FDA Disease Awareness Project Questionnaires
INTRODUCTION (STUDY 1)
Thank you for agreeing to participate in this study today.
Please make sure you are comfortable and can read the screen from where you sit. You will first watch around 1 hour of TV. You will have the opportunity to take a break during this time. After the TV programming you will answer some questions about what you just watched. You will need about 20 minutes to answer the questions following the program.
Please watch the entire television program, including the commercials. The video you are about to view will require your full attention. We ask that you do not read, watch, or listen to anything else while viewing this video. You will be asked to answer questions about the program and commercials both during and after the program. If you answer these questions during the program correctly, you will get a bonus $5, in addition to the $15 for answering the questions after the program. This means you can get up to $20 for taking part in this study.
This page displays a test to ensure that you are able to view the video and hear the audio.
Question Type: Single Punch
AV_Q1. Were you able to view this video?
Variable Label: AV_Q1: Were you able to view this video?
Value |
Value Label |
|
01 |
Yes |
Continue to AV_Q2 |
00 |
No |
Terminate |
Question Type: Single Punch
AV_Q2. Were you able to hear this video?
Variable Label: AV_Q2: Were you able to hear this video?
Value |
Value Label |
|
01 |
Yes |
Continue to Confirmation |
00 |
No |
Terminate |
Question Type: Single Punch
Confirmation. Once you start the program, you will not be able to finish the study at another time or another day. Are you able to watch the entire 60 minute program now?
Variable Label: Confirmation: Once you start the program, you will not be able to finish the study at another time or another day. Are you able to watch the entire 60 minute program now?
Value |
Value Label |
|
01 |
Yes |
Continue to stimuli |
00 |
No |
Terminate |
Please press Continue to begin. The video will play automatically on the next page.
Video Attention Checks for Study 1
Question Type for C1 – 7: Single Punch
Content Check 1 @FA4, 15:33 (Phillips one Blade)
In the most recent advertisement, what product was being advertised?
[RANDOMIZE]
Value |
Value Label |
01 |
A razor |
02 |
Coffee |
03 |
A car |
04 |
Athletic shoes |
-99 |
Refused |
[AUTO PUNCH HIDDEN QUESTION C1x
If C1 = 01 (‘A Razor’), C1x = 01 (‘True’)
ELSE C1x = 00 (‘False’)]
Continue point @PS3, 20:41–
How do you like the programming so far?
Value |
Value Label |
01 |
|
02 |
|
03 |
|
-99 |
Refused |
[RECORD TIME TO CLICK]
BR 1. Would you like to take a break at this point?
Value |
Value Label |
|
01 |
Yes |
Display BR1A |
00 |
No |
Continue with video segment 3 |
BR1A. Please resume the survey within 10 minutes by clicking the CONTINUE button below. If you do not resume within 10 minutes, you will not be able to continue with the study.
[DISPLAY MM:SS TIMER STARTING FROM 10:00]
[AUTO PUNCH HIDDEN QUESTION BR1x
If BR1A time ≤ 10:00:00, BR1x = 01 (‘True’)
ELSE BR1x = 00 (‘False’), TERMINATE, pay $3]
Content Check 2 @ PS4 (26:00) –
What was the most recent segment about? [RANDOMIZE]
Value |
Value Label |
01 |
Cooking |
02 |
Cars |
03 |
Animals |
04 |
Gardening |
-99 |
Refused |
[AUTO PUNCH HIDDEN QUESTION C3x
If C3 = 01 (‘Cooking’), C3x = 01 (‘True’)
ELSE C3x = 00 (‘False’)]
[If C1x AND C3x = False, TERMINATE, pay $3]
Continue point @ PS5 (31:00) –
We want to make sure you are still there. Please click below to continue.
[RECORD TIME TO CLICK]
Content Check 3 @ FA14 (33:10, Jeep ad)
The person in the most recent ad was:
[RANDOMIZE]
Value |
Value Label |
01 |
A man |
02 |
A woman |
-99 |
Refused |
[AUTO PUNCH HIDDEN QUESTION C5x
If C5 = (01 = “A man”), C5x = 01 (‘True’)
ELSE C5x = 00 (‘False’)]
Content Check 4 @PS6; 40:00
What was the most recent segment about?
[RANDOMIZE]
Value |
Value Label |
01 |
Rooftop farms |
02 |
Wind energy |
03 |
Solar panels |
04 |
Electric cars |
-99 |
Refused |
[AUTO PUNCH HIDDEN QUESTION C6x
If C6 = 01 (‘Rooftop farms’), C6x = 01 (‘True’)
ELSE C6x = 00 (‘False’)]
BR2. Would you like to take a break at this point?
