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Training for all levels of project field staff occurred both prior to the start of data collection and throughout the year. Having experienced staff allowed training programs to go beyond the basic steps and focus on enhancing and improving necessary project skills.
To share information and better equip all regional directors (RDs), regional supervisors (RSs), field supervisors (FSs), and survey specialists for their roles for the upcoming year, the 2003 NSDUH management session was held November 24, 2002, in Cincinnati, OH. Topics covered during this session included:
Earlier during the session, management staff heard the results of previous data collection efforts as presented by Dr. Goldstone of the Substance Abuse and Mental Health Administration (SAMHSA).
Training sessions were held prior to the start of each new quarter throughout the year to train newly hired new-to-project field interviewers (FIs). These sessions helped maintain a sufficient staff size to complete screening/interviewing within the quarterly timeframes. For each session, there were multiple training rooms staffed by teams of three or sometimes four trainers. Occurring in March, June, and September, a total of 168 new FIs were trained during these replacement sessions. Table 5.1 summarizes the interviewer training sessions held for the 2003 National Survey on Drug Use and Health (NSDUH).
The new-to-project training program consisted of six full days and one half day of training covering the general techniques of interviewing, screening using the Newton handheld computer, conducting NSDUH interviews on the laptop computer, and general NSDUH protocols and technical support. Spanish-speaking FIs attended an additional one-day session to review the Spanish translations of the questionnaire and the Newton screening program.
All trainees were required to pass an individually conducted certification process as part of the successful completion of training. Each trainee had to demonstrate knowledge of the basic NSDUH protocols by completing a straightforward screening and interview through the beginning of the audio computer-assisted self-interviewing (ACASI) questions. Any trainees who did not pass on the first try received immediate feedback and additional individual training to clarify any points of confusion. During the subsequent recertification attempt, the trainee only had to redo the portion(s) done incorrectly the first time. Any trainee failing the recertification process was either placed on probation, (and barred from working until the proper completion of further retraining/recertification), or was terminated from the project. Of the 168 new-to-project interviewers trained during 2003, 3 were placed on probation for problems with the certification process and no trainees were terminated for certification issues.
To provide consistency between training classrooms, a near-verbatim guide with 22 sections provided detailed instructions and text to ensure all necessary instructional points were covered. In addition to the guide, trainers also used a videotape that contained multiple segments for use throughout training; a workbook containing exercises on the Newton and laptop computer and printed examples; training segment materials used in exercises that replicated actual segment materials; the FI Manuals for reference; and the two computers (the Newton and the Gateway laptop) with accessory equipment.
At each training site, staff included a site leader, logistical assistant, a lead technician, a certification coordinator, and one or more training teams. Each of these roles was well-defined to ensure that training proceeded smoothly.
The site leader at each training site coordinated all FI registration activities, hotel relations, and logistics; and monitored trainees and trainers. The site leader's specific tasks included:
The site leader role was filled by a qualified NSDUH supervisor who had extensive experience with project protocols and management goals.
The logistical assistant worked closely with the site leader throughout training to be sure all trainees were registered properly, all training rooms had all necessary supplies, and hotel services functioned smoothly. Other duties included grading home study tests and distributing training and incentive checks at the successful conclusion of training.
The lead technician served as the point of contact for all technical issues including the proper functioning of all equipment and programs. Other duties included supervising training equipment set up and the initialization and distribution of interviewer computer equipment.
The certification coordinator managed the certification process, including establishing appointment schedules, monitoring and distributing certification supplies and materials, and reporting the results to the site leader.
Each classroom was taught by a training team consisting of a lead trainer, one or sometimes two assistant trainers, and a technical support representative. The lead trainer and assistant trainer(s) divided the responsibility for presenting sections of the training, with the technical support representative often helping with the more technical sections. The lead trainer had the additional responsibility for the logistics and schedule of the training room. In general, one trainer would train from the front of the room while the other trainer(s) would monitor FI progress, assist FIs with questions, and sometimes operate the computer equipment.
The technical support representative's primary role was to prepare and set up the computers for each FI; to ensure the proper functioning of the Newton, Gateway, and Toshiba projection equipment used for the training presentation; to provide in-class technical help; and in some cases, to present the more technical computer hardware sections of the training program (depending on the classroom's training needs and the technical support representative's training experience).
