Board of Scientific Counselors - Presentations

September 17-18, 2007

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The State and Local Area Integrated Telephone Survey

PowerPoint PresentationCdc-ppt [PPT, 5.8 MB]

Slide 1

The State and Local Area Integrated Telephone Survey

Presented by Marcie Cynamon and Stephen Blumberg

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

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

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

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

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

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

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

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

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

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

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)

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

Slide 14

Published Methodology Reports

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

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

Slide 17

MCHB Chartbooks

Slide 18

Data Resource Center for Child and Adolescent Health

• http://www.childhealthdata.orgExternal
• A project of the Child and Adolescent Health Measurement Initiative, housed at OHSU, and supported by MCHB

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

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

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

Slide 22

Pros and Cons of Complementary Surveys

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

Slide 23

For the Committee’s Consideration

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