Value |
Value Label |
|
01 |
Yes |
Display BR2A |
00 |
No |
Continue with video segment 7 |
BR2A. Please resume the survey within 10 minutes by clicking the CONTINUE button below. If you do not resume within 10 minutes, you will not be able to continue with the study.
[DISPLAY MM:SS TIMER STARTING FROM 10:00]
[AUTO PUNCH HIDDEN QUESTION BR2x
If BR2A time ≤ 10:00:00, BR2x = 01 (‘True’)
ELSE BR2x = 00 (‘False’), TERMINATE, pay $5]
Continue point @PS7 49:20–
On a rating scale from 1 to 10, how would you rate this program so far?
Value |
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10 |
Value label |
1: Not enjoyable at all |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
9 |
10. Extremely enjoyable |
[RECORD TIME TO CLICK]
CONTINUE ELIGIBILITY
[IF 3 OR MORE OF C1/C3/C5/C6 = 01 (‘True’), CONTINUE TO SURVEY, ELSE LATE TERMINATE]
[EARLY TERMINATION LANGUAGE FOR FAILING ATTENTION CHECKS]
Thank you for your interest in this study and your time. I’m sorry but you are not eligible to continue with this study. We would still like to offer you $3 as a token of our appreciation for your time.
The purpose of this study is to learn about how people understand information about prescription drugs in advertisements. In order to get a real-life reaction to this information, we created a brand to use in this study, [Drug X]. [Drug X] is not a real product and is not available for sale. Any other use of brand names does not imply endorsement by the FDA. Please see your health care professional for any questions about asthma, treatments for asthma, and information about outcomes of untreated asthma.
[LATE TERMINATION LANGUAGE FOR FAILING ATTENTION CHECKS]
Thank you for your interest in this study and your time. I’m sorry but you are not eligible to continue with this study. We would still like to offer you $5 as a token of our appreciation for your time.
The purpose of this study is to learn about how people understand information about prescription drugs in advertisements. In order to get a real-life reaction to this information, we created a brand to use in this study, [Drug X]. [Drug X] is not a real product and is not available for sale. Any other use of brand names does not imply endorsement by the FDA. Please see your health care professional for any questions about asthma, treatments for asthma, and information about outcomes of untreated asthma.
INTRODUCTION (STUDY 2)
[BEFORE EACH VIEWING]
Thank you for agreeing to participate in this study.
Please make sure you are comfortable and can read the screen from where you sit. Please watch the entire set of commercials. If you are using a mobile device, turn it sideways and use landscape view to watch the ads. You will be asked to answer questions about the commercials after the program.
Please press Continue to begin. The video will play automatically on the next page.
[BEFORE FINAL VIEWING]
Thank you for agreeing to participate in this study.
Please make sure you are comfortable and can read the screen from where you sit. Please watch the entire set of commercials. If you are using a mobile phone then turn your phone sideways and use landscape view to watch the ads. You will be asked to answer questions about the commercials after the program. You will need about 20 minutes to answer the questions following the commercials.
Please press Continue to begin. The video will play automatically on the next page.
STIMULI VIEWING CONFIRMATION (STUDY 1)
Question Type: Single Punch
Q1. Were you able to view the entire television program and commercials?
Variable Label: Q1: Were you able to view the entire television program and commercials?
Value |
Value Label |
|
01 |
Yes |
Continue to Q2 |
00 |
No |
Continue to Q1A, then Terminate |
02 |
Not Sure |
Continue to Q1A, then Terminate |
-99 |
Refused |
Terminate |
Question Type: Multi Punch
Q1A. Why were you not able to view the entire television program and commercials? (Select all that apply).
Variable Label: Q1A. Why were you not able to view the entire television program and commercials? Select all that apply.
Variable |
Variable text |
Value Label |
1A_1 |
Technical problems with the survey |
Q1A_1: Technical problems with the survey |
1A_2 |
Interrupted/distracted by activities around me (e.g. phone call, family, pets) |
Q1A_2: Interrupted/distracted by activities around me (e.g. phone call, family, pets) |
1A_3 |
Computer/internet problems |
Q1A_3: Computer/internet problems |
1A_4 |
Other: Please describe_______________ |
Q1A_4: Other: Please describe_______________ |
Value |
Value Label |
01 |
Selected |
00 |
Not selected |
-99 |
Refused |
-100 |
Valid skip |
[TERMINATION AND DEBRIEF LANGUAGE FOR STIMULUS VIEWING CHECK]
Thank you for your interest in this study and your time. I’m sorry but you are not eligible to continue with this study. We would still like to offer you $5 as a token of our appreciation for your time.
The purpose of this study is to learn about how people understand information about prescription drugs in advertisements. In order to get a real-life reaction to this information, we created a brand to use in this study, [Drug X]. [Drug X] is not a real product and is not available for sale. Any other use of brand names does not imply endorsement by the FDA. Please see your health care professional for any questions about asthma, treatments for asthma, and information about outcomes of untreated asthma.