Training teams were selected based on availability and experience. The lead trainer was usually an RS with considerable training experience. Assistant trainers were usually RSs, FSs, instrumentation team members, or survey specialists.
After completing the registration process the evening before, training classes began first thing in the morning with an introduction to the history and scope of the NSDUH presented in a video by Project Director Tom Virag. Next, classrooms went through an introductory computer session lasting about 3 hours. This included instruction in the use of the Gateway computer hardware and a thorough introduction to the basics of the Newton hardware and software, although the actual screening program was not covered. In the afternoon, trainees were introduced to the importance of professional ethics, respondent rights, and the interviewer's role and tasks on the NSDUH. Trainees with little computer experience could stay after class for hands-on practice in order to build their confidence.
Day 2 included a general introduction to survey sampling and counting and listing, followed by an in-depth discussion of how to locate segments and selected dwelling units (DUs). Trainees also learned how to contact selected DUs for screening and the importance of knowing the study. They were given the opportunity to review supplementary materials and practice effective introductions and responses to respondent questions. Trainers then introduced the screening process using a video of a real screening and explanations of the purpose of each question. Following a trainer demonstration, each trainee had the opportunity to try the Newton handheld computer during a group walk-through screening exercise.
On Day 3, trainees focused on gaining experience and confidence by conducting numerous practice screenings on the Newton. Trainees completed several enumeration and rostering exercises round-robin style as well as individual and paired mock exercises covering the whole screening process. Trainees also learned about the specifics of screening group quarters units. All trainees were invited to attend an evening interviewer lab (FI Lab) session for additional practice.
Training on Day 4 began with explanations of adding missed DUs. The rest of the morning was spent introducing the NSDUH interview and the basics of good field interviewing techniques. To provide a break in the week-long training session, interviewers were given the afternoon off as free time. Interested trainees could attend interviewer lab in the evening.
On Day 5, classes completed the discussion of the computer-assisted interviewing (CAI) interview, and then trainees learned the details of the NSDUH instrument with a complete round-robin read-through of the entire questionnaire, including question-by-question specifications. Next, trainers presented a brief discussion of the functions of the CAI Manager program on the laptop. An individual practice interview exercise allowed trainees to review both the format and questions in the CAI program at their own pace. This was followed by a description of the details required in collecting industry and occupation information. In the late afternoon, trainers began sharing information about overcoming reluctant respondents. All were welcomed at the evening FI Lab.
Trainees who were performing well could attempt the certification process the evening of Day 5. Since the training program was not complete, anyone not passing this first attempt was given another opportunity at the conclusion of training.
The next day classes continued with the important topic of dealing with reluctant respondents and other difficult situations. This section included informative video segments and group exercises. Training continued with RTI's Institutional Review Board (IRB) interviewer training module which covered ethics and regulations involving human subject research, the role of the IRB, and the role of the interviewer in protecting respondent rights. Next, a session on transmitting data had a trainer or technical support representative demonstrate how to transmit from both the Newton and the Gateway. The class then began a series of two paired mock exercises encompassing the entire screening and interviewing process so that trainees could practice the transition from the screening on the Newton to the CAI interview on the laptop. Following each mock interview, a group review session was conducted by the trainer. At some point during the practice mock interviews, trainees attempted a successful transmission on both computers at a station in the training room. Certifications, FI Lab, and an optional "Closing the Deal" Workshop were scheduled for the evening of Day 6.
Day 7 included a discussion of the project's administrative procedures, project supplies, data quality control, and proper documenting and reporting. The next section on troubleshooting and technical support informed staff about the most common technical problems they might encounter, steps to take to correct them, and when and how to contact Technical Support for additional help. The next task was another individual interview exercise to allow trainees to further explore the instrument at their own pace. A brief recap of the entire process of screening and interviewing helped trainees review how all the tasks fit together. Any remaining trainee certifications took place at the conclusion of the training day.
A trainer fluent in Spanish conducted a one-day session for RTI-Certified bilingual FIs on the Spanish-language NSDUH materials. These FIs were trained to use the Spanish versions of the screening introduction and rostering questions on the Newton, the CAI instrument, and other 2003 supplemental materials. Only those FIs who were RTI-Certified bilingual interviewers and who had been hired as bilingual interviewers attended this session.
