Attachment 5 - Adult Administration Guide

The Center for Substance Abuse Prevention’s (CSAP) National Methamphetamine Prevention Initiative supports an array of activities to help grantees build a solid foundation for delivering and sustaining effective substance abuse prevention and related services. While grantees have substantial flexibility in designing their own grant activities, all are required to base their project on the five steps of SAMHSA’s Strategic Prevention Framework (SPF). Grantees must also conduct an on-going evaluation study of their projects, assessing program effectiveness through common survey instruments (Surveys). These Surveys are available online at https://www.csapdccc-csams.samhsa.gov/. They include measures used for Federal reporting to meet the requirements of the Performance Assessment Rating Tool (PART) and SAMHSA’s National Outcome Measures (NOMs).

Design of Your Program Evaluation Study

All grantees are required to collect data for evaluating the outcome of each intervention program implemented using CSAP funds. The minimum data collection requirement includes the following:

A Baseline Survey. The first data collection round you must conduct is a survey of program participants before they start the program. It establishes a baseline by gathering information about their attitudes and behaviors going into the program. Baseline data collection must be conducted before the participant has been exposed to any intervention services and can be conducted any time during the 30 days preceding program entry. This data collection will use the standard Youth or Adult Surveys developed for the National Methamphetamine Initiative.
An Exit Survey. The second data collection round required is a survey of program participants after they have completed the program, to provide information about their attitudes and behaviors at program exit. Comparing baseline and exit survey results allows us to assess the program’s effect. The exit survey must be administered after the participant has completed the entire program but no later than 10 days after program completion. The Youth or Adult Exit Surveys must be used at this second data collection point.
A Followup Survey. Third, you must conduct a followup survey of program participants at least three months after program exit to provide information about how program results have held up over time. Most CSAP grantee sites schedule their followup surveys three to six months after program completion. The followup schedule should be established at the program planning stage and followup surveys should be conducted within 30 days of the scheduled followup date. The Youth or Adult Followup Surveys must be used at this third data collection point.

Additional local evaluation instruments may be administered in conjunction with, but not instead of, CSAP’s standard instruments.

Although optional, some grantee sites include a comparison or control group in their study design. This group consists of individuals similar to the typical program participant in terms of demographics and other program-relevant characteristics but who do not participate in the program being evaluated. The Baseline, Exit, and Followup surveys are administered to this group at roughly the same times as the program participants (the intervention group). Study designs including comparison/control groups provide a more rigorous assessment of program effectiveness.

Age-Appropriate Data Collection

Adults and youth have different experiences and prevention needs. CSAP therefore provides two versions of the standard instrument, one for Youth and one for Adults. The Adult and Youth instruments have some shared items, though these may have subtle wording differences depending on the target age group. In addition, there are some youth-only and adult-only questions. To get good quality data, it is important to administer the appropriate Survey to each age group.

The Youth Survey should be administered to program participants ages 12-17.
The Adult Survey should be administered to participants 18 years old or older.

Participants who are 12 to 17 years old at the time they take the Baseline Survey (that is, before they start the program) should be given the Youth Survey. Participants who are 18 years old or older at baseline should be given the Adult Survey. It is important to keep in mind that all participants who were given the Youth Survey at baseline should also be given the Youth Survey at exit and followup, even if some are 18 years old or older by the time of the Exit or Followup Surveys.

Translation of Survey Instruments

The common Surveys are available in English only at this time. Grantees with specific language needs should contact their CSAP Project Officer to discuss these needs. Grantees who choose to translate the standard Surveys and instructions locally should submit a copy of each translated instrument to CSAP’s Data Coordination and Consolidation Center using one of the submission methods discussed below.

How to Use the CSAMS Web Site

Finding Forms, Surveys, and other Documents. The CSAP Services Accountability & Monitoring System (CSAMS) Web site (https://www.csapdccc-csams.samhsa.gov/) is accessible to all grantees and provides prevention information, data collection tools, documents, data entry and upload functions, data reports, and tracking. All of the Methamphetamine Cohort 3 data collection instruments and supporting documentation are available for download in the “Tools” section of this Web site, in both Microsoft Word and PDF formats. Grant sites can download and make copies of the instruments for administration to program participants.