[For remaining survey items, if participant does not provide response, then prompt with, “Are you sure you don’t want to provide a response?” before allowing to continue.]
Question Type: Single Punch
Q2. Do you recall seeing a commercial for [Drug X], a prescription drug product for asthma?
Variable Label: Q2: Do you recall seeing a commercial for [Drug X], a prescription drug product for asthma?
Value |
Value Label |
|
01 |
Yes |
Continue to Q3 |
00 |
No |
Continue to Q2A |
02 |
Not Sure |
Continue to Q2A |
-99 |
Refused |
|
Question Type: Viewing page
Q2A. Do you remember seeing this commercial?
Variable Label: Q2A. Do you remember seeing this commercial? (aided recall)
[PRESENT IMAGES/STILLS OF PRODUCT AD]
Value |
Value Label |
|
01 |
Yes |
Continue to Q3 |
00 |
No |
Continue to Q2B |
02 |
Not Sure |
Continue to Q2B |
-99 |
Refused |
|
-100 |
Valid skip |
|
Q2B. Here it is again:
[Play Product Ad]
Value |
Value Label |
|
01 |
Yes |
Continue to Q3 |
00 |
No |
Terminate |
02 |
Not Sure |
Terminate |
-99 |
Refused |
Terminate |
Question Type: Single Punch
Q3. Had you seen this commercial for [Drug X] before today?
Variable Label: Q3. Had you seen this commercial for [Drug X] before today?
Value |
Value Label |
01 |
Yes |
00 |
No |
02 |
Not Sure |
-99 |
Refused |
Question Type: Table Scale
Q4. The commercial for [Drug X] was:
[RANDOMIZE]
Variable |
Variable text |
Variable label |
Q4_A |
Telling me something new |
Q4_A: Telling me something new |
Q4_B |
Attention-grabbing |
Q4_B: Attention-grabbing |
Q4_C |
Interesting |
Q4_C: Interesting |
Q4_D |
Relevant to me |
Q4_D: Relevant to me |
Value |
Value Label |
01 |
Strongly disagree |
02 |
Disagree |
03 |
Neither agree nor disagree |
04 |
Agree |
05 |
Strongly agree |
-99 |
Refused |
-100 |
Valid Skip |
Question Type: Table Scale
Q5. How likely are you to look for more information about [Drug X]?
Variable Label: Q5. How likely are you to look for more information about [Drug X]?
Value |
Value Label |
01 |
Very unlikely |
02 |
Somewhat unlikely |
03 |
Neither |
04 |
Somewhat likely |
05 |
Very likely |
-99 |
Refused |
STIMULI VIEWING CONFIRMATION (STUDY 2)
[After each daily viewing]
Question Type: Single Punch
Q1. Were you able to view the entire set of commercials?
Variable Label: Q1: Were you able to view the entire set of commercials?
Value |
Value Label |
01 |
Yes |
00 |
No |
02 |
Not Sure |
-99 |
Refused |
[IF Q1= 00 (“No”) OR Q1= 02 (“NOT SURE”) OR Q1=-99 (“REFUSED”), TERMINATE, pay for number of sessions completed according to Study 2 payment schedule]
[After final viewing]
Question Type: Single Punch
Q2. Do you recall seeing a commercial for [Drug X], a prescription drug product for asthma?
Variable Label: Q2. Do you recall seeing a commercial for [Drug X], a prescription drug product for asthma?
Value |
Value Label |
|
01 |
Yes |
Continue to Q3 |
00 |
No |
Terminate |
02 |
Not Sure |
Terminate |
-99 |
Refused |
Terminate |
Question Type: Single Punch
Q3. Had you seen this commercial for [Drug X] before today?
Variable Label: Q3. Had you seen this commercial for [Drug X] before today?
Value |
Value Label |
01 |
Yes |
00 |
No |
02 |
Not Sure |
-99 |
Refused |
Question Type: Table Scale
Q4. The commercial for [Drug X] was:
[RANDOMIZE]
Variable |
Variable text |
Variable label |
Q4_A |
Telling me something new |
Q4_A: Telling me something new |
Q4_B |
Attention-grabbing |
Q4_B: Attention-grabbing |
Q4_C |
Interesting |
Q4_C: Interesting |
Q4_D |
Relevant to me |
Q4_D: Relevant to me |
Value |
Value Label |
01 |
Strongly disagree |
02 |
Disagree |
03 |
Neither agree nor disagree |
04 |
Agree |
05 |
Strongly agree |
-99 |
Refused |
-100 |
Valid Skip |
Question Type: Table Scale
Q5. How likely are you to look for more information about [Drug X]?
