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B. Interviews Examples:
Are more personal and probing (provides the Open- ended questions
freedom to ask follow-up questions to explore the What habits do you believe increase a
answers of the respondents) persons chance of having a stroke?
Includes two persons: the researcher and ** Lack statistical significance
the respondent Closed- ended questions
Several survey methods Which of the following do you believe
Personal or face-to-face interview increase the chance of having a stroke?
Phone interview (Check all that apply.)
Online interview Smoking
Being overweight
Stress
Drinking alcohol
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B. SCALE OF MEASUREMENT Interval
The precision with which a characteristic is show the order of things, but with equal
measured. intervals between the points on the scale
Determines the statistical methods for analysing the
data.
If open ended questions are used, it is recommended
that researchers collect data in as much detail as is
reasonable
If closed ended questions are used, the researcher
needs to decide the level of detail required in the
answers Ratio
Different forms of Measurement: The intervals between numbers are equal
1. NOMINAL Scales have an absolute zero
categories are in words and there is no
particular order
used to classify things into categories
weakest form of measurement
Examples: Gender, color, etc.
*** Form of Measurement is important because it
What brand of stethoscope do you trust determines the statistical test to be used in analyzing a
most? data from a survey.
1 = Littmann 3 = Omron
2 = Baxtel 4 = Welch Allyn C. BALANCE OF CATEGORIES
Questions using an ordinal response should provide
2. ORDINAL as many positive as negative options
categories are in words with particular A neutral option is also included to serve as a balance
order between the two positive and negative options.
Allow classification/ranking. However, the trend is to do away with the middle
Ordinal scales also imply rank ordering option so that you will force your respondent to choose
There is no difference between the either + or side.
importance of the choices Example:
Example: Severity / Stage of disease, etc.
How did you find the service of SLU-HSH
The information desk staff of SLU-HSH is: information desk?
1 - Extremely Helpful
2 - Very Helpful
3 - Moderately Helpful
4 - Not Very Helpful
5 - Not Helpful At All
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E. USE OF MUTUALLY EXCLUSIVE CATEGORIES Often used in health research (people, as they are
Response categories should be mutually exclusive, or complicated human beings, usually dont just have 1
independent. This means that none of the response choice, but have several choices.)
categories in a question should overlap or
categories must be distinct enough that no
observations will fall into more than one category.
It should be clear to respondents where a response
fits and which response category should be selected.
Respondents should not have to puzzle over
which category their response fits in to. This also
applies to questions where multiple responses are
allowed so that respondents' answers can be
accurately interpreted as a discrete response.
Example:
These questions can be tricky to analyze. The best
approach is to treat each option as a yes/no variable
and calculate the percentage of time each was selected.
Might be tedious, but this will make data analysis easier.
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- Easily understood 4. What should be observed regarding the layout of the
- Accommodates neutral answer questionnaire?
- Quick, inexpensive, efficient A. Length
Shorter surveys are generally preferable than longer
Disadvantages: surveys
- Uni-dimensional (5-7 options of choice) B. Instructions
STANDARD is 5 Well-designed questions
- Each choice cannot possibly be equidistant, Place instructions where needed even if it
means repeating the instructions at the top of a
fails to measure the true attitudes of
continuation page.
respondents
C. Avoid branching questions
- Avoidance of extreme options although
Avoid skipping or branching questions (i.e. Question
they are most accurate
# 1 : Yes or No, if YES, proceed to number 23)
- ORIGINAL Likert uses agree and
Use directional arrows and other visual guides to
disagree assist the respondents
D. Order
There is an option to list the categories horizontally if Easier questions first
each question similar options: **More efficient in terms List questions in logical order so that questions about
of space, especially if the options are the same the same topic are grouped together.