Entering Your Data Online. In addition to being able to download these documents, you can use the Web site to enter your data online and submit it to CSAP. There are two basic options: You can either 1) Transmit your data from your completed paper instruments by entering them directly online, which allows CSAP’s Data Coordination and Consolidation Center (CSAP‑DCCC) to code and clean it for you; or 2) Upload your self-prepared and coded data files, making use of the Codebooks provided on the CSAMS Web site to guide you.

These two options are described in more detail below:

Option 1: Enter your data online directly from your completed Surveys (This is the recommended option.).

This option, which utilizes CSAMS’s online data entry functionality, allows grantees to submit their data to CSAP without the need for special data preparation or staff with any data processing skills. Grantees are strongly encouraged to make use of this Web-based facility.

To use this option:

Go to https://www.csapdccc-csams.samhsa.gov/ and log in, using the login and password information provided to you from CSAP.
Click on the “Data Entry” tab at the top of the page.
Select “Enter My Data Online.” The system will automatically guide you through the steps of transferring the data from completed Surveys directly to CSAP-DCCC.

Option 2: Upload your complete, self-prepared and self-coded databases (also called data files) to CSAP-DCCC. (This option should be used only by skilled and experienced data personnel.)

This option requires careful data preparation steps following standard data coding and variable naming rules established by CSAP. These rules are described in detail in the Codebooks associated with each standard instrument and available for download in the “Tools” section of CSAMS.

To use this option:

Once you have constructed a data file following the Codebook instructions, you may submit it to CSAP-DCCC as follows:

Go to https://www.csapdccc-csams.samhsa.gov/ and log in, using the login and password information provided to you from CSAP.
Click on the “Data Entry” tab at the top of the page.
Select “Send my files to CSAP.”
Select either “Upload a file from my computer to CSAP” or, “Send an e-mail with a file attached.”

Uploaded or e-mailed data files must follow DCCC’s standard rules and conventions for data file preparation, as described in the Codebooks. Data files that do not conform to these standard conventions cannot be processed by the DCCC. CSAP designs separate coding rules for each major grant initiative and coding rules may vary from one cohort to another within a grant initiative. Grantees selecting the data preparation and upload/e-mail option should therefore make sure that they are using the Codebooks specifically designed for their cohort.

Grantees should submit all of the data collected using the standard Surveys to CSAP-DCCC, including all available survey records for participants who failed to take one or more of the scheduled surveys.

DCCC will periodically extract and clean the data records that you have entered into CSAMS. Once they have completed this process, you as a grantee may access the cleaned files in order to meet your local data analysis and reporting needs. CSAP’s data extraction and cleaning process typically takes several months. If you need to start your data analysis before your cleaned data are available from CSAP, the data you submit online can be extracted from the Web-based tool in Excel format with variable names in the first row. The numeric codes in the extracted spreadsheet can then be matched to the corresponding response options using the Codebook associated with the Survey you used to collect the data.

Questions regarding the use of the standard instruments or data submissions to the DCCC should be directed to the CSAMS Technical Assistance Hotline, by telephoning (240) 223-3002 or (877) 654-6740 Mondays through Fridays, from 9am to 6pm Eastern Standard Time. Questions or requests for technical assistance can also be e-mailed to the Hotline either by going to the CSAMS “Contact Us” page or sending an email to csapdccc‑csamshelp@samhsa.gov.

II. General Administration Guidelines

The success of your data collection depends on careful preparation. This section provides general guidelines to help you plan and carry out your data activities; you should work out detailed arrangements within the context of your own local program. Major issues concerning the administration of the instruments (e.g., which version to use, targeted group size, the use of translated versions, etc.), will be determined by your local evaluation team in consultation with your assigned CSAP Project Officer.

Guideline: Develop a Storage System

Over the life of this initiative, each grantee will be collecting information that must be documented and organized. Each local evaluation team or the person responsible for data management will be required to store

1) completed Surveys until they are entered online or coded and assembled into a data file for upload or e-mail transmission to DCCC via the CSAMS Web site.

2) consent forms, and

3) tracking forms for each of the participants (intervention and comparison/control) in the study.

Set up your filing and storage system before you start to collect data.