Variable Label: Q5. How likely are you to look for more information about [Drug X]?
Value |
Value Label |
01 |
Very unlikely |
02 |
Somewhat unlikely |
03 |
Neither |
04 |
Somewhat likely |
05 |
Very likely |
-99 |
Refused |
//NEW SCREEN//
We are now going to ask you some questions about [Drug X]. Even if you don’t remember much information about [Drug X], please try your best to answer the following questions.
BENEFIT/RISK RECALL AND RECOGNITION (STUDY 1 AND STUDY 2)
Question type: Text box (10)
Q6. What are the benefits of [Drug X]? Use one line for each benefit you remember.
Variable Label: Q6. What are the benefits of [Drug X]? Use one line for each benefit you remember.
1
|
2
|
3
|
4
|
5
|
6
|
7
|
8
|
9
|
10
|
Possible Codes:
Benefits (from product ad)
Incorrect benefits (from disease awareness ad)
Incorrect benefits (not mentioned)
Risks (from product ad)
Incorrect risks (from disease awareness ad)
Incorrect risks (not mentioned)
Other
Question type: Text box (10)
Q7. What are the risks of [Drug X]? Use one line for each risk you remember.
Variable Label: Q7. What are the risks of [Drug X]? Use one line for each risk you remember.
1. |
2. |
3. |
4. |
5. |
6. |
7. |
8. |
9. |
10. |
Possible Codes:
Benefits (from product ad)
Incorrect benefits (from disease awareness ad)
Incorrect benefits (not mentioned)
Risks (from product ad)
Incorrect risks (from disease awareness ad)
Incorrect risks (not mentioned)
Other
Question Type: Grid
Q8. Based on the information in the ad, please indicate whether each of the following is a benefit of taking [Drug X]:
[RANDOMIZE 8_A-L]
Variable |
Variable Text |
True |
False |
Q8_A |
a. [Drug X] reduces inflammation. |
X |
|
Q8_B |
b. [Drug X] helps alleviate breathing difficulty. |
X |
|
Q8_C |
c. [Drug X] helps alleviate chest tightness. |
X |
|
Q8_D |
d. [Drug X] helps alleviate wheezing. |
X |
|
Q8_E |
e. [Drug X] helps alleviate coughing. |
X |
|
Q8_F |
f. [Drug X] helps alleviate shortness of breath. |
X |
|
Q8_G |
g. [Drug X] treats asthma attacks once they start. |
|
X |
Q8_H |
h. [Drug X] prevents asthma triggers from setting off an asthma attack. |
|
X |
Q8_I |
i. [Drug X] reduces the likelihood of sleep interruption by asthma. |
|
X |
Q8_J |
j. [Drug X] reduces the likelihood of serious problems that can be caused by asthma attacks. |
|
X |
Q8_K |
k. [Drug X] reduces the likelihood of expensive hospital visits. |
|
X |
Q8_L |
l. [Drug X] reduces the likelihood of death. |
|
X |
Value |
Value Label |
01 |
True |
02 |
False |
03 |
Don’t Know |
-99 |
Refused |
[CORRECT RESPONSE Q8a = (01 - ‘True’)]
[CORRECT RESPONSE Q8b = (01 - ‘True’)]
[CORRECT RESPONSE Q8c = (01 - ‘True’)]
[CORRECT RESPONSE Q8d = (01 - ‘True’)]
[CORRECT RESPONSE Q8e = (01 - ‘True’)]
[CORRECT RESPONSE Q8f = (01 - ‘True’)]
[CORRECT RESPONSE Q8g = (02 - ‘False’)]
[CORRECT RESPONSE Q8h = (02 - ‘False’)]
[CORRECT RESPONSE Q8i = (02 - ‘False’)]
[CORRECT RESPONSE Q8j = (02 - ‘False’)]
[CORRECT RESPONSE Q8k = (02 - ‘False’)]
[CORRECT RESPONSE Q8l = (02 - ‘False’)]
[RANDOMIZE 9_A-l; ONLY SHOW ITEMS WHICH PARTICIPANTS RESPONDED “TRUE” TO IN Q8]
[FOR Q9, ASK ONLY IF 8A/B/C/D/E/F = 01. IF MORE THAN 3 OF 8A/B/C/D/E/F = 1, RANDOMLY SELECT 3 TO PRESENT]
Question type: Text box
Q9_1.1. You said [Drug X] [claim #1 Q8_A/B/C/D/E/F from product ad]. What in the ad for [Drug X] made you say that?
Variable Label: Q9_1.1. You said [Drug X] [claim #1 Q8_A/B/C/D/E/F from product ad]. What in the ad for [Drug X] made you say that?
|
Question Type: Single Punch
Q9_1.2. How confident are you that [Drug X] [claim #1 Q8_A/B/C/D/E/F from product ad]?
