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Hello, this is ______ calling on behalf of Dr

By Megan Cook,2014-11-25 08:45
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Hello, this is ______ calling on behalf of Dr

    Telephone Survey Script

    Protocol X665-09F

Q: HELLO

    Hello, this is ________ calling on behalf of Drs. Jeff Todahl and Deborah Olson, researchers with the University of Oregon. We’d like to talk with adult survivors of interpersonal violence about trauma and healing. This is a difficult

    and important topic. We will use what we learn from this survey to educate caregivers and service providers, and to raise awareness about trauma healing in our community. Your participation is anonymous and voluntary and takes about 14 minutes. We will not ask for your name or any identifying information. Some of the questions are sensitive

    they will remind you about traumatic events you may have experienced and may make you feel uncomfortable. You

    can skip any questions I ask if you’d like. Would you help us by your participation? Taking part in this interview is your agreement to participate. Do you have any questions?

    If you have any questions or feel distressed about any topics we discuss, you may contact Dr. Todahl at (541) 346-0919. If you have any questions about your rights as a research subject, please contact the University of Oregon Office for the Protection for Human Subjects at (541) 346-2510.

    PROCEDURES TO DETERMINE ELIGIBIITY:

AGE

    First, are you 18 or older

     1 YES

     2 NO (GO TO NOQUAL)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 1

    Thank you, we would now like to ask you a series of questions about difficult or traumatic experiences you may have had in your life. For each question please answer yes or no. First, as an adult or a child have you ever witnessed someone being physically violent or abusive toward someone in your household or family?

    PROBE: Witnessed: directly saw or heard physical abuse, or saw signs of abuse after it occurred, such as bruises. PROBE: Physical abuse: physical force such as pushing, slapping, throwing items, breaking things.

     1 YES

     2 NO (GO TO TRAUMA 2) (IF NO HERE AND ON TRAUMA 2 GO TO NOQUAL)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 1A

    Did this occur when you were a child or an adult?

     1 CHILD (GO TO TRAUMA 2)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

     2

TRAUMA2

    Have you ever experienced someone being physically violent or abusive toward you?

PROBE: Physical abuse: physical force such as pushing, slapping, throwing items, breaking things.

     1 YES

     2 NO (GO TO TRAUMA 3) (IF NO HERE AND ON TRAUMA 1 GO TO NOQUAL)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 2A

    Did this happen to you as a child or as an adult?

     1 CHILD (GO TO TRAUMA 3)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 3

    Have you ever witnessed someone being verbally violent or abusive toward someone in your household or family?

PROBE: Verbal abuse: statements that harm your wellbeing, such as being told you are ugly, or incapable of doing

    something.

     1 YES

     2 NO (GO TO TRAUMA 4)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 3A

    Did this occur when you were a child or an adult?

     1 CHILD (GO TO TRAUMA 4)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 4

    Have you ever experienced someone being verbally violent or abusive toward you?

PROBE: Verbal abuse: statements that harm your wellbeing, such as being told you are ugly, or incapable of doing

    something.

     1 YES

     2 NO (GO TO TRAUMA 5)

     3

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 4A

    Did this happen to you as a child or as an adult?

     1 CHILD (GO TO TRAUMA 5)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 5

Have you ever witnessed someone being sexually violent or abusive toward someone in your household or family?

PROBE: Sexual abuse: unwanted sexual contact or forced activities of a sexual nature, such as touching private

    body parts.

     1 YES

     2 NO (GO TO TRAUMA 6)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 5A

    Did this occur when you were a child or an adult?

     1 CHILD (GO TO TRAUMA 6)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 6

    Have you ever experienced someone being sexually violent or abusive toward you?

PROBE: Sexual abuse: unwanted sexual contact or forced activities of a sexual nature, such as touching private

    body parts.

     1 YES

     2 NO (GO TO TRAUMA 7)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 6A

    Did this happen to you as a child or as an adult?

     4

     1 CHILD (GO TO TRAUMA 7)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 7

    Have you ever directly experienced or witnessed an employee in an institutional setting, such as a hospital, jail or

    group home, being physically or sexually violent or abusive toward you or another person?

     1 YES

     2 NO (GO TO TRAUMA 8)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 7A

    Did this occur when you were a child or an adult?

     1 CHILD (GO TO TRAUMA 8)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 8

    Was your mother or primary female caregiver ever physically or sexually abused during the time you were living with

    her?

     1 YES

     2 NO (GO TO TRAUMA 9)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 8A

    Did this occur when you were a child or an adult?

     1 CHILD (GO TO TRAUMA 9)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 9

    Have you ever lived with someone who was a veteran of active combat duty or who was directly engaged in or

    exposed to war during the time you were living with them?

     5

     1 YES

     2 NO (GO TO TRAUMA 10)

     7 REFUSED

     8 DON'T KNOW

     9 NO ANSWER

TRAUMA 9A

    Did this occur when you were a child or an adult?

     1 CHILD (GO TO TRAUMA 10)

     2 ADULT

     3 BOTH (IF VOLUNTEERED)