Guideline: Maintain a Participant Roster

In order to track participants through the program and the data collection points, it is necessary to maintain a Roster of participant contact information including their unique ID numbers (discussed below). It is crucial that this or any other documents linking participants’ names to their ID numbers are kept in a locked cabinet and access is limited to a minimum number of senior project staff. Completed Surveys should never be stored in the same place with the Roster or any other documents linking ID numbers to participants’ identity. These measures are essential for preserving the privacy and confidentiality of the data.

Guideline: Choose an Impartial Evaluator to Administer the Surveys

CSAP strongly recommends that the evaluator and/or evaluation staff administer the Surveys. If there are compelling reasons why the evaluator or evaluation staff cannot administer the Surveys, then only program staff who are not service providers for those taking the survey should be involved. Program staff who participate in the administration should be trained by the local evaluator or program evaluation staff. Case managers or other program staff who work closely with a group of participants should not administer Surveys to that group. For actual administration, a program staff person should be onsite to introduce the evaluation staff (or other qualified individuals) who will be administering the Survey. The program staff member may then leave the room and come back later to talk to participants and conduct the debriefing.

Guideline: Arrange for a Time and Place of Administration

Develop a clear understanding with program staff concerning the time and place of administration for the standard Surveys well ahead of time for both the intervention/treatment and the comparison/control group (if used). The room where the survey is conducted should have adequate seating to accommodate the group(s) being tested, have adequate lighting and ventilation, and the seating should be spaced to ensure privacy.

Guideline: Familiarize Yourself with the Survey

It is critical that the survey administrator be familiar with the Survey prior to administering it to participants. Carefully study the Survey until you become familiar with the wording of all items. Relate the different parts of the Survey to the item structure (outlined in Section V: Review of Survey Items) for an understanding of the purpose of each set of items. The administrator should be prepared to answer questions from Respondents regarding the Survey items.

Guideline: Assign Individual Identification Numbers

Assign an identification number to each study participant in both the intervention/treatment and control/comparison groups (if used). A nine- (9-) digit unique identification number (ID) is used on the forms in order to track the responses of program participants over time and across grantee sites. Each participant’s name and unique 9-digit ID should be written on the face (cover) sheet of the survey and the same 9-digit ID entered on page 2 of the instrument. This should be completed by the Administrator prior to handing the instrument to the participant. Participant names must not be written on any other page but the face (cover) sheet. The 9-digit ID has the following components:

A B C

--

Grantee Site Identifier (Field A): Each grantee has been assigned a site identification number by CSAP. The site identification numbers range from 301 to 310. Each grantee’s identifier is a constant. Refer to Table 1 on the following page for your grantee site identifier.

Treatment/Comparison Group Type (Field B): This field indicates whether the Respondent is receiving the intervention (coded as “1”) or is a control or comparison group member (coded as “2”).

Individual Participant Identifier (Field C): This 5 digit number serves as the unique Individual Identifier for each program participant. The unique identifier is assigned by the Program Administrator or Project Director at the grantee site. This should be a numeric value (not alphanumeric) and each 5-digit combination should be unique to each individual participant. The 5-digit numbers can range from 00001 to 99999. Programs with multiple service locations may want to consider assigning a range of individual identifiers to each location to allow for easy identification of a participant’s service location. For example, one location could be assigned numbers 10000 to 19999, numbers 20000 to 29999 to a second location, and so forth.

Example: A program participant might have the following ID number:

301-1-13543

The number tells us that this person received intervention services provided by site 301 (Field A=301), that the participant is a member of the intervention group (Field B=1), and that s/he was assigned the unique 5-digit numeric combination 13543 by the grantee site’s Program Director.

Table 1 Grantee Identification Numbers for Meth Cohort III Grantees
Site ID	Grant ID	Grantee
301	SP14008-01	University of Washington
302	SP14018-01	Colorado State Judicial Branch/State Court Administrator
303	SP14042-01	Centerstone Community Mental Health Centers, Inc.
304	SP14050-01	Cherokee Nation
305	SP14085-01	Native American Rehabilitation Association of the Northwest, Inc.
306	SP14088-01	Ridgeview Psychiatric Hospital and Center, Inc.
307	SP14100-01	Oklahoma Department of Mental Health and Substance Abuse Services
308	SP14113-01	Cra-Wa-La Volunteers in Probation, Inc.
309	SP14142-01	Fenway Community Health
310	SP14156-01	San Antonio Fighting Back, Inc.

