Phone Follow-Up Dietary Interviewer Procedures Manual January 2016 Table of Contents Chapter Page 1 Overview of the National Health and Nutrition Examination Survey ................................................................................................................... 1-1 1.1 History .................................................................................................... 1-1 1.2 Goals of the Survey .............................................................................. 1-4 1.3 NHANES Data Accomplishments .................................................... 1-4 1.4 National Center for Health Statistics ................................................. 1-6 1.5 Sample Selection.................................................................................... 1-6 1.6 Field Organization for NHANES ...................................................... 1-7 1.7 Exams and Interviews in the Mobile Examination Center (MEC) ..................................................................................................... 1-10 1.7.1 Exam Sessions ....................................................................... 1-10 1.7.2 Exam Team Responsibilities ............................................... 1-12 1.7.3 Examination Components .................................................. 1-13 1.7.4 Sample Person Remuneration ............................................. 1-18 1.7.5 Report of Exam Findings .................................................... 1-18 1.7.6 Dry Run Day ......................................................................... 1-19 1.8 Integrated Survey Information System (ISIS) ................................... 1-19 1.9 Confidentiality and Professional Ethics ............................................. 1-20 2 Introduction to the Dietary Interview ............................................................. 2-1 2.1 Dietary Interview Component in the National Health and Nutrition Examination Survey (NHANES)...................................... 2-1 2.2 The Role of the PFU Dietary Interviewer ......................................... 2-3 2.3 Observers and Visitors ......................................................................... 2-4 3 General Interviewing Techniques .................................................................... 3-1 3.1 Before Beginning the Interview .......................................................... 3-1 3.2 Beginning the Interview ....................................................................... 3-1 3.3 Administering the Interview ................................................................ 3-2 3.3.1 Asking the Questions ........................................................... 3-2 3.3.2 Maintaining Rapport ............................................................ 3-4 3.3.3 Difficult Situations ................................................................ 3-5 3.3.4 Incomplete Information ...................................................... 3-5 iii Phone Follow-Up Dietary Procedures 2016 Contents (continued) Chapter Page 3.4 Probing ................................................................................................... 3-5 3.4.1 What Is Probing and Why Is it Necessary ........................ 3-5 3.4.2 Probing Inappropriate Responses ...................................... 3-7 3.4.3 Probing Methods Should Be Neutral ................................ 3-7 3.4.4 Kinds of Probes .................................................................... 3-8 3.4.5 The Don’t Know (DK) Response...................................... 3-9 3.4.6 Additional Guidelines for Probing ..................................... 3-10 3.4.7 When to Stop Probing ......................................................... 3-11 3.5 General Rules for Recording Answers............................................... 3-11 3.6 Ending the Interview ............................................................................ 3-12 4 Dietary Interview Application Features .......................................................... 4-1 4.1 General Overview of the Computer .................................................. 4-1 4.1.1 Keyboard ................................................................................ 4-1 4.2 PFU Dietary Interview Related Systems ........................................... 4-3 4.2.1 Key Features of the Wrapper Program ............................. 4-4 4.2.2 Key Features of the AMPM Program ............................... 4-5 5 Phone Follow-Up Contact Procedures ........................................................... 5-1 5.1 Check Daily Schedule ........................................................................... 5-1 5.2 Document Call Attempts ..................................................................... 5-5 5.3 Retry Broken Appointments ............................................................... 5-10 5.4 Reschedule Appointments ................................................................... 5-10 5.5 Reminder Calls ...................................................................................... 5-13 6 Conducting the 24-Hour Recall Interview ...................................................... 6-1 6.1 Introduction of the Phone Follow-Up (PFU) Dietary Interview Using the USDA Automated Multiple Pass Method (AMPM) Instrument .............................................................. 6-1 6.1.1 Key Features of the 24-Hour Dietary Recall .................... 6-2 iv Phone Follow-Up Dietary Procedures 2016 Contents (continued) Chapter Page 6.2 Accessing the Program ......................................................................... 6-4 6.3 Introduction to Respondent ................................................................ 6-4 6.4 Step 1: The Quick List (QL) Pass ....................................................... 6-9 6.4.1 The Main Food List (MFL) ................................................. 6-15 6.4.2 Leaving the Quick List (QL) Pass ...................................... 6-24 6.5 Step 2: The Forgotten Foods List (FFL) ........................................... 6-25 6.6 Step 3: The Time and Occasion Pass (T/O) .................................... 6-30 6.7 Step 4: The Detail and Review Cycle (DRC) .................................... 6-37 6.7.1 Measuring Guide Instructions Screen ............................... 6-38 6.7.2 Midnight to First Occasion Probe ..................................... 6-39 6.7.3 Collecting Details and Amounts ......................................... 6-41 6.7.4 Food Source Question ......................................................... 6-79 6.7.5 Review of Occasion .............................................................. 6-86 6.7.6 Occasion Location Question .............................................. 6-87 6.7.7 Between Interval Probe ....................................................... 6-89 6.7.8 Last Occasion to Midnight Probe ...................................... 6-90 6.7.9 Collection of Remainder Foods ......................................... 6-91 6.8 Step 5: The Final Review Probe (FR) ................................................ 6-91 6.9 Intake Health-Related Questions ........................................................ 6-92 6.9.1 Usual Intake ........................................................................... 6-92 6.9.2 Salt Use Yesterday ................................................................ 6-93 6.10 Dietary Recall Section Status ............................................................... 6-96 6.11 The Supplement and Antacid Section ................................................ 6-98 6.12 Observations Screen ............................................................................. 6-98 6.13 Post-Recall Section Status Screen ....................................................... 6-100 7 Supplement and Antacid Collection ................................................................ 7-1 7.1 Basic Scenarios ...................................................................................... 7-1 7.2 Recording Other Supplements ............................................................ 7-6 7.3 Antacid Data Collection ....................................................................... 7-10 7.4 No Supplements Reported in the Past 30 Days ............................... 7-13 7.5 No Antacids Reported in the Past 30 Days ...................................... 7-15 7.6 Hand Cards ............................................................................................ 7-18 7.7 Edits ........................................................................................................ 7-18 v Phone Follow-Up Dietary Procedures 2016 Contents (continued) Chapter Page 8 Additional Intake Procedures ........................................................................... 8-1 8.1 Proxy and Assisted Interviews ............................................................ 8-1 8.1.1 Proxy Interviews with Child SPs Under 9 Years of Age ..................................................................................... 8-2 8.1.2 Assisted Interviews with Child SPs 9 to 11 Years Old .......................................................................................... 8-3 8.1.3 Proxy or Assisted Interviews with Adults Unable to Report for Themselves ...................................... 8-3 8.2 Interviewing Children ........................................................................... 8-3 8.3 Data Retrieval Procedures ..................................................................