After completing New-to-Project training, all graduates were mentored by their FS, another FS, or an experienced FI. Mentoring of all trainees was required, and usually occurred within a week of training during a graduate's first trip to the field. Occasionally, this recommended mentoring schedule was delayed due to unusual circumstances. Such delays were rare and required pre-approval by the FS and RS.
Mentors were given standardized instructions (see Exhibit 5.2) to be sure all important protocols learned during training were reinforced.
To prepare the field interviewers chosen to continue from the 2002 NSDUH into 2003, special Veteran FI training sessions were held in January 2003. Having regional sessions throughout the nation served several purposes:
Veteran training sessions were held at five sites: Baltimore, MD; Cincinnati, OH; Seattle, WA; Los Angeles, CA; and Newton, MA. Two separate sessions were held, with the A groups meeting on January 46 and the B sessions meeting January 79, 2003. In addition to these early January sessions, a special weekend session was held later in January to train traveling field interviewers and any veteran interviewers unable to attend the early sessions. Also, throughout 2003, additional veterans who missed the January sessions were trained with permission on an individual basis. Table 5.1 summarizes the January Veteran interviewer training sessions.
The veteran training program consisted of an initial home study (see Section 4.5.1) followed by two and one half training days covering topics such as changes for the 2003 study, data quality, communication and persuasion skills (to help overcome objections), and resource management.
To provide consistency between veteran training classrooms, a near-verbatim training guide with 18 sections provided detailed instructions and text to ensure all necessary instructional points were covered. In addition to the guide, trainers also used a videotape; a workbook containing exercises on the Newton and laptop computer and printed examples; the FI manuals for reference; and the two computers (the Newton and the Gateway laptop) loaded with the new 2003 programs.
At each training site, there was a site leader, logistical assistant, and a lead technician with responsibilities as described in Section 5.2.2 for new-to-project training sessions.
Each classroom was taught by a training team consisting of a pair of FSs. One FS's staff attended during Session A, and the other FS's staff came for Session B. The FS pair worked together to divide the responsibility for presenting the various training sections. The presenting trainer usually trained from the front of the room while the other trainer monitored FI progress, assisted FIs with questions, and sometimes operated the computer equipment.
Training experience varied considerably among the FS staff. For classrooms with weaker training teams, site leaders assigned available RSs, survey specialists, or Instrumentation Team members to support the FS training team or, in some cases, to lead the training.
To prepare all lead and assistant trainers for their training role and to instruct all project staff in the changes for the 2003 survey, a Training-the-Trainers session was held in Cincinnati, OH on November 2123, 2002. Classrooms were led by "master trainers" with assistance from other experienced project staff. The groups reviewed the Veteran training guide and materials as well as logistics for the January sessions.
The master trainers were RDs and other members of the management staff or Instrumentation Team. These master trainers attended a two-day Master Trainers session at RTI on October 2930, 2002 to learn about the Veteran training program and the expectations for the Training-the-Trainers session.
During the three-day session in November, master trainers briefed the training teams on the veteran training program and gave a presentation on training etiquette. Trainers for January then presented their assigned sections of the guide to the classroom. Presenting to this group allowed for multiple classrooms to review the content and test the accuracy of the guide and the training program, submitting comments to the Instrumentation Team for consideration when making revisions. Most importantly, having the January trainers actually train gave them the opportunity to focus on their presentation style and mastery of the material.
Day 1 began with some actual study results from the 2001 survey followed by a brief presentation of data collection experiences from the 2002 survey, including response rates, costs, and data quality results. After an overview of the changes for 2003, trainers focused on the "Art of Communication," covering different communication types and styles and how they relate to NSDUH interviewing. This two and one-half hour session included numerous interactive activities designed to increase awareness and communication skills. The next topic was data quality, which included detailed reviews of various NSDUH protocols and procedures noted through field observations to sometimes be problematic. Day 1 concluded with interviewers switching rooms to mingle with staff from other teams to attend a session of their choice. The first option was a group discussion of ways to deal with households where finding someone at home is a challenge, while the other session had trainees proving their knowledge of the various project materials by participating in two exercises.
Day 2 began with details of the 2003 changes for the Newton and for the CAI instrument. Next the FI computer equipment was returned and a practice screening and interview exercise completed. The next discussion section looked at obtaining cooperation from a slightly different point of view, focusing on persuasion skills. Next, trainers presented important information about resource management, and then wrapped up the second day of training by issuing an open-book post-training test.