III. Survey Administration Procedures

This section goes into more detail, outlining specific procedures for administering the standard Surveys.

Administration Staff

As mentioned in the Guidelines, CSAP strongly recommends that the local evaluator and/or evaluation staff administer all standard Surveys. If the evaluation staff cannot administer the Survey, program staff with research training should conduct the administration.

One or more survey administrators (proctors) should be present during the survey in order to explain the process and to answer any questions that may arise. Additional involvement of the proctor in the Survey administration will vary depending upon the reading level and language skills of the Respondents. The Adult Survey is rated at an 8^th-grade reading level on the Flesch-Kincaid scale; therefore Respondents at lower reading levels may need partial proctoring (certain items read aloud) or full-proctoring (the entire instrument read aloud). In all cases, the Respondent should fill out his or her own instrument.

Administration Time

The Surveys take approximately 45–50 minutes to complete. CSAP recommends a 60-minute administration period to allow time for distributing the Surveys, reading the instructions, collecting the completed Surveys, and any additional local administration activities (e.g., distributing incentives, collecting tracking information).

Administration Setting

The Survey is designed to be administered in individual or group settings. The administration should be conducted in a quiet room with sufficient lighting and space, and with desks or tables to seat the Respondents. Some of the questions are sensitive. Therefore, the seating arrangement should provide privacy for each Respondent and maximize confidentiality.

Pre-administration Tasks

Before each administration, the survey staff should prepare the Surveys by writing in the name of each survey Respondent on the front (cover) page of the Survey and enter their assigned 9-digit ID. It is also recommended that the survey staff enter the Respondent’s 9-digit ID on page 2 of the Survey. Preparing the Surveys in advance will help reduce ID number coding errors.

Administration Materials

In addition to the prepared Surveys, the following materials are needed for each administration session:

No. 2 Pencils: A No. 2 pencil must be used to mark responses on the Survey. Bring enough pencils for everyone who will be in the session and a few extras in case they are needed.

Two Large Envelopes or Folders: One envelope or folder should be used to store the front tear-off pages of the Surveys. These pages will have the Respondents’ names and unique 9-digit ID numbers recorded on them. The survey Respondents should be asked to tear off or otherwise remove the front page from the rest of their Survey after they confirm that their name is correct and the 9-digit ID on the front (cover) page is identical to the one on page 2 of the Survey. The cover pages should be destroyed after the administration. The second envelope or folder should be used to store the completed Surveys until they are entered or uploaded into CSAMS.

Roster: It is crucial to have a roster available with the participants’ names and 9-digit ID numbers. This roster serves as a crosswalk between the study participants’ names and their 9-digit ID numbers. Once the face sheet is separated from the Survey, the roster will be the only means of linking the completed Survey to the Respondent. The roster should also include each Respondent’s other local identification number, if another local number is used by the site. This roster and the completed face sheets (until they are destroyed) should be kept in a safe place separate from completed Surveys.

Incentive Materials: These materials will be determined locally. Procedures for documenting the distribution of incentives are the responsibility of the grantees.

Survey Introduction

Introduce the Survey with a statement similar to the following:

This Survey is being used to gather information on how to prevent substance abuse. The questions are being asked of hundreds of other individuals throughout the United States. The findings will be used to help our country learn more about how to keep people from abusing substances such as Methamphetamine.

This Survey is voluntary. If you do not want to answer a question, you do not have to. However, your answers are very important to us. Please answer the questions honestly, based on what you really do, think, and feel. The people who will be analyzing the information you provide on this Survey will not have access to your name.

Survey Instructions

Read the following instructions to the survey Respondents:

1. Check to make sure that the Survey has your name on the front (cover) page and an ID number written in below your name. Now check to make sure that the ID number marked on page 2 is the same number as the one on the front page. If the Date of Administration has not been marked, please mark today’s date, which is (say today’s date) .

