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III. Interviewer's Responsibilities in Administering Protocol

A.      CONTACTING RESPONDENTS

In the BRIDGES Evaluation Project there are four steps involved in contacting consumers and conducting interviews.   1.      Eligible consumers are told of the study by direct service providers from the traditional service agency (case managers, nurses, job coaches, etc.). Consumers who wish to find out more about the study sign a “Consent to be Contacted” form.  2.      Consenting consumers are referred to the site coordinator and lead interviewers from the BRIDGES Evaluation Project.  Project staff explain the study to them in greater detail, including the responsibilities of the respondent, the responsibilities of the project staff and the rights of the respondent.   3.      Respondents are referred to interviewers for a baseline interview.  At the conclusion of the baseline interview, respondents are randomized into either participating in BRIDGES plus their traditional services, or traditional services alone. 4.      Respondents who are randomized to BRIDGES are referred to the BRIDGES teachers in their area for enrollment in the course.   

  Instructions for Contacting Respondents

Your introduction is crucial when trying to obtain participants in a project.  It is therefore important that you prepare the introduction in advance, and to practice several times before contacting people.    It is important to remember that successful introductions take planning, and practice, and that although the introductions may seem difficult at first, they will become easier with time.  The following points should be observed with each introduction: 

  1. Immediately give your name and the title of the project/organization with which you are affiliated.
  2. Provide brief summary of the project that is non-specific, and does not contain statements that may introduce bias into the study at a later time. (For example:
  3. Do not specify that some of your questions are about work and employment.)
  4. Do not ask questions that may elicit an undesired response. (For example: Are you too busy to answer some questions?)
  5. Assume that the respondent is willing to do the interview and you are trying to find a convenient time.
  6. Remind the respondents about confidentiality and informed consent procedure.
  7. Respect the respondent's right to say "No."

Keeping Track of Contacts

You will use the telephone contact record or computer database to keep track of your contact attempts for each person (see Section IIIH “Keeping Track of Contacts and Completed Interviews”).  On a weekly basis, you will turn in all of your contact sheets or transmit your electronic contact data to the Site Coordinator.  When you are able to contact the person, please use the following script:

Contact Script

Interviewer:  Hello, my name is _________.   I am an interviewer with the BRIDGES Evaluation Project, a study of consumer-operated services that is sponsored by Vanderbilt University and the Tennessee Mental Health Consumers’ Association.  You recently spoke with our staff about the project and indicated that you wanted to participate.  I am calling to set up a date and time for an interview with you.   Is this a good time to talk?  (If respondent says: “Yes,” continue with next section)

Interviewer:  Thank you.  Your participation is very important for the success of this project.  Let me remind you that you will be paid for your time.  Now, we need to set a date and a time.  I have the following dates and times open (read your list of dates and times).  Which of these times work for you?  (Decide on a date and time)

We appreciate your cooperation and I look forward to meeting you on (date and time) at [Site].

  (If respondent says no):  What would be a more convenient time to call in the next day or two?  Let me remind you that you will be paid for the time you spend being interviewed.  (Decide on date and time for call back)

  Once the appointment date and time have been decided, record this information on your contact sheet.

          Go to Exercise #1

record appointment date and time


 

B.     HANDLING REFUSALS

If the person does not seem willing to meet with you to do the interview, never pressure the person.  In some cases, however, the person may hesitate or decline when more information or reassurance from you is needed.  You may then use one of the following possible responses in asking for their participation:
Possible Responses to Refusal Attempts

Too busyWe appreciate your time and will pay you for it.  Sorry to have caught you at a bad time. I would be happy to call back. When would be a good time to call in the next day or two?

Feel inadequate:    The questions are not at all difficult. There are no right or   wrong answers. We are concerned about how you feel rather than how much you know about certain things. These are questions about your health, your daily living situation, and your participation in the services at the center.  .

Not interested:            It’s very important that we get the opinions of everyone. Otherwise, the results won’t be very useful. So, I’d really like to talk with you.  Your input is valuable to us and we need your help.

No one’s business      I can certainly understand. That’s why all of our interviews are confidential. Protecting people’s privacy is one of our major concerns, so we do             not put people’s names on the interview forms. All the results are reported in             such a way that no individual can be linked with any answer.

C.     FOLLOWING CONFIDENTIALITY PROCEDURES

Confidentiality means that the respondent’s name and identifying information (such as phone number or address), as well as the information supplied by the respondent during the interview, are to be kept private.  Therefore, you must never share names or information with anyone else, discuss individual responses, or show the questionnaire results to another person.  During debriefing meetings, you need to discuss the interview process and any problems you may have experienced; however, you may not refer to a respondent by name or use other identifying information.  

Although you will use the person’s name and telephone number to make the contact and set up the appointment, these will not appear on the questionnaire.    Instead, an identification number will be used.  The completed questionnaires will be kept in a box, marked with the interviewer’s name, in a locked room at the Project office at Vanderbilt University until the end of the two-month data collection period.  OR the questionnaire information entered in the laptop will be encrypted for confidentiality and transmitted by email.  The information will also be transferred to a disk and mailed to the Project office at Michigan State University.  Once the data collection has been completed, the finished materials will be stored in locked file cabinets at Michigan State University for data analysis.  It will be your responsibility to reassure the respondent that their identity and answers to the questions will be kept confidential, and grouped with other responses for analysis.  

D.    INFORMED CONSENT

A standard request for informed consent will be conducted  prior to each interview.

(forms are in the Appendix).  At the beginning of each interview, you will also review the purpose of the COSP, tell them why you are asking them to answer questions, and remind them that they are free to withdraw their consent and participation at any time.  Then you will ask the respondent to read the brief informed consent statement included in the introduction and sign it.  You cannot begin an interview until this form has been signed.  Instruct the respondent that this form will be kept confidential and in a locked file.  You will turn in the forms to the field coordinator after completion of the interview.  Some respondents may decline to sign the consent form.  If this should occur, use the responses to refusals (see IIIB).  If the respondent refuses to sign the consent form, do not conduct the interview and notify the site coordinator.   

E.     USING STANDARDIZED RESPONSES

To prevent bias, there are some explanations that must be stated in the same way for each respondent and there will be questions from respondents that must be answered in the same way.  The following list of standardized responses has been prepared for your use in such situations:

(1)    What is the purpose of this project?

The purpose of the COSP project is to find out how participating in services that are operated by mental health consumers (survivors) affects consumers’ (survivors’) life in general and their satisfaction with traditional mental health services.  

(1) What agencies are doing the research?

This study is sponsored by the federal Substance Abuse and Mental Health Services Administration (SAMHSA), and is coordinated by the Missouri Institute of Mental Health.  It is a national study with eight sites across the nation.  The study in Tennessee is conducted jointly by the Tennessee Mental Health Consumers’ Association, by Vanderbilt University and Michigan State University.

  (2) Why is this research important/needed?

This research is needed to improve services to many people who are mental health consumers (survivors).   It is very important that we get the opinions of everyone in order to get useful results.   Your input is valuable to us and we need your help.

  (3)  How did you get my name?

Your service provider [name of referring provider] from [agency], referred you to us after you signed the form agreeing that you wanted to learn more about the study to help you decide whether to participate.

  (4)  How will the results be used?

The results of this study will be used to help policy makers decide how to improve services to people with psychiatric disabilities.  

Go to Exercise #2

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