E. Scales
Scale direction is listed in a consistent manner (i.e.
very important to least important)
F. Placement of demographic items
There is an option to list the categories vertically if (usually at the beginning)
each question utilizes different options: Age
Education
Ethnicity
Employment Status
TYPES OF RELIABILITY
A. Test- retest reliability
Obtained by administering the same test twice
over a period of time to a group of individuals
B. Internal consistency reliability
A.k.a. CRONBACHS ALPHA
Used to evaluate the degree to which different
test items that probe the same construct
produce similar results
Testing agencies sometimes use alternative
forms of a test in which the items on the tests
*** No consensus exists in the survey literature about the number
differ, but they measure the same thing and have
of categories to use. An EVEN number of categories, forces the
the same level of difficulty.
respondent to choose from two opposite options, even if he or she
Most Efficient form of reliability
is totally neutral (4 options strongly agree, agree, disagree, and
Advantage: Administer questionnaire once
strongly disagree). The preferred number of categories is usually
It is INTERNAL because there is a comparison of
ODD numbers, usually with either 5 or7 categories which has a
the odd and even responses (responses from nos.
middle or neutral option.
2,4,6,8,10 and from nos. 1,3,5,7,9)
C. Interobserver Reliability
*** There is an issue in removing the middle category, since tendency
Used to assess the degree to which different
measures/central tendency must be avoided (ODD.) Whereas the
raters/observers give consistent estimates of
EVEN category will force the respondent more to make a choice.
the same phenomenon
Used to assess the degree of agreement among
*** The choice of number of categories can have a major effect on repeated administrations of a diagnostic test
the conclusion made with the survey. performed by a single rater
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D. Intraobserver Reliabilty More abstract and difficult to define - is
referred to nominal measurement (positive vs. generally established by using several
negative) instruments or tests on the same group of
E. Alternate forms Reliability individuals and investigating the pattern of
Measure of "equivalence" in reliability testing relationships among the measurements
Involves the development of a second equivalent
form of a tool to estimate consistency Measure of Validity
Disadvantage: 2 questionnaires are needed,
which measure the same thing Characteristics How Measured
Content Appropriateness of
Subjective
Types of reliability Validity content by experts
Type Characteristics How Measured Associated with
Criterion- Correlation between
Responses are stable Administer twice similar skills at
Testretest concurrent scores on instruments
over time (generally estimated) present time
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C. Advance notification? she returns the questionnaire. Only the postcard and
Lets people know they will have a survey not the questionnaire itself contains any information
Methods: Letter, Telephone, Email that can be used to identify the respondent. This
Increase response rate by 7-8% practice permits the researcher to remove the
Content: responders name from the follow-up list, thereby
Who is doing the survey saving administrative costs and potentially annoying
Purpose the responder.
Why subject was selected
How results will be used Confidentiality
Whether responses will be anonymous, and Subjects always need to be assured that their
When the questionnaire will be mailed (or responses will be kept confidential
emailed) or the interview scheduled No response can be identified in any information
reported or otherwise communicated
D. Inclusion of a cover letter and return envelopes? Required by institutional review boards (IRBs)
Cover Letter If questionnaires can be identified with a number
Short or code, it is easier to know who has returned the
Relevant questionnaire and streamlines the follow-up
With letterhead process. Regardless, subjects always need to be
Signed assured that their responses will be kept
Content confidential. No individuals response can be
Purpose of the survey identified in any information reported or
Importance of response otherwise communicated. With the increasing
Use of gathered data protection for human subjects, confidentiality is
Option to share the results with the almost always required by institutional review
recipient (To maintain recipient anonymity, boards (IRBs) as a prerequisite to approving the
a separate postcard can be included for the survey.
recipient to return indicating a desire for a
copy of the results.)
Return Envelopes
Self addressed stamped envelopes
increase response rates by 69%
Business Reply envelopes
May seem less personal
Might suggest plain advertising to some
people
E. Provision of incentives?
Controversial
Higher response rates
MONETARY INCENTIVES
Modest incentive: Few dollars
- 16-30% increase in response rates
NON-MONETARY INCENTIVES
- 8% increase in response rates
MATERIAL INCENTIVES
Increases response rates: half as much of
the other incentives
LOTTERY TICKETS
Little effect on increasing response rate
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