Variable Label: Q9_1.2. How confident are you that [Drug X] [claim #1 Q8_A/B/C/D/E/F from product ad]?
Value |
Value Label |
01 |
Not at all confident |
02 |
Somewhat confident |
03 |
Confident |
04 |
Very confident |
05 |
Completely confident |
-99 |
Refused |
Question type: Text box
Q9_2.1. You said [Drug X] [claim #2 Q8_A/B/C/D/E/F from product ad]. What in the ad for [Drug X] made you say that?
Variable Label: Q9_2.1. You said [Drug X] [claim #2 Q8_A/B/C/D/E/F from product ad]. What in the ad for [Drug X] made you say that?
|
Question Type: Single Punch
Q9_2.2. How confident are you that [Drug X] [claim #2 Q8_A/B/C/D/E/F from product ad]?
Variable Label: Q9_2.2. How confident are you that [Drug X] [claim #2 Q8_A/B/C/D/E/F from product ad]?
Value |
Value Label |
01 |
Not at all confident |
02 |
Somewhat confident |
03 |
Confident |
04 |
Very confident |
05 |
Completely confident |
-99 |
Refused |
Question type: Text box
Q9_3.1. You said [Drug X] [claim #3 Q8_A/B/C/D/E/F from product ad]. What in the ad for [Drug X] made you say that?
Variable Label: Q9_3.1. You said [Drug X] [claim #3 Q8_A/B/C/D/E/F from product ad]. What in the ad for [Drug X] made you say that?
|
Question Type: Single Punch
Q9_3. 2. How confident are you that [Drug X] [claim #3 Q8_A/B/C/D/E/F from product ad]?
Variable Label: Q9_3. 2. How confident are you that [Drug X] [claim #3 Q8_A/B/C/D/E/F from product ad]?
Value |
Value Label |
01 |
Not at all confident |
02 |
Somewhat confident |
03 |
Confident |
04 |
Very confident |
05 |
Completely confident |
-99 |
Refused |
[For Q10, ask only if 8_g/h/i/j/k/l = 01. If more than 3 of Q8_G/H/I/J/K/L = 01 = 1, randomly select 3 to present]
Question type: Text box
Q10_1.1. You said [Drug X] [claim #1 Q8_G/H/I/J/K/L from disease awareness ad]. What in the ad for [Drug X] made you say that?
Variable Label: Q10_1.1. You said [Drug X] [claim #1 Q8_G/H/I/J/K/L from disease awareness ad]. What in the ad for [Drug X] made you say that?
|
Question Type: Single Punch
Q10_1.2. How confident are you that [Drug X] [claim #1 Q8_G/H/I/J/K/L from disease awareness ad]?
Variable Label: Q10_1.2. How confident are you that [Drug X] [claim #1 Q8_G/H/I/J/K/L from disease awareness ad]?
Value |
Value Label |
01 |
Not at all confident |
02 |
Somewhat confident |
03 |
Confident |
04 |
Very confident |
05 |
Completely confident |
-99 |
Refused |
Question type: Text box
Q10_2.1 You said [Drug X] [claim #2 Q8_G/H/I/J/K/L from disease awareness ad]. What in the ad for [Drug X] made you say that?
Variable Label: Q10_2.1. You said [Drug X] [claim #2 Q8_G/H/I/J/K/L from disease awareness ad]. What in the ad for [Drug X] made you say that?
|
Question Type: Single Punch
Q10_2.2. How confident are you that [Drug X] [claim #2 Q8_G/H/I/J/K/L from disease awareness ad]?
Variable Label: Q10_2.2. How confident are you that [Drug X] [claim #2 Q8_G/H/I/J/K/L from disease awareness ad]?
Value |
Value Label |
01 |
Not at all confident |
02 |
Somewhat confident |
03 |
Confident |
04 |
Very confident |
05 |
Completely confident |
-99 |
Refused |
Question type: Text box (1)
Q10_3.1. You said [Drug X] [claim #3 Q8_G/H/I/J/K/L from disease awareness ad]. What in the ad for [Drug X] made you say that?
Variable Label: Q10_3.1. You said [Drug X] [claim #3 Q8_G/H/I/J/K/L from disease awareness ad]. What in the ad for [Drug X] made you say that?
|
Question Type: Single Punch
Q10_3.2. How confident are you that [Drug X] [claim #3 Q8_G/H/I/J/K/L from disease awareness ad]?
Variable Label: Q10_3.2. How confident are you that [Drug X] [claim #3 Q8_G/H/I/J/K/L from disease awareness ad]?
