NHIS-TEEN Study: Enhancing Adolescent Health Data Collection

The NHIS-TEEN study aims to gather information directly from adolescents aged 12-17 on various health topics like doctor visits, mental health, and social supports. By evaluating concordance between adolescent and parent reports, the study seeks to improve data accuracy. With a comprehensive study design involving web-based surveys and incentive programs, NHIS-TEEN intends to bridge the gap in adolescent health research. Effective recruitment strategies targeting both parents and teens ensure a robust sample size for analysis.

• NHIS-TEEN
• Adolescent Health
• Data Collection
• Parent-Adolescent Concordance
• Survey

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1. NHIS-TEEN Aaron Maitland Amanda Ng Ben Zablotsky Jessica Jones Jonaki Bose Lindsey Black Stephen Blumberg

2. There is a dearth of surveys on the health of adolescents in the United States, both self- reported and parent-reported. Surveys which rely on parental report for adolescent health have greater measurement error on items parents are less knowledgeable about. BACKGROUND Few adolescent self-reported health surveys are linked to robust parent- reported data.

3. GOALS OF NHIS-TEEN 01 02 03 Obtain information about adolescent health directly from adolescents. Evaluate concordance between parent and adolescent- report on health topics. Determine feasibility of adolescent-report and online data collection for the NHIS.

4. STUDY DESIGN Study Period: July 1st 2021 December 31st 2022 Sample: Adolescents between the ages of 12-17 whose parents or guardians completed the Sample Child interview and provided permission (in-person or over telephone) for their adolescent to be contacted Target Completed Interviews: 3,600 Mode: Web Length: 95 questions, ~15 minutes to complete Language: English Incentive: $5

5. TOPIC AREAS Doctor visits and content of care Meditation and yoga Stressful life events Bullying and discrimination Physical activity and sleep Injuries Mental health Social and emotional supports

6. PARENTAL RECRUITMENT Hand Postcard to Parent; Leave Initial Letter for Teen Parent Permission to Contact Teen Request Teen s Cell Number and Email In-person interview Mail Postcard to Parent; Mail Initial Letter to Teen Front of English Postcard Phone interview

7. TEEN RECRUITMENT Physical mailings JULY START Initial letter Non-responder reminder letter Final postcard reminder E-mail messages SEPTEMBER START Initial invitation and first reminder Two additional reminders Text messages COMING SOON Initial invitation and first reminder Two additional reminders

8. Permission rate (parents): 65% Higher for Sample Child in-person interviews Half give permission to e-mail and/or text EARLY RESULTS (1) Survey submission rate (teenagers): 38% Higher among those receiving e-mails Half complete with a smart phone through October 5th

9. NHIS-Teen statistics Median interview length: 16 minutes Completion rate: 96% Average item non-response: 0.45% Half submit answers within 7 days EARLY RESULTS (2) through October 5th

10. CHALLENGES Obtaining parental permission In-person vs. telephone Sample Child interviews Parental assumptions Obtaining teenager participation Inability to e-mail and text at the time of launch Teenagers with disabilities

11. THANK YOU! QUESTIONS: BZABLOTSKY@CDC.GOV