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American Indian Adult Tobacco Survey Implementation Manual U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Center for Chronic Disease Prevention and Health Promotion

American Indian Adult Tobacco Survey Implementation Manual · PDF fileAmerican Indian Adult Tobacco Survey Implementation Manual U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers

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  • American Indian Adult Tobacco Survey Implementation Manual

    U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention

    National Center for Chronic Disease Prevention and Health Promotion

  • American Indian Adult Tobacco Survey Implementation Manual

  • American Indian Adult Tobacco Survey Implementation Manual

    Editors: Janis Weber, PhD Stacy Thorne, MPH, CHES

    American Indian Adult Tobacco Survey Work Group: Karen Schmidt, MPH, Northwest Portland Alyssa Easton, PhD, Centers for Disease Control and Prevention Dawson Frank,Muscogee Creek Nation Nicole Hildebrandt, MPH, Northwest Portland Favian Kennedy, MSW, Aberdeen Area Health Board Lisa Kerfoot, MPH, Inter-Tribal Council of Michigan Jay Macedo, MA, California Rural Indian Health Board1 Sara Mirza, MPH, Centers for Disease Control and Prevention Marcus Proctor, Muscogee Creek Nation Lorene Reano, MPA, Centers for Disease Control and Prevention2 Cynthia Tainpeah, RN, Muscogee Creek Nation Stacy Thorne, MPH, CHES; Centers for Disease Control and Prevention Janis Weber, PhD, JCW Research & Evaluation Group, Inc. Doug White, MS, California Rural Indian Health Board

    1Formerly of California Rural Indian Health Board 2Formerly of Centers for Disease Control and Prevention

    Acknowledgements Corinne Husten Ralph Caraballo Brick Lancaster Barbara Parks Kurt Schweigman Rebecca Garrow

    SUGGESTED CITATION American Indian Adult Tobacco Survey Work Group. American Indian Adult Tobacco Survey Implementation Manual. Janis Weber and Stacy Thorne (Eds). Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2008.

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  • Contents

    EXECUTIVE SUMMARY.......................................................................................................................................5

    Chapter 1: The American Indian Adult Tobacco Survey ...................................................................7 The Need....................................................................................................................................................................7 The Purpose ..............................................................................................................................................................8 The Questionnaire ..................................................................................................................................................9 Survey Uses and Limitations...............................................................................................................................9

    Chapter 2: The Questionnaire ..................................................................................................................... 11

    Chapter 3: Implementation .......................................................................................................................... 25 Engage Stakeholders .......................................................................................................................................... 25 Institutional Review Board................................................................................................................................ 25 Data Ownership/Data Sharing........................................................................................................................ 25 Sampling Frame/Size.......................................................................................................................................... 26 Establishing Protocols ........................................................................................................................................ 27

    Recruitment and Hiring of Interviewers ............................................................................................... 28 Determining Locations for Conducting the Survey ......................................................................... 29 Maintaining Confidentiality and Security ............................................................................................ 29 Implementing the Survey .......................................................................................................................... 29

    Unforeseen Circumstances............................................................................................................................... 30

    Chapter 4: Interviewer Training ................................................................................................................. 31 Questionnaire Coding ........................................................................................................................................ 32 Initial Contact Letter ........................................................................................................................................... 32 Face-to-Face Contact Script............................................................................................................................. 33 Telephone Contact Script.................................................................................................................................. 33 Informed Consent Form.................................................................................................................................... 34 Establishing a Rapport with Respondents.................................................................................................. 34

    Dress................................................................................................................................................................... 34 Demeanor ........................................................................................................................................................ 34

    Confidentiality ....................................................................................................................................................... 34 Time Management .............................................................................................................................................. 34 Objectivity............................................................................................................................................................... 35

    Chapter 5: Establishing a Rapport with Respondents .................................................................... 37

    Chapter 6: Inputting, Analyzing, and Using the Data..................................................................... 39 Developing a Codebook and Database ...................................................................................................... 39 Data Input ............................................................................................................................................................... 40 Reports..................................................................................................................................................................... 41 Data Uses ................................................................................................................................................................ 42

    Chapter 7: The Budget .................................................................................................................................... 43 Budget Justification............................................................................................................................................. 45 Personnel................................................................................................................................................................. 45 Travel......................................................................................................................................................................... 45 Other Budget Items............................................................................................................................................. 45

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  • Appendix A: American Indian Adult Tobacco Survey Tools and Tracking Forms for Recruiting Respondents ................................................................................................................................. 47

    Appendix B: American Indian Adult Tobacco Survey Core

    and Supplemental Questions ...................................................................................................................... 57

    Appendix C: American Indian Tobacco Survey Checklists and Forms..................................153

    Appendix D: American Indian Adult Tobacco Survey Statistical Analysis Details .........163

    Appendix E: American Indian Adult Tobacco Survey Resources.............................................171

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  • EXECUTIVE SUMMARY

    The American Indian Adult Tobacco Survey (AI ATS) is designed to be a guidance tool for American Indian tribes, tribal organizations, and other organizations that want to implement the AI ATS. The methods and strategies contained within provide organizations with the materials needed to conduct a scientifically rigorous survey. These materials include step-by-step guidance on how to conduct the AI ATS, as well as technical information and resources (see Appendices AE).

    The core component of the AI ATS provides tribe-specific information and prevalence rates on the following:

    Commercial cigarette smoking use by members of the community.

    Use of other tobacco products.

    Quit efforts.

    Methods used in quit efforts.

    Workplace policies on smoking.

    Secondhand smoke exposure.

    Opinions about harm caused by to