Value |
Value Label |
01 |
Not at all confident |
02 |
Somewhat confident |
03 |
Confident |
04 |
Very confident |
05 |
Completely confident |
-99 |
Refused |
BEHAVIORAL INTENTIONS (STUDY 1 AND STUDY 2)
Question Type: Single Punch
Q11. If one of your family members or close friends were considering using a prescription drug to help with asthma, how likely would you be to mention [Drug X] to him or her?
Variable Label: Q11. If one of your family members or close friends were considering using a prescription drug to help with asthma, how likely would you be to mention [Drug X] to him or her?
Value |
Value Label |
01 |
Very unlikely |
02 |
Somewhat unlikely |
03 |
Neither |
04 |
Somewhat likely |
05 |
Very likely |
-99 |
Refused |
PERCEIVED EFFICACY AND RISK (STUDY 1 AND STUDY 2)
[randomize Q12-23]
[TEXT]
Please answer the following set of questions based on the impression you got from the ad.
Question Type: Single Punch
Q12. How likely is it that [Drug X] would help reduce your asthma symptoms if you took it?
Variable Label: Q12. How likely is it that [Drug X] would help reduce your asthma symptoms if you took it?
Value |
Value Label |
01 |
Not at all likely |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Extremely likely |
Question Type: Single Punch
Q13. How much would [Drug X] help reduce your asthma symptoms?
Variable Label: Q13. How much would [Drug X] help reduce your asthma symptoms?
Value |
Value Label |
01 |
No improvement |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Substantial improvement |
Question Type: Single Punch
Q14. [Drug X] would work fast.
Variable Label: Q14. [Drug X] would work fast.
Value |
Value Label |
01 |
Strongly disagree |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Strongly agree |
Question Type: Single Punch
Q15. Do you think [Drug X]’s positive effect on asthma would be short-lived or long-lasting?
Variable Label: Q15. Do you think [Drug X]’s positive effect on asthma would be short-lived or long-lasting?
Value |
Value Label |
01 |
Short-lived |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Long-lasting |
Question Type: Single Punch
Q16. In addition to treating asthma, there are other advantages to taking [Drug X].
Variable Label: Q16. In addition to treating asthma, there are other advantages to taking [Drug X].
Value |
Value Label |
01 |
Strongly disagree |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Strongly agree |
Question Type: Single Punch
Q17. How difficult or easy would it be to take [Drug X]?
Variable Label: Q17. How difficult or easy would it be to take [Drug X]?
Value |
Value Label |
01 |
Extremely difficult |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Extremely easy |
Question Type: Single Punch
Q18. How likely is it that taking [Drug X] would improve your quality of life?
Variable Label: Q18. How likely is it that taking [Drug X] would improve your quality of life?
Value |
Value Label |
01 |
Not at all likely |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Extremely likely |
Question Type: Single Punch
Q19. The benefits of [Drug X] outweigh all the things I have to do to obtain it (appointments, prescriptions, leave).
Variable Label: Q19. The benefits of [Drug X] outweigh all the things I have to do to obtain it (appointments, prescriptions, leave).
Value |
Value Label |
01 |
Strongly disagree |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Strongly agree |
Question Type: Single Punch
Q20. The benefits of [Drug X] outweigh any side effects it may have.
Variable Label: Q20. The benefits of [Drug X] outweigh any side effects it may have.
Value |
Value Label |
01 |
Strongly disagree |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Strongly agree |
Question Type: Single Punch
Q21. How likely is it that you would experience at least one side effect if you took [Drug X]?
Variable Label: Q21. How likely is it that you would experience at least one side effect if you took [Drug X]?
Value |
Value Label |
01 |
Not at all likely |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Extremely likely |
Question Type: Single Punch
Q22. How serious are [Drug X]’s side effects?
Variable Label: Q22. How serious are [Drug X]’s side effects?
Value |
Value Label |
01 |
Not at all serious |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Extremely serious |
Question Type: Single Punch
Q23. Do you think [Drug X]’s side effects would be short-lived or long-lasting?
Variable Label: Q23. Do you think [Drug X]’s side effects would be short-lived or long-lasting?
Value |
Value Label |
01 |
Short-lived |
02 |
|
03 |
|
04 |
|
05 |
|
06 |
Long-lasting |
MANIPULATION CHECKS (STUDY 1)
SIMILARITY MANIPULATION CHECK – Experimental conditions A1 to L1
Question Type: Single Punch
Q24. In addition to the commercial for [Drug X], another commercial presented general information about asthma. Do you remember seeing this commercial?
Variable Label: Q24. In addition to the commercial for [Drug X], another commercial presented general information about asthma. Do you remember seeing this commercial?