To begin the last training morning, FSs selected and led one of three workshops to spend more time on a topic where the region could use some improvement. Workshop choices included Planning Field Visits; FI Presentations, in which small groups prepared and gave presentations on a variety of NSDUH topics; and It All Ads Up, in which small groups prepared and presented commercials designed to encourage NSDUH participation. The remainder of the training consisted of an FS Team Meeting in which each FS could discuss region-specific topics and have time for team building exercises.
One additional veteran training session was held January 1113, 2003 in Cincinnati, OH to accommodate those veteran interviewers unable to attend the early January sessions and to train traveling FIs. Various project staff served as the trainers for these sessions, so that FSs could focus on managing data collection.
As the year progressed, veterans from 2002 who wished to continue working were trained individually via home study and telephone conference with an FS. These veterans missed the January sessions due to illness or pre-approved scheduling conflicts. With special permission, one-on-one training brought these interviewers up-to-speed on the 2003 NSDUH. Following successful completion of the home study, an FS (who had been chosen based on training ability) worked with the veteran for one to two days covering the content of the 2003 Veteran Training session. While group exercises were excluded, all individual exercises and discussions occurred.
Regional team meetings with particular FS teams occurred throughout the year. As needed, team meetings were held to introduce interviewers to a new supervisor (either FS or RS). In other situations with teams performing below expectations, the focus of these meetings was to provide further training for FIs on refusal avoidance, refusal conversion, and efficiently working case assignments. Additional discussion topics included data quality and specific team performance issues. For efficiency, these training meetings usually took place as group conference calls. Other than the kick-off team meetings held during Veteran training, no in-person team meetings occurred during 2003.
Periodic evaluations of interviewer knowledge were conducted via an arrangement similar to the electronic home study for veterans. All FIs picked up the eVal program via transmission and had about one week to complete the 10 item questionnaire. These 10 items were assigned randomly from a bank of close to 100 questions all designed to test interviewer knowledge of basic NSDUH protocols. When finished with the open book evaluation, the computer program scored the answers so that the FIs could receive immediate feedback about their results. To pass, FIs had to score at least 80 percent. FIs not achieving that score received another set of 10 questions to complete. Any FI not scoring at least 80 percent on the second set of questions was placed on probation pending the completion of further re-training with the FS.
For the first eVal issued in May of 2003, almost 99 percent of the current interviewers passed on the first try. All 7 FIs requiring a second attempt passed. The results of the second eVal issued in August, 2003 were similar: over 99 percent passed on the first try, and all 6 needing a second attempt passed. Results from the 2003 eVal program are provided in Table 5.2.
Leading the training sessions held throughout the year required involvement of project staff with other NSDUH responsibilities. These dedicated staff trained each day and then completed their other project duties in the evenings. The demands on their time were increased on evenings when they had to staff FI Labs or conduct certifications. Training planners tried to rotate staff across the various training assignments throughout the year to avoid overloading any one individual. This seemed to work reasonably well.
