1

CHIS Teen TAC

March 24, 20161:00 – 3:15 pm

2

Welcome and IntroductionsClaire Brindis, Dr PH

Professor of Pediatrics and Health Policy, UCSFCaldwell B. Esselstyn Chair in Health Policy

Director, Philip R. Lee Institute for Health Policy StudiesCo-Project Director, Adolescent & Young Adult Health National Resource Center

Ninez Ponce, PhD, MPPProfessor, UCLA Fielding School of Public Health

Department of Health Policy and ManagementPrincipal Investigator, California Health Interview Survey

3

Navigating Adobe Connect

Patricia Gonzales

4

Meeting Goals

Claire Brindis

5

Meeting goals Report on CHIS 2013-2014 New data collection vendor for CHIS 2015-2016 Report on CHIS 2015-2016 Sample Teen sample declines from 2001 – 2015 Teen questionnaire content changes Disseminating CHIS findings CHIS 2017-2018 Planning Timeline, funder and content planning New topics and potential funders

6

CHIS 2013-2014 and 2015-2016Brief Reports

Royce Park

CHIS 2013-2014 Final Sample

Age Group “CHIS 2013” “CHIS 2014” CHIS 2013-2014

Households 21,304 20,207 41,511

Adult 20,724 19,516 40,240

Teen 1,201 1,052 2,253

Child 2,920 2,592 5,512

7

CHIS 2013-2014 Sample Highlights

Maintained same geographic stratification of past CHIS cycles Maintained cell phone sample of about 20% Met target sample size of 40K households 41,511

Ethnic oversamples of Korean and Vietnamese HHs 433 adult Koreans

522 adult Vietnamese

512 adult Japanese

8

CHIS 2013-2014 Sample Highlights County oversamples:

San Diego County (+1,600 households) 4,400 households Sonoma County (+500 households) 1,000 households Calaveras (400 households total) Tuolumne (400 households total) Siskiyou (400 households total)

Began survey administration in Tagalog in February 2014

9

New vendor for CHIS 2015-2016 CHIS data collection contractor is determined by a competitive

bid process by the UCLA Purchasing Dept. (since 2003) Each round won by Westat… until 2015 Three high-quality bids

Westat Abt/SRBI RTI International

RTI International was the winner of the 2015-2016 competition Highest points in technical review Lowest cost

10

New vendor for CHIS 2015-2016, cont. RTI International: HQ in Research Triangle Park, NC Large firm (3,700+ employees), conduct several major federal,

and other, surveys: National Survey of Drug Use and Health National Intimate Partner and Sexual Victimization Survey National Survey of Family Growth Ohio Medicaid Assessment Survey

11

New vendor for CHIS 2015-2016, cont. Transition from Westat to RTI has been challenging

Contract signed in November 2014 Data collection started in May 2015 (4-5 months late) Major push to interview 20,000 households in 2015 calendar year Target misses (2015):

Uneven yield by strata Child and teen yield Korean and Vietnamese yield

RTI committed to “getting it right” Creating a lot of additional effort for CHIS staff to monitor, review, and

support decision making Slowly turning things around for the better

12

CHIS 2015-2016 Sample Highlights

Same geographic stratification as past CHIS cycles Dramatic increase in cell sample—50% County oversamples

Marin (+890 households, maximize yield of Latinos and children) San Diego

TCE’s Building Healthy Communities (BHC) Initiative Sample of 14 neighborhoods throughout California Target of 400 household interviews per site (n=5,600) Data collection from Oct. 2015 through April 2016

13

CHIS 2015-2016 Data Collection StatusCompleted interviews as of February 14, 2016

Age Group CHIS 2015(complete)

CHIS 2016 (in progress)

Adult 20,986 3,512

Teen 754 87

Child 2,148 303

14

15

CHIS Teen Samples Yields Per Household and Per Adult Interview

CHIS 2015-2016 Data Production Timeline

CHIS 2015 Began data collection in May 2015 Complete data collection Mid-February 2016 Cleaned/edited data from vendor by mid-March 2016 Preliminary data by end of June 2016 (upcoded, imputed) Quality control by July 2016 1-year PUF and AskCHIS data release by late August 2016

CHIS 2016 Start at end of 2016 data collection (expected January 2017)

16

17

CHIS 2015-2016Content Update

Nicole Lordi

18

CHIS 2015-2016 Teen Q: deletions from 2013-2014

HIGH SCHOOL STUDENTS Recent school grades Expected college attendance School Programs

English as a second language school program Special education program Free or reduced cost school lunch eligibility

Ever suspended or expelled from school Teen Leadership module

School and outside of school activities/organizations Involvement in organizations that “make a difference” or work to

improve society

19

CHIS 2015-2016 Teen Q: deletions from 2013-2014ALL ADOLESCENTS Grade level Organizational involvement outside of school Diet