Value |
Value Label |
01 |
Yes |
00 |
No |
02 |
Not Sure/Don’t Know |
-99 |
Refused |
Yes skip to Q26
No continue
Not sure/Don’t know continue
Question Type: Single Punch
Q25. Do you remember seeing this commercial?
Variable Label: Q25. Do you remember seeing this commercial? (aided recall)
[PRESENT IMAGES/STILLS ACCORDING TO EXPERIMENTAL CONDITION]
Similar [A1, B1, C1, D1] |
Semi-similar [E1, F1, G1, H1] |
Distinct [I1, J1, K1, L1] |
|
|
|
|
|
|
Value |
Value Label |
|
01 |
Yes |
[Continue] |
00 |
No |
[Skip to Q28] |
02 |
Not Sure |
[Skip to Q28] |
-99 |
Refused |
[Skip to Q28] |
Question Type: Table Scale
Q26. The commercial for asthma was:
[RANDOMIZE]
Variable |
Variable text |
Variable label |
Q26_A |
Telling me something new |
Q26_A: Telling me something new |
Q26_B |
Attention-grabbing |
Q26_B: Attention-grabbing |
Q26_C |
Interesting |
Q26_C: Interesting |
Q26_D |
Relevant to me |
Q26_D: Relevant to me |
Value |
Value Label |
01 |
Strongly disagree |
02 |
Disagree |
03 |
Neither agree nor disagree |
04 |
Agree |
05 |
Strongly agree |
-99 |
Refused |
-100 |
Valid Skip |
Question Type: Single Punch
Q27. How different or similar were the two ads regarding asthma?
Variable Label: Q27. How different or similar were the two ads regarding asthma?
Value |
Value Label |
|
01 |
Very different |
Skip to Q28 |
02 |
Somewhat different |
Skip to Q28 |
03 |
Neither different nor similar |
Skip to Q28 |
04 |
Somewhat similar |
Continue to Q27_A |
05 |
Very similar |
Continue to Q27_A |
-99 |
Refused |
Skip to Q28 |
Question type: Text box
Q27_A. What makes them similar?
Variable Label: Q27_A. What makes them similar?
|
SIMILARITY MANIPULATION CHECK – Control condition (M1)
Question type: Text/multimedia
Q24. Here are two commercials that present information about asthma.
Variable Label: Q24. Disease awareness ad presented for control manipulation check
[PLAY PA AND THEN RANDOMLY SELECT ONE DISEASE AWARENESS TO PRESENT; RECORD AD SELECTED]
[PLAY PRODUCT AD VIDEO]
[DISEASE AWARENESS AD VIDEO, RANDOMLY SELECT ONE TO PLAY]
Similar |
Semi-similar |
Distinct
|
|
|
|
|
|
|
Question Type: Single Punch
Q25. How different or similar are these two ads regarding asthma?
Variable Label: Q25. How different or similar are these two ads regarding asthma?
Value |
Value Label |
|
01 |
Very different |
Skip to Q28 |
02 |
Somewhat different |
Skip to Q28 |
03 |
Neither different nor similar |
Skip to Q28 |
04 |
Somewhat similar |
Continue to Q25_A |
05 |
Very similar |
Continue to Q25_A |
-99 |
Refused |
Skip to Q28 |
Question type: Text box (1)
Q25_A. What makes them similar?
Variable Label: Q25_A. What makes them similar?
|
MANIPULATION CHECKS (STUDY 2)
Question Type: Single Punch
Q24. In addition to the commercial for [Drug X], another commercial that you saw before today presented general information about asthma. Do you remember seeing this commercial?
Variable Label: Q24. In addition to the commercial for [Drug X], another commercial that you saw before today presented general information about asthma. Do you remember seeing this commercial?
Value |
Value Label |
|
01 |
Yes |
Skip to Q26 |
00 |
No |
Continue |
02 |
Not Sure/Don’t Know |
Continue |
-99 |
Refused |
Continue |
Question Type: Single Punch
Q25. Do you remember seeing this commercial?
Variable Label: Q25. Do you remember seeing this commercial?
[PRESENT IMAGES/STILLS ACCORDING TO EXPERIMENTAL CONDITION]
Similar [A2, B2, C2, G2, H2, I2] |
Distinct [D2, E2, F2, J2, K2, L2] |
|
|
|
|
Value |
Value Label |
|
01 |
Yes |
Continue to Q26 |
00 |
No |
Skip to Q28 |
02 |
Not Sure/Don’t Know |
Skip to Q28 |
-99 |
Refused |
Skip to Q28 |
Question Type: Table Scale
Q26. The commercial for asthma was:
[RANDOMIZE]
Variable |
Variable text |
Variable label |
Q26_A |
Telling me something new |
Q26_A: Telling me something new |
Q26_B |
Attention-grabbing |
Q26_B: Attention-grabbing |
Q26_C |
Interesting |
Q26_C: Interesting |
Q26_D |
Relevant to me |
Q26_D: Relevant to me |
Value |
Value Label |
01 |
Strongly disagree |
02 |
Disagree |
03 |
Neither agree nor disagree |
04 |
Agree |
05 |
Strongly agree |
-99 |
Refused |
-100 |
Valid Skip |
Question Type: Single Punch
Q27. How different or similar were the two ads regarding asthma?