2. Please tear off the front page of your Survey and pass it to me. Do not write your name anywhere on the rest of the Survey.

3. Some of the questions allow you to select more than one answer, by saying “select all that apply” or “select one or more”. If the question does not say either of these, then select only one answer. If you don’t find an answer that fits exactly, choose the one that comes closest.

4. Mark your answers carefully so we can tell which answer you chose. Make heavy dark marks that fill the square completely. Do not mark between the squares.

5. We would like you to work fairly quickly so that you can finish on time. Please work quietly by yourself. Raise your hand to let me know if you have a question or don’t understand something.

6. We think you will find the Survey to be interesting and that you will enjoy filling it out. Before we begin, do you have any questions?

7. Thank you very much for being an important part of this effort!

Full Proctoring of the Survey

Administering the Survey to Respondents with limited reading abilities (those with a reading level lower than 8^th grade) may require full proctoring (reading the entire common Survey aloud to Respondents). Full proctoring requires more time than self-administration; therefore, a 90-minute administration session is recommended when full proctoring is conducted. Prior to this type of session, it is recommended that the administrator practice reading the questions aloud several times. At the beginning of the survey, the administrator should instruct the Respondents on how the Survey will be read to them. It is important to tell the Respondents not to answer the questions out loud, but to simply mark their answers in the Survey.

Responses to Questions During the Administration

The Survey is designed to be self-administered. During the administration, it may be necessary to respond to Respondents’ questions about the meaning of certain questions. You can provide verbal clarification to help the Respondents. Answer directly any questions related to the proper reading of a word or understanding of its meaning. If a Respondent indicates that s/he does not know the meaning of a word, define it in simple terms. Section V of this guide provides recommended responses to potential issues and questions that may be raised by Respondents. If a Respondent asks a question about the meaning or intent of a question not covered in Section V, tell him or her to “answer according to what it means to you.”

Answers to Respondent questions should be strictly restricted to clarifying the question in terms of wording and intent and explaining words or expressions that the Respondent does not know. The survey administrator or proctor should not suggest a response category, even if the answer to the question is very obvious. For example, if the Respondent asks what “gender” means, the proctor should not give a response such as “You are male (or female), so mark that square,” no matter how obvious the Respondent’s gender appears. The appropriate response in this case would be “Somebody’s gender is whether they are male or female.”

If Respondents at your site have serious problems understanding the Surveys, please contact your assigned CSAP Project Officer and explain the situation. Your Project Officer will provide guidance in resolving the issues.

Administration Conclusion

When everyone has completed their Surveys, collect the Survey from each Respondent. Make sure that the cover sheet on each has been torn off. Place the Surveys in the envelope or folder.

Thank all of the Respondents for taking the time to help with the project.

Conclude with this debriefing statement:

Some of the questions on this survey may have raised some troubling questions or issues for some of you. If there is anyone who feels s/he would like to talk to someone about any of your concerns, please see . S/he will be glad to listen to you and provide whatever help s/he can.

Makeup Administrations

When scheduled administrations of the instrument are complete, check the intervention and/or comparison group roster to determine if any scheduled Respondents missed the session. If there are missing Respondents, take the following steps:

If this was a Baseline survey, the make-up survey administration should occur prior to the first intervention session. All Baseline surveys must be completed prior to the beginning of intervention services.

Try to arrange another time to administer the Survey; this can be done either in person, by phone, or by sending notes to the Respondents.

If more than one Respondent missed the administration, try to arrange a group makeup time.

If a Respondent misses a group makeup, or if a group makeup cannot be arranged, make reasonable efforts to administer the Survey individually.

If a Respondent misses a survey and a makeup is not possible, the participant should still complete all subsequent surveys and their responses should be included in the submitted data.

IV. Instrument Overview

Outlined in Table 2 are the question items included in the Adult Survey. Some of the items are grouped together to indicate that they are part of the same scale or measurement dimension. The first column of the table identifies the question or group of questions. The second column contains the number of items in the group, and the third column lists the corresponding question number(s) in the Survey. The fourth column displays the original source from which the measure was adapted. Accompanying the source is a numeric notation for the footnote containing the full source citation. The list of full citations follows the table.