Low-fat or non-fat milk consumption Sweetened coffee/tea drinks Glasses of 100% fruit juice Water availability and consumption at school (fielded in 2012 and 2013 only)

Physical activity Taking PE at school

Health Care Access and Utilization Phone or email doctor with medical question Care coordination for asthma Delayed prescriptions and medical care for asthma Time since visited a dentist or dental clinic

20

CHIS 2015-2016 Teen Q: additions from 2013-2014 Personal and school safety Mental Health

Repeated Kessler 6

Sexual behavior Ever sexual intercourse

Gender Identity (how would peers describe you?) Adult supervision and resiliency Marin County additions for 2015 sample

Loneliness Interpersonal violence Additional Resilience

Disseminating Findingswww.healthpolicy.ucla.edu

Policy Brief Role Model and Social Supports Related to Adolescent Physical Activity and

Overweight/Obesity (July 2015)

Journal articles Adolescent Physical Activity: Role of School Support, Role Models, and

Social Participation, Environment & Behavior (Oct. 2015) Lunchtime School Water Availability and Water Consumption Among

California Adolescents, Journal of Adolescent Health (Jan 2016) Neighborhood, Family and Individual Characteristics Related to Adolescent

Park-based Physical Activity, Preventive Medicine (July 2015)

Score Card 2014-2015 California County Score Card

21

22

CHIS 2015-2016 Planning and timeline

Royce Park

23

CHIS 2017 – 2018 timeline

Content development Technical Advisory Committees March – April 2016 Workgroup meetings May – June 2016 Content discussion with funders April – July 2016 Content deadline July 31, 2016 IRB submission (UCLA + CPHS) August 31, 2016

24

CHIS 2017 – 2018 timeline

Questionnaire preparation and testing Pre-testing (paper and pencil) Mid-Oct 2016 CATI programming preparation Oct 2016 CATI programming Nov – Dec 2016 IRB submission (Final English) Late Oct 2016 Pilot testing Jan 2017 Begin data collection (English) Jan 2017

25

CHIS 2017-2018 Topics: Content Criteria for Inclusion

in CHIS

Ninez Ponce

26

Content Criteria Is it important for public health or health care policy? Emerging PH issues and lack of population-based data Who will need and use the data?

Is this a key health indicator? Has it been in CHIS before? How often does data on it need to be collected? How quickly is change likely to be measureable? Can it be measured in structured telephone interviews? Can it be measured in short amount of time? Is there a likely or definite funder for the topic?

Current Content &Emerging Issues: Potential Topics for CHIS 2017-2018

Claire Brindis and TAC Members

27

Teen questionnaire content by section Section A: Demographics Part I (1.0) Age, gender School attendance, school name, school instability

Section N: Personal and School Safety Threatened by peers/threatened peers Safety on way to or from school, at school

Section B: Health Status & Conditions (0.5) General health status, height and weight Missed school days due to health problem Asthma (symptoms, diagnosis, missed school, management) Flu vaccine28

Teen questionnaire content by section cont. Section C: Diet, Nutrition, Food Environment (1.1) Fruit and vegetable intake Soda and sweetened drink consumption Fast food, food environment Water consumption

Section D: Physical Activity (1.5) # of days active for at least 60 minutes Walking, biking, skateboarding home from school Park use, park and neighborhood safety, social cohesion Sedentary time

29

Teen questionnaire content by section cont. Section E: Cigarette, Alcohol & Drug Use (0.2) Ever smoked cigarettes, past 30 day smoking E-cigarette use Alcohol use, binge drinking

Section F: Mental Health (0.8) Kessler 6 Assessment, Kessler 6 repeated Needed help for emotional or mental health problems Received psychological or emotional counseling Received professional help for alcohol or drug use Loneliness (Marin county 2015)

30

Teen questionnaire content by section cont. Section G: Sexual Behaviors (0.1) Ever had sexual intercourse Interpersonal violence (Marin Country 2015)

Section H: Health Care Utilization & Access (1.0) Usual source of care, ER visits, doctor visits Recall of provider advice (PA and diet) Personal doctor Patient-centered care, timely appointments, delays in care

Section J: Demographics Part II (0.5) Race/ethnicity, country of birth Citizenship, immigration status, languages spoken in the home31

Teen questionnaire content by section cont. Section K: Suicide Ideation & Attempts (0.2) Section L: Civic Engagement & Resiliency (1.2) Volunteer or community service Adult supervision Gender identity (how would peers describe you?) Resilience (Marin county 2015)

32

33

Review and Action Steps

Claire Brindis

34

CHIS Workgroups As needed, based on content decisions Purpose: bring together experts in a given topic area to

recommend specific questionnaire content appropriate for telephone-administered, population surveys

Workgroups Typically meet by teleconference several times during a 2-3

month period, but varies by workgroup Coordinated by CHIS staff at UCLA and PHI