Variable label: Q27. How different or similar were the two ads regarding asthma?
Value |
Value Label |
|
01 |
Very different |
Skip to Q28 |
02 |
Somewhat different |
Skip to Q28 |
03 |
Neither different nor similar |
Skip to Q28 |
04 |
Somewhat similar |
Continue to Q27_A |
05 |
Very similar |
Continue to Q27_A |
-99 |
Refused |
Skip to Q28 |
-100 |
Valid skip |
|
Question type: Text box (1)
Q27_A. What makes them similar?
Variable Label: Q27_A. What makes them similar?
|
KNOWLEDGE ABOUT ASTHMA & PRESCRIPTION DRUG USAGE (STUDY 1 & STUDY 2)
Question Type: Single Punch
Q28. Please indicate which of the following best represents your level of knowledge about asthma.
Variable label: Q28. Please indicate which of the following best represents your level of knowledge about asthma.
Value |
Value Label |
01 |
I know nothing at all about asthma. |
02 |
I know only a slight amount about asthma. |
03 |
I know some about asthma. |
04 |
I know a good bit about asthma. |
05 |
I know a lot about asthma. |
-99 |
Refused |
Question Type: Single Punch
Q29. Are you currently taking any prescription medication for asthma?
Variable label: Q29. Are you currently taking any prescription medication for asthma?
Value |
Value Label |
|
01 |
Yes |
Continue to Q29A |
00 |
No |
Skip to Q31 |
-99 |
Refused |
Skip to Q31 |
Question Type: Multi Punch
Q29A. Do you use: (Select all that apply)
Variable |
Variable text |
Variable Label |
Q29A_a |
A daily medication to prevent attacks? |
Q29A_a: A daily medication to prevent attacks? |
Q29A_b |
A rescue inhaler? |
Q29A_b: A rescue inhaler? |
Q29A_c |
Allergy shots/ immunotherapy? |
Q29A_c: Allergy shots/ immunotherapy? |
Q29A_d |
Other |
Q29A_d: Other |
Value |
Value Label |
01 |
Selected |
00 |
Not selected |
-99 |
Refused |
-100 |
Valid Skip |
Question Type: Single Punch
Q29_B. How long have you been taking prescription medication for asthma?
Variable label: Q29_B. How long have you been taking prescription drug medication for asthma?
Value |
Value Label |
01 |
Less than two weeks |
02 |
At least two weeks but less than two months |
03 |
At least two months but less than six months |
04 |
At least six months but less than one year |
05 |
At least one year but less than five years |
06 |
Five years or more |
-99 |
Refused |
-100 |
Valid Skip |
HEALTH LITERACY (STUDY 1 AND STUDY 2)
Question Type: Single Punch
Q30. How often do you have someone (like a family member or friend) help you read instructions, pamphlets, or other written material from your doctor or pharmacy?
Variable label: Q30. How often do you have someone (like a family member or friend) help you read instructions, pamphlets, or other written material from your doctor or pharmacy?
Value |
Value Label |
01 |
Never |
02 |
Occasionally |
03 |
Sometimes |
04 |
Often |
05 |
Always |
-99 |
Refused |
Question Type: Single Punch
Q31. How confident are you in filling out medical forms by yourself?
Variable Label: Q31: How confident are you in filling out medical forms by yourself?
Value |
Value Label |
01 |
Not at all confident |
02 |
A little bit |
03 |
Somewhat |
04 |
Quite a bit |
05 |
Extremely confident |
-99 |
Refused |
//NEW SCREEN//
DEBRIEF (STUDY 1 AND STUDY 2)
Those are all the questions we have for you!
The purpose of this study is to learn about how people understand information about prescription drugs in advertisements. In order to get a real-life reaction to this information, we created a brand to use in this study, [Drug X]. [Drug X] is not a real product and is not available for sale. Any other use of brand names does not imply endorsement by the FDA. Please see your health care professional for any questions about asthma, treatments for asthma, and information about outcomes of untreated asthma.
OMB Control #____________ Expires ___________
OMB Control #____________ Expires ___________
OMB Control #____________ Expires ___________
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | 53 - DiseaseAwareness_Questionnaire_FMGDraft_preTechEdit.doc |
Author | Aikin |
File Modified | 0000-00-00 |
File Created | 2021-01-14 |