Table 2 Listing of Measurement Dimensions and Variables for the CSAP National Methamphetamine Abuse Prevention Initiative Adult Survey
Dimension/ Variable	Number of Items	Question Numbers	Measure Source
Section One: Facts About You (Questions 1–4)
Dimension: Demographics
Gender	1	1	CSAP NOMs Adult Program Instrument
Ethnicity/Racial Identity	2	2, 3	CSAP NOMs Adult Program Instrument
Date of Birth	1	4	CSAP NOMs Adult Program Instrument
Section Two: Cigarettes, Alcohol and Other Drugs (Questions 5-12)
Dimension: Alcohol, Tobacco, and Other Drugs—30-Day Use
30-Day Tobacco Use—Cigarettes	1	5a	CSAP NOMs Adult Program Instrument
30-Day Tobacco Use—Other Tobacco Products	1	5b	CSAP NOMs Adult Program Instrument
30-Day Alcohol Use	1	5c	CSAP NOMs Adult Program Instrument
30-Day Marijuana Use	1	5d	CSAP NOMs Adult Program Instrument
30-Day Other Illegal Drugs Use	1	5e	CSAP NOMs Adult Program Instrument

Table 2 Listing of Measurement Dimensions and Variables for the CSAP National Methamphetamine Abuse Prevention Initiative Adult Survey
Dimension/Variable		Number of Items		Question Numbers	Measure Source
Dimension: Alcohol, Tobacco, and Other Drugs—Age of First Use
Age at 1^st Use—Cigarettes	1		6a		CSAP NOMs Adult Program Instrument⁹
Age at 1^st Use—Other Tobacco Products	1		6b		CSAP NOMs Adult Program Instrument⁹
Age at 1^st Use—Alcohol	1		6c		CSAP NOMs Adult Program Instrument⁹
Age at 1^st Use—Marijuana or Hashish	1		6d		CSAP NOMs Adult Program Instrument⁹
Age at 1^st Use—Other Illegal Drugs	1		6e		CSAP NOMs Adult Program Instrument⁹
Dimension: Alcohol, Tobacco, and Other Drugs–Perceptions of Risk
Perception of Risk—Cigarettes	1		7a		CSAP NOMs Adult Program Instrument⁹
Perception of Risk—Marijuana	1		7b		CSAP NOMs Adult Program Instrument⁹
Perception of Risk—Alcohol	1		7c		CSAP NOMs Adult Program Instrument⁹
Section Three: Attitudes and Experiences (Questions 8-10)
Dimension: Alcohol, Tobacco and Other Drugs—Attitudes and Experiences
Employer Drug Test	1		8		CSAP NOMs Adult Program Instrument⁹
Driving While Under the Influence	1		9		CSAP NOMs Adult Program Instrument⁹
Parental Involvement in ATOD Prevention	1		10		CSAP NOMs Adult Program Instrument⁹
Section Four: You and Your Relationships (Questions 11-24)
Dimension: You, Family and Relationships
Sexual Orientation	1		11		HIV Cohort 3 #7¹ JSI Adult Form²

Table 2 Listing of Measurement Dimensions and Variables for the CSAP National Methamphetamine Abuse Prevention Initiative Adult Survey
Dimension/Variable	Number of Items	Question Numbers	Measure Source
Relationship Status	1	12	HIV Cohort 3 #59¹ Adult GPRA³
Level of Education	1	13	HIV Cohort 3 #15-17¹ GPRA Adult³
Employment	1	14	HIV Cohort 3 #18¹ CSAT GPRA⁴
Income	1	15	HIV Cohort 3 #19¹ CSAP Mentoring and Family Strengthening Study⁵
Spoken Language	1	16	HIV Cohort 3 #8¹ JSI Adult Form²
Living Situation	1	17	HIV Cohort 3¹ JSI Adult Form²
Experience with Penal System	2	18, 19	HIV Cohort 3 #21 & 22¹ CDC Coffee Shop Interview- Adult & Youth⁶
Children	2	20, 21	Create by CSAP
Family Cohesion	2	22, 23	Adapted from HIV Cohort 3¹ JSI Women’s Form⁷ CSAP Core Measure⁸
Support & Resources	1	24	Adapted from HIV Cohort 3¹ Created by CSAP CSAT GPRA⁴
Section Five: Plans for Next Six Months (Questions 25-27)
Dimension: Plans and Intentions
Perceived Likelihood of Use in the Next 6 Months	3	25-27	HIV Cohort 3 #115-119¹ JSI Adult Form²

