Guidance Document for Administrating the Alaska Native Adult Tobacco Survey
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GUIDANCE DOCUMENT Administrating the Alaska Native Adult Tobacco Survey Guidance Document for Administrating the Alaska Native Adult Tobacco Survey Art for front cover: Sierra Gerlach, Health Education and Promotion Council, Inc., 2433 W. Chicago, Suite C, Rapid City, SD 57702 Authors: Victoria A. Albright, MA1 Adriane Niare, MPH, CHES2 Sara Mirza, MPH2 Stacy L. Thorne, PhD, MPH, CHES2 Ralph S. Caraballo, PhD, MPH2 1 RTI International 2 Centers for Disease Control and Prevention, National Center of Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Epidemiology Branch Acknowledgments: Alaska Native Health Board, Anchorage, AK Alaska Native Tribal Health Consortium, Anchorage, AK Alaska Native Adult Tobacco Survey Coordinator: St. Paul and Unalaska, AK Alaska Native Adult Tobacco Survey Interviewers: St. Paul and Unalaska, AK Alaska Native Adult Tobacco Survey Participants: St. Paul and Unalaska, AK Arctic Slope Native Corporation, Barrow, AK Maniilaq Health Center, Kotzebue, AK Norton Sound Health Corporation, Nome, AK Rita Anniskett Daria Dirks Alyssa Easton, PhD, MPH Jenny Jennings Foerst, PhD Andrea Fenaughty, PhD Nick Gonzales Charlotte Gisvold Corrine Husten, MD, MPH Doreen O. Lacy Brick Lancaster, MA, CHES Barbara Parks, RDH, MPH Jay Macedo, MA Brenna Muldavin, MS Trena Rairdon Loreano Reano, MPA Laura Revels Caroline C Renner Cynthia Tainpeah, RN Ray Tainpeah, MEd, LADC Janis Weber, PhD Suggested citation: Albright VA, Mirza S, Caraballo R, Niare A, Thorne SL. Guidance document for administrating the Alaska Native Adult Tobacco Survey. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2010. _________________________________ RTI International is a trade name of Research Triangle Institute. Contents Section Page 1. Introduction 1 1.1 Smoking and Health Among Alaska Natives .................................................... 1 1.2 The Alaska Native Adult Tobacco Survey Guidance Document ........................... 2 1.3 The Role of Alaska Native Adult Tobacco Survey Findings in Future Program Design and Evaluation .................................................................... 3 1.4 The Alaska Native Adult Tobacco Survey Questionnaire .................................... 4 1.5 The Goal of Data Quality .............................................................................. 5 2. Survey Instruments and Supporting Materials 7 2.1 Topics Covered in the Alaska Native Adult Tobacco Survey ............................... 7 2.2 Determining the Respondent’s Smoking Status ............................................... 8 2.3 Question-by-Question Guidance .................................................................... 9 2.3.1 Section 1: Introduction ...................................................................... 9 2.3.2 Section 2: General Health .................................................................. 9 2.3.3 Section 3: Cigarette Smoking ............................................................. 9 2.3.4 Section 4: Iqmik Use ....................................................................... 12 2.3.5 Section 5: Chewing (Spit) Tobacco .................................................... 14 2.3.6 Section 6: Snuff or Dip Tobacco ........................................................ 17 2.3.7 Section 7: Secondhand Smoke Exposure ............................................ 19 2.3.8 Section 8: Risk Perception ................................................................ 20 2.3.9 Section 9: Demographic Items .......................................................... 20 2.3.10 Section 10: User-Selected Items ....................................................... 22 2.4 Advance Letters ........................................................................................ 23 2.5 Household Screener .................................................................................. 24 2.6 Informed Consent ..................................................................................... 25 2.7 ―Sorry I Missed You‖ Card .......................................................................... 26 2.8 Receipt .................................................................................................... 26 3. Survey Planning and Budgeting 27 3.1 Instrumentation ........................................................................................ 27 3.2 Survey Protocol Checklists ......................................................................... 27 3.2.1 Project Overview Checklist ............................................................... 27 3.2.2 Introduction Checklist ...................................................................... 28 3.2.3 Survey Design Checklist ................................................................... 28 iii 3.2.4 Study Population Checklist ............................................................... 28 3.2.5 Instrumentation Checklist ................................................................ 29 3.2.6 Data Collection, Tabulation, and Analysis Checklist .............................. 29 3.2.7 Unexpected or Adverse Events Checklist ............................................ 29 3.2.8 Dissemination Checklist ................................................................... 30 3.3 Survey Implementation: Community Engagement ......................................... 30 3.4 Institutional Review Board Approval ............................................................ 30 3.5 Data Ownership and Data Sharing ............................................................... 31 3.6 Survey Location ........................................................................................ 32 3.7 Survey Staffing ......................................................................................... 32 3.7.1 Principal Investigator ....................................................................... 32 3.7.2 Project Coordinator ......................................................................... 33 3.7.3 Field Supervisor .............................................................................. 33 3.7.4 Interviewers ................................................................................... 34 3.8 Budgeting ................................................................................................ 34 3.8.1 Survey Administration and Operations Staff (Labor Costs) .................... 35 3.8.2 Survey Planning Costs ..................................................................... 35 3.8.3 Training Costs ................................................................................. 35 3.8.4 Data Collection Costs ....................................................................... 36 3.8.5 Dissemination Costs ........................................................................ 36 3.9 Work Plan and Schedule ............................................................................ 36 3.10 Expecting the Unexpected .......................................................................... 40 3.10.1 Availability of Senior Project Staff...................................................... 40 3.10.2 Scheduling and the Weather ............................................................. 40 3.10.3 Interviewer Safety ........................................................................... 40 4. Sampling and Weighting 41 4.1 Sampling Individual Persons From a Community List ..................................... 42 4.2 Area Sampling .......................................................................................... 42 4.2.1 Sample Design ................................................................................ 42 4.2.2 Primary Sampling Unit Construction and Selection ............................... 43 4.2.3 Secondary Sampling Unit Construction and Selection ........................... 45 4.2.4 Selection of Persons to Interview ...................................................... 46 4.3 Weighting Methods .................................................................................... 48 4.3.1 Sample Weights .............................................................................. 49 4.3.2 Weight Calculation .......................................................................... 49 4.3.3 Lack of Known Totals to Calibrate Weights ......................................... 50 4.4 Statistical Software for Complex Survey Designs ........................................... 50 iv 5. Interviewer Training 53 5.1 The Alaska Native Adult Tobacco Survey Interviewer Training Manual .............. 53 5.2 Preparation for Interviewer Training ............................................................ 53 5.3 Agenda for Training ................................................................................... 54 5.1.1 Training Day 1 ................................................................................ 54 5.1.2 Training Day 2 ................................................................................ 55 6. Enhancing Response Rates 57 6.1 Benefitting From Experience ....................................................................... 57 6.2 Using the Alaska Native Adult Tobacco Survey .............................................. 57 6.3 Understanding the Survey Participants ........................................................ 57 6.4 Building Rapport to Improve Response Rates ................................................ 58 6.4.1 Introduction of the Interviewer to the Household ...............................