| Month | FI Training Sessions Date & Location | FIs Trained | Cumulative Number of FIs | Attrited FIs | Cumulative Number of Attrited FIs |
|---|---|---|---|---|---|
| Veteran Training Sessions | |||||
| Jan | Date: Session A: 1/56 Session B: 1/89 Location: 5 sites (see text) |
616 | 616 | 9 | 9 |
| Weekend /Make-up Veteran Trainings Dates: 1/1213 and 1/1920 Location: Cincinnati (OH) and RTP (NC) |
21 | 637 | |||
| Veterans Trained One-on-One | 8 | 645 | |||
| Replacement Training Sessions | |||||
| Feb | Veterans Trained One-on-One | 4 | 649 | 6 | 15 |
| Mar | Date: 3/1928 Location: Cincinnati |
70 | 719 | 11 | 26 |
| Apr | Veterans Trained One-on-One | 1 | 720 | 9 | 35 |
| May | No training session | 0 | 720 | 17 | 52 |
| June | Date: 6/2027 Location: Cincinnati |
44 | 764 | 6 | 58 |
| July | No training session | 0 | 764 | 10 | 68 |
| Aug | No training session | 0 | 764 | 15 | 83 |
| Sept | Date: 9/199/26 Location: Cincinnati |
54 | 818 | 12 | 95 |
| Oct | No training session | 0 | 818 | 23 | 118 |
| Nov | No training session | 0 | 818 | 11 | 129 |
| Dec | No training session | 0 | 818 | 56 | 185 |
| Test Name | Passed on First Try | Failed on First Try | Total Passing | ||||||
|---|---|---|---|---|---|---|---|---|---|
| Passed on 2nd Try | Failed 2nd try* | ||||||||
| Count | % | Count | % | Count | % | Count | % | ||
| Home Study, Dec. 2002 | 653 | 99.2 | 5 | 0.8 | 5 | 100.0 | 0 | 0.0 | 658 |
| eVal, May 2003 | 657 | 98.9 | 7 | 1.1 | 7 | 100.0 | 0 | 0.0 | 664 |
| eVal, August 2003 | 674 | 99.1 | 6 | 0.9 | 6 | 100.0 | 0 | 0.0 | 680 |
| *Failures of the second try for either the Home Study or an eVal resulted in Probation. | |||||||||

Mentoring Form General Instructions The Mentoring Forms have three functions:
Prior to the mentoring session: As a mentor, you should thoroughly review these instructions and the forms before the mentoring session. The forms are self-explanatory, but these instructions will help you and the new FI get the most out of the mentoring process. You should have enough copies of the forms for a full day's work one of the Preparation Mentoring Forms and enough of the other Screening and Interviewing forms to complete one for each screening and interview observed that day. Mentoring trips are expected to last between 6 and 8 hours. Working longer than the 4 hour minimum requirement sets a good example for the new FI and helps emphasize the importance of being cost effective. If possible, the FS should send you a copy of the segment materials prior to the session. It is also important for you to alleviate any fears the new FI might be experiencing by presenting the mentoring process as on-the-job training. Mentoring is not a formal way to document what new FIs do "wrong," but rather to help new FIs learn field techniques and to ensure that they have a full command of project protocols. Using the forms: The forms contain a checklist and some open-ended questions. Follow along with the FI and for each item listed on the appropriate form, check "Yes" if the FI completed the task successfully, or "No" if additional retraining is needed. For any items receiving a "No" response, please provide notes in the "Comments" column with a specific description of the problem and any retraining suggestions that you gave to the FI. For "Yes" responses, the "Comments" field can be used as needed to document any positive feedback or suggestions for improvement that would not necessarily require retraining (e.g., organizing materials, presentation to respondents). Feel free to use the back of the form for additional notes regarding the mentoring session, and number your responses to correspond with the specific line items. Charging your time: The new FI being mentored should charge his/her time to 7190560, while you, as the mentor, should charge your time to 7190552. Mentoring time should be charged under the appropriate column as you normally would when working in the field (e.g., contacting and locating time, interviewing time). An FS who conducts the mentoring should charge his/her time to the "Study/Training" column of a 7190565 eSTE. Once the Mentoring process is completed, send all completed forms to the Field Supervisor within 24 hours. Preparation Mentoring Form InstructionsThe Preparation Mentoring Form contains items that should be covered with the new FI before knocking on the first door. Explanations of these items are detailed below and correspond to the numbered criteria on the Preparation Mentoring Form.
Screening Mentoring Form InstructionsOne Screening Mentoring Form should be completed for each screening observed during the mentoring session. "N/A" should be entered for any item that does not apply to the screening being observed. You should provide feedback and retraining immediately upon leaving each SDU. If any errors are made, it is important to document in the "Comments" section of the form all feedback you give and to note if additional attention and retraining from the FS is needed. Even if the problem is corrected in the field, the FS should review all points marked for retraining with the new FI. The items below correspond to the numbered criteria on the Screening Mentoring Form.
Interview Mentoring Form InstructionsOne Interview Mentoring Form should be completed for each interview observed during the mentoring session. "N/A" should be entered for any item that does not apply to the interview being observed. You should provide feedback and retraining immediately upon leaving each SDU. If any errors are made, it is important to document in the "Comments" section of the form all feedback you give and to note if additional attention and retraining from the FS is needed. The items below correspond to the numbered criteria on the Interviewing Mentoring Form.
Note that items 17 though 22 address items that apply to the entire interviewing process.
Make additional notes wherever possible, using the back of the form if necessary. |
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This page was last updated on May 20, 2008 .
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