Section Six: Methamphetamine (Questions 28-39)
Dimension: Methamphetamine
30-Day Methamphetamine Use	1	28	Adapted from CSAP NOMs Adult Program Instrument⁹
Age at 1^st Use	1	29	Adapted from CSAP NOMs Adult Program Instrument⁹
Disapproval of Methamphetamine Use	1	30	Adapted from CSAP NOMs Youth Program Instrument¹⁰
Perception of General Risk	2	31, 32	Adapted from CSAP NOMs Adult Program Instrument⁹
Perception of Specific Risks of Use	1	33	Montana Meth Use and Attitudes Survey¹¹
Perception of Possible Positive Effects of Use	1	34	Montana Meth Use and Attitudes Survey¹¹
Youth in Community and Meth	3	35-37	Questions 35-36: Montana Meth Use and Attitudes Survey¹¹ Question 37: Adapted from Montana Meth Use and Attitudes Survey¹¹
Parental Response to Child’s Use	1	38	Montana Meth Use and Attitudes Survey¹¹
Sources for Information	1	39	Montana Meth Use and Attitudes Survey¹¹
Section Seven: About the Survey (Question 40)
Dimension: Questions about Taking the Survey
Comfort in Answering Questions	1	40	HIV Cohort 3 #145¹ JSI Women’s Form⁷

References

HIV Cohort 3 Youth Program Instrument. 2005. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Substance Abuse Prevention (CSAP), Rockville, MD.

Health Promotion in Our Communities: Multi-site Baseline Assessment Adult Form (2000). John Snow International Research and Training and Institute, Inc., Boston, MA.

CSAP GPRA Participant Outcome Measures for Discretionary Programs- Adults. 2002. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Substance Abuse Prevention (CSAP), Rockville, MD.

CSAT GPRA Participant Outcome Measures for Discretionary Programs- Youth. 2002. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Substance Abuse Treatment (CSAT), Rockville, MD.

CSAP Mentoring and Family Strengthening Program Dissemination Initiative Cross-Site Instrument. 2002. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Substance Abuse Prevention (CSAP), Rockville, MD.

Coffee Shop Interview- Wave 8 version. 1992. U.S. Department of Health and Human Services, Centers for Disease Control and Prevention, Atlanta, GA.

Health Promotion in Our Communities: Multi-site Baseline Assessment Women’s Form (2000). John Snow International Research and Training Institute, Inc., Boston, MA.

CSAP Core Measures Initiative, Phase 1 Recommendations. 1999. Available at http://www.activeguidellc.com/cmi/cmi_menu.htm.

CSAP NOMS Adult Program Instrument. 2007. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Substance Abuse Prevention (CSAP), Rockville, MD.

CSAP NOMS Youth Program Instrument. 2007. U.S. Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA), Centers for Substance Abuse Prevention (CSAP), Rockville, MD.

Montana Meth Use and Attitudes Survey. 2006. Montana Meth Project. Missoula, MT.

V. Review of Survey Items

This section provides a detailed review of the items in each section of the Survey. For each item, or group of items, potential issues are identified, and one or more recommended solutions are provided for each potential issue. The potential issues focus on questions that Respondents may ask about the items in the Survey. The recommended solutions are appropriate responses to questions that Respondents may ask. Following the recommended solutions will allow for consistency in the way the Survey is administered across settings and sites.

Survey Section: Facts About You

Comments on items 1-4: Questions 1-4 ask for basic information about the Respondent such as gender, age, ethnicity and race.

1. What is your gender? (Check one)

Potential Issue: Respondent may have gender identity issues. For example, s/he may feel and act like a girl even though biologically male, or vice versa. This may create confusion about which category to select.

Recommended Solution: Say, “Select the answer that you feel closest to at this time.”

2. Are you Hispanic or Latino? (Check one)

Potential Issue: The Respondent may not understand the question.

