.

Lead Letter
an introductory letter you send to each sample dwelling unit that has a mailing address explaining that a Field Interviewer will contact the residents. A very brief overview of the study is included in the letter.

Newton (Apple Newton MessagePad 2100)
a handheld computer used to conduct screenings and for case management (see definitions).

Nonrespondent
a person who is eligible and selected for the study but who chooses not to participate.

Partition
within each quarter, the selected DUs are assigned in batches or partitions.

Production, Time and Expense (PT&E)
Backup paper forms sometimes used to allow FIs to maintain and submit an accurate report of daily production, time and expenses while working on this study. Instructions for the proper completion of paper PT&Es are in Appendix A.

Questionnaire ID (QuestID)
the code that allows you to transition from the screening to the interview. The code is displayed on the Newton and entered into the Gateway in order to begin an interview.

Record of Calls (ROC)
a term referring to the Newton program that allows FIs to record details about each and every visit to an SDU. Details include the date and time, the result code, and any important comments.

Respondent
a person who is eligible and selected for the study, and who agrees to participate.

Result Codes
two–digit codes used to indicate the current status of each case. These codes are recorded in the Record of Calls in the Newton, sent automatically to RTI with each transmission, and are reviewed with your FS. When compiled into regular reports, these codes provide important information to project managers and the client on the progress of data collection.

Sample Dwelling Unit (SDU)
a dwelling unit that has been randomly chosen for inclusion in the NSDUH.

Sampling Frame
the source of all listed units from which SDUs are selected. For NSDUH, we use an area frame where all dwelling units within a specified land area (segment) are listed and then certain units from that list are randomly chosen (sampled) to be contacted about the study.

SAMS
Survey Automated Mapping System is the program used by RTI statisticians and mapping experts to produce the sets of maps provided to locate each SDU.

Screening
the process of determining whether an SDU contains any eligible persons and if any of those eligible are selected to be interviewed.

Screening Respondent (SR)
the person who answers the screening questions. The SR must be an adult (age 18 or over) resident of the household.

Segment
a relatively small, well–defined area of land.

Transient
Shelters and missions provide lodging for transient persons who have no other permanent place of residence. Transient residents of a selected shelter are eligible for the NSDUH. Overnight hotels, motels, or even hospitals provide temporary shelter for guests who have other homes. These transient structures are not included in NSDUH.

Transmit
a process where information and data are sent from one computer to another over telephone lines.

Verification
a process in which the quality and accuracy of all NSDUH field work is monitored by the project managers and staff. This quality control process ensures that the data being collected are of the highest possible quality.

VerifID
the code displayed in the upper–right corner of the Quality Control Form. This number is entered into the Gateway at the end of the interview.

 

Exhibit 1.5 Project Staff Information

REGIONAL SUPERVISORS
Name Phone No. Fax E–Mail Location
         
         
         
         
         
         
         
         
         
         
RTI PROJECT MANAGEMENT
         
         
         
         
         
         
         
         
HEADWAY
         
FIELD SERVICES UNIT
         
TECHNICAL SUPPORT GROUP (TSG) – _____________________

 

REVIEW OF CHAPTER 1

Introduction to the Study

To assist your learning process, read the following summary of key points in this chapter. Following the summary are several questions to ask yourself. These questions will help you identify those areas you understand, and pinpoint the areas where you would benefit from re–reading a particular section.

SUMMARY

QUESTIONS TO ASK YOURSELF

  1. What are the goals of this study?
  2. What is RTI?
  3. What is the last day that Quarter 2 interviews can be completed?
  4. When should the bulk of your field work be finished in Quarter 1?
  5. Define the following terms:

    NSDUH

    CAI

    ACASI

    SAMHSA

    SDU

    FS

    ePTE

    PHS


1 RTI International is a trade name of Research Triangle Institute.

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