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Board of Scientific Counselors - Presentations

September 17-18, 2007

 

Back to September 2007 Presentations

 

The State and Local Area Integrated Telephone Survey

 

PowerPoint Presentation [PPT, 5.8 MB]

 

Slide 1

The State and Local Area Integrated Telephone Survey

Presented by Marcie Cynamon and Stephen Blumberg
Picture of slide 1 as described above, which includes a picture of the State and Local Area Integrated Telphone Survey logo

 

Slide 2

SLAITS: The State and Local Area Integrated Telephone Survey

  • Developed by CDC/NCHS in late 1990s
  • Conforms to DHHS Survey Consolidation
  • Addresses unmet need for
    • Subnational data
    • Targeted populations and topics
    • Quick turnaround

Picture of slide 2 as described above

 

Slide 3

Early SLAITS

  • Department support for pilot
  • Abbreviated NHIS
  • State level data
  • Platform for additional topics
  • Interest but not forward funded
  • Find a niche
  • Customized surveys

Picture of slide 3 as described above

 

Slide 4

SLAITS Surveys and Supporters

  • Office of Assistant Secretary for Planning and Evaluation
    • SLAITS pilot testing
    • Low-income uninsured supplement to NS-CSHCN
    • National Survey of Adoptive Parents
  • Foundations and non-profit organizations
    • National Survey of Early Childhood Health
  • Maternal and Child Health Bureau
    • National Survey of Children with Special Health Care Needs
    • National Survey of Children's Health
    • Survey of Adult Transition and Health
  • Centers for Disease Control and Prevention
    • National Asthma Survey

Picture of slide 4 as described above

 

Slide 5

National Survey of Children with Special Health Care Needs

  • Produces national and state-based estimates on the prevalence of children with special health care needs (CSHCN) and the impact on children, families, and health care systems
  • Fielded in 2001, 2005-2006 (and 2009)
  • $10 - 12m

Picture of slide 5 as described above, which includes a picture of the U.S. Department of Health and Human Services, Health Resources and Services Administration logo

 

Slide 6

National Survey of CSHCN Interview Process

  • Screen > 2 million telephone lines to identify households with children < age 18
  • Screen all children for CSHCN
  • Detailed questionnaire for 750-800 CSHCN per state (38,000 - 40,000 nationally)
  • In 2001, DHHS/ASPE funded health insurance questions for an additional 176,000 children, and SCHIP and Medicaid experience questions for eligible but uninsured children

Picture of slide 6 as described above

 

Slide 7

National Survey of Children's Health

  • Produces national and state-based estimates on the health and well-being of children, their families, and their communities
  • 102,000 interviews in 2003
  • 84,000 interviews in 2007 (ongoing)
  • $9 - 11m

Picture of slide 7 as described above, which includes a picture of the U.S. Department of Health and Human Services, Health Resources and Services Administration logo

 

Slide 8

Broad Range of NSCH Topics

  • Injury and poisoning
  • Risk for developmental delay
  • Parents' concerns about learning, development, or behavior
  • Problems with social behavior
  • Insurance coverage consistency
  • Medical home
  • Receipt of mental health care
  • Communication and cultural sensitivity by health care providers
  • Enrollment in early childhood school
  • Participation in activities outside of school

Picture of slide 8 as described above

 

Slide 9

Broad Range of NSCH Topics

  • Reading to children (0-5)
  • Reading for pleasure (6-17)
  • Repeating a grade
  • Home alone (6-11)
  • Working for pay (12-17)
  • Volunteering (12-17)
  • Parenting aggravation
  • Household smoke exposure
  • Sharing meals
  • Attendance at religious services
  • Mother's health status
  • Supportive neighborhood
  • Child's safety in neighborhood and at school

Picture of slide 9 as described above

 

Slide 10

National Survey of Adoptive Parents

  • Nationally representative data on the pre- and post-adoption experiences of the adoptive family
  • Linkable to health data from the NSCH
  • National sample size ? 2,000 children
  • $800K

Picture of slide 10 as described above, which includes a picture of the Department of Health and Human Services logo.

 

Slide 11

National Survey of Early Childhood Health

  • Examines parent's perceptions of pediatric care for children 4-35 months
  • Fielded nationally in 2000
  • AAP is seeking Gerber Foundation funds to field it again in 2008
  • $0.5 - 1.0m

Picture of slide 11 as described above, which includes pictures of the National Survey of Early Childhood Health, Gerber Foundation, and American Academy of Pediatrics logos.

 

Slide 12

National Asthma Survey

  • Produced estimates of the prevalence of asthma and its management, home environment, family history, and medication use
  • Fielded nationally and in 4 states in 2003
  • $5m (includes multiple experimental phases)

Picture of slide 12 as described above, which includes a picture of the Centers for Disease Control and Prevention logo

 

Slide 13

Journal Articles based on SLAITS data

  • Two special issues of Pediatrics and one special issue of Maternal and Child Health Journal based on SLAITS data
  • Over 120 journal articles published in past 6 years

Picture of slide 13 as described above, which includes a picture of a journal article based on SLAITS data.

 

Slide 14

Published Methodology Reports
Picture of slide 14 as described above, which includes a picture of published reports by the Centers for Disease Control and Prevention.

 

Slide 15

Examples of Innovations in Telephone Survey Methodology

  • Multi-language interviewing
  • Incentives to increase response rates
  • Sampling weight adjustments to account for households without telephones
  • Tracking of coverage bias due to wireless-only households

Picture of slide 15 as described above

 

Slide 16

SLAITS Data User Community

  • SLAITS website had 30,000 page views from January - July 2007
  • Nearly 800 listserv subscriptions
    • 42% from commercial accounts
    • 18% from state or local government agencies
    • 17% from educational institutions
  • Agency specific audiences
    • For mandated reporting
    • Block grants

Picture of slide 16 as described above

 

Slide 17

MCHB Chartbooks
Picture of slide 17 as described above, which includes a picture of some MCHB chartbooks.

 

Slide 18

Data Resource Center for Child and Adolescent Health

Picture of slide 18 as described above, which includes a picture of the Child Health Data dot org web page

 

Slide 19

Data Resource Center for Child and Adolescent Health

  • User friendly interactive search feature allows users to select, compare, and download NS-CSHCN and NSCH tables and graphs for every state
  • Staff provide technical assistance to policymakers, program leaders, advocates and researchers
  • 125,000 unique visits since April 2005
  • Majority of users are from state government, healthcare organizations, and advocacy groups

Picture of slide 19 as described above

 

Slide 20

The Future of SLAITS

  • Further development of a niche market
    • Ad hoc surveys - current model
    • Complementary survey - long term planning
    • Other Departmental needs
  • Format
    • Consolidated
    • Stand alone
  • Mode concerns

Picture of slide 20 as described above

 

Slide 21

Pros and Cons of Ad Hoc Surveys

  • Pros
    • Meet spontaneous demands for data
    • Maximum flexibility
  • Cons
    • Maximum instability (funding, sample availability)
    • Possible underutilization

Picture of slide 21 as described above

 

Slide 22

Pros and Cons of Complementary Surveys

  • Pros
    • Fulfills need for specific data
    • Stable and predictable
  • Cons
    • Competes for funding
    • Stable and predictable

Picture of slide 22 as described above

 

Slide 23

For the Committee's Consideration

  • Feasibility - expansion into other modes
  • Market - NCHS mission and beyond
  • Funding - primary driver
  • Topics - solicitation/decision making

Picture of slide 23 as described above

 

 

 

 

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