Recommended Solution: Ask the Respondent if he/she identifies himself/herself as a Hispanic/Latino (a) or Chicano/a. More specifically, does he/she believe that his/her ancestors come from Spain, Mexico, Puerto Rico, Cuba, or some other Spanish-speaking country in Central or South America or the Caribbean? In any of these cases, the correct response would be “Yes”. The proctor should refrain from making deductions from the respondent’s name, accent, or any other ethnic marker and suggesting the correct response. The intent of this question is to learn what the Respondent believes about his or her ethnic origins.

3. What is your race? (Select one or more)

Potential Issue #1: The Respondent may be confused about which bubble to fill in.

Recommended Solution: Explain that the Respondents are to mark all of the racial groups they think they belong to. They may mark more than one group. For example, if the Respondent indicates they are half Asian & half African-American, they should fill in both the bubbles for Asian and African American. The intent of the question is to determine what race the Respondent considers himself or herself. For those Respondents that mark “yes” to the Hispanic ethnicity in Question 5, ask them to also mark any of the races in question 6 that apply to them. If none of the listed races apply to them, ask them to select “Other.”

Potential Issue #2: The Respondent has answered “Yes” to the Hispanic ethnicity question and wonders why s/he has to answer another race question.

Recommended Solution: The Federal Government makes a distinction between Hispanic ethnicity and race because Hispanics may belong to several races. For example, there are White Hispanics as well as Hispanics of African origin. Explain this to the Respondent and suggest that it is possible to select a race even of one defines oneself as Hispanic. Please refrain from suggesting the correct racial category for the Respondent even if there are visible race markers. The intent of this question is to learn the Respondents’ self definitions.

4. What is your date of birth?

Potential Issue #2: The Respondents may not remember their exact birth date.

Recommended Response: Unlike most of the other questions on this Survey, we are interested in learning the truth about the Respondents’ birth date, not their beliefs. It is therefore acceptable for the proctor to help the Respondent remember, by pointing out that their Drivers’ License, Social Security Card, or Student ID Card, or other identification document may contain birth date, and to help the Respondent transfer the information from such a document to the Survey. If the Respondent has no such document, the proctor should not make a guess. Instead, the Respondent should be instructed to provide their best estimate. Most people remember the month and day of their birth date because it is celebrated every year, but may have forgotten the year of birth. In that case, it is acceptable to ask the Respondent how old s/he was on his/her last birthday and to help them calculate their year of birth. If neither of these solutions is possible, the Respondent should be instructed to provide their best estimate. Proctors should refrain from making a guess themselves.

Survey Section: Cigarette, Alcohol, and Other Drugs

General Comments: This set of questions asks about the use of alcohol, tobacco, and other drugs, and how people feel about substance use. Many of the questions ask about substance use within the past 30 days. These questions do NOT assume that a Respondent has used alcohol, tobacco, or other drugs.

Potential Issue #1: The Respondent may be uncomfortable answering questions about health behaviors and illicit drug usage.

Recommended Solution: Remind the Respondents that their names are not on the survey and information will not be reported on an individual level. Also explain that these questions are being asked of everyone and that no assumptions are being made about them, personally.

Potential Issue #2: The Respondent has limited ability to recall behaviors within certain time frames.

Recommended Solution: Explain that we only expect them to provide their best estimate and ask them to try to recall to the best of their ability.

Potential Issue #3: The Respondent may be unclear as to the meaning of certain terms in this section.

Recommended Solution: Definitions are provided throughout this section, and common street terms of certain substances are also included. More detailed solutions are suggested below on a question-by-question basis.

Comments on Items 5a-5e: These items are asking the Respondents’ use of tobacco, alcohol, marijuana, and other illegal and specific drugs over the past 30 days. The specific definition of each substance is defined within the question. Again, the Respondents who have not used the substance during that time period should mark “zero (0) days” or the answer that indicates that they have never used the substance. If the Respondents indicate that they don’t remember exactly how many days, tell them to write down their best estimate (best guess).

5. Think back over the past 30 days and report how many days, if any, you used the following substances:

5a. During the past 30 days, on how many days did you smoke part or all of a cigarette? (Include menthol and regular cigarettes and loose tobacco rolled into cigarettes)