Evaluation Report
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Cognitive Testing of the 2016 NHIS Diabetes Primary Prevention Questions

Collaborating Center for Questionnaire Design Evaluation and Research
1/17/2016
Cognitive Interview
2/2015
NCHS
Citation: Dunston, S., Willson, S., Lessem, S., Salvaggio, M., Sibley, C., Cortes, L. (2016). Cognitive Testing of the 2016 NHIS Diabetes Primary Prevention Questions. National Center for Health Statistics. Hyattsville, MD. https://wwwn.cdc.gov/QBank/Report.aspx?1151
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Abstract: This report summarizes findings from cognitive testing of the 2016 National Health Interview Survey (NHIS) Diabetes Primary Prevention Questions. The main objective of the NHIS is to monitor the health of the United States population through the collection and analysis of data on a broad range of health topics. The 2016 Diabetes Primary Prevention questions are designed to address the following objectives: • Assess the levels of screening, testing, and detection of prediabetes and diabetes currently underway in the U.S. • Examine levels of selected diabetes risk factors • Examine levels of referral, uptake, and participation in structured diabetes prevention programs, community weight loss and exercise programs • Identify adults with Type 1 diabetes among those with diagnosed diabetes Cognitive testing was conducted to ascertain how the diabetes questions are able to meet these objectives. This evaluation is based on 45 cognitive interviews that were conducted by the Center for Question Design and Evaluation Research (CQDER) at the National Center for Health Statistics (NCHS), between February and April of 2015. Cognitive interviewing is a qualitative question evaluation method used to assess the construct validity of survey questions (Willis 2005; Miller 2011). The following sections of this report include an overview of cognitive interviewing methodology, a summary of key findings, and a question by question analysis.

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Questions
Question Text 
Question Topic 
DURING THE PAST 12 MONTHS, have you tried to lose or control your weight? [Round 2: DURING THE PAST 12 MONTHS, have you tried to lose or control your weight?]Weight Management
Are you NOW doing any of the following?Physical Activity
Has your mother, father, brother, or sister EVER been told by a doctor or other health professional that they have diabetes or sugar diabetes?Diabetes
[Females: Other than during pregnancy, have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]/[Males: Have you EVER been told by a doctor or other health professional that you have diabetes or sugar diabetes?]Diabetes
Have you EVER been told by a doctor or other health professional that you have any of the following: prediabetes, impaired fasting glucose, impaired glucose tolerance, borderline diabetes, or high blood sugar?Diabetes
About how long has it been since you last had a blood test for high blood sugar or diabetes?Diabetes
How old were you when a doctor or other health professional FIRST told you that you had diabetes or sugar diabetes?Diabetes
What type of diabetes do you have?Diabetes
Are you NOW taking diabetic pills to lower your blood sugar? These are sometimes called oral agents or oral hypoglycemic agents.Medication
Insulin can be taken by shot or pump. Are you NOW taking insulin?Medication
Thinking back to when you were first diagnosed with diabetes, how long was it before you started taking insulin?Medication
Since you started taking insulin, have you ever stopped taking it for more than 6 months?Medication
Was this only during the first year after you were diagnosed with diabetes?Medication
[If Female] During pregnancy, were you ever told by a doctor or other health professional that you had diabetes, sugar diabetes, or gestational diabetes? Please do NOT include diabetes that you may have known about before pregnancy.Diabetes
[If Female] Have you EVER had a baby that weighed 9 pounds (4 kg) or more at birth?Infant Health
Have you EVER participated in this type of year-long program to prevent Type 2 diabetes?Doctor's Visit
Has a doctor or other health care professional ever referred you to such a program to prevent Type 2 diabetes?Health Recommendations
How interested are you in beginning such a year-long program to prevent Type 2 diabetes? Would you say…Doctor's Visit
Imagine that this type of year-long program to prevent Type 2 diabetes is available to you free of charge at a convenient location OR, if you prefer, through your television or the internet. Which of the following reasons is MOST LIKELY to keep you from participating?Doctor's Visit

Page last reviewed: 12/13/2023
Content source: Collaborating Center for Questionnaire Design and Evaluation Research