Privileged Communication - Do Not Distribute Without the Permission Of

Privileged Communication - Do Not Distribute Without the Permission Of

1

MULTI-SITE

BEHAVIOR IN PREGNANCY STUDY

(MS BIPS)

INTERVIEW PACKET - TIME 2

(February 11, 1999)

PRIVILEGED COMMUNICATION - DO NOT DISTRIBUTE WITHOUT THE PERMISSION OF

DR. C. DUNKEL-SCHETTER, (310) 206-8116,

C. Sandman, Ph.D. (P.I.)
Professor
Dept. of Psychiatry & Human Behavior
University of California, Irvine
101 City Drive, South
Orange, CA 92668 / C. Hobel, M.D. (Co-P.I.)
Professor of OB/GYN
University of California, Los Angeles
Director of Maternal-Fetal Medicine
Dept. of Obstetrics & Gynecology
Cedars-Sinai Medical Center
8635 West Third Street
Suite 160W
Los Angeles, CA 90048 / C. Dunkel-Schetter, Ph.D. (Co-P.I.)
Professor
Department of Psychology
University of California, Los Angeles
405 Hilgard Avenue
Los Angeles, CA 90095

INTERVIEWER INITIALS:

______

PARTICIPANT NUMBER:

50000

71111

2222 NEEDS REVIEW 

3333

4444

5555

6666

7777

8888

9999

DATE OF INTERVIEW:

MONTH DAY YEAR

00001 9 9 8

11111 9 9 9

2222 0 0 0

3332 0 0 1

442 0 0 2

552 0 0 3

66

77

88

99
PREFACE

FIND RESPONDENT AND INTRODUCE SELF:

Hi/ Hello, my name is (YOUR FIRST AND LAST NAME), and I am an Interviewer for the Multi-Site Behavior In Pregnancy Study that we are conducting here at Cedars-Sinai/UCI. We really appreciate your willingness to take the time to help us on this project. I will be interviewing you today. If you will come with me, we can move to a room where I can interview you in private.

MOVE TO INTERVIEW ROOM.

IF PARTNER PRESENT:

It is important that we talk to each woman in our study privately. I will bring her back here in about 60 minutes. Thank you.

IF NECESSARY:

I'm sorry but my instructions are that I cannot conduct the interview with anyone else present, not even a husband or partner. Thank you for your cooperation.

IF CHILDREN PRESENT, SEE IF ANOTHER RESEARCH ASSOCIATE OR STAFF MEMBER CAN ASSIST. IF NOT, MAKE THE BEST OF IT. INFANTS OKAY.

ONCE SEATED:

The interview today should take about 60 minutes, including two short questionnaire packets that I would like you to fill out. This interview is concerned with your daily activities, including your employment status, your feelings about your pregnancy, your relationships with the baby's father and others, your life experiences, and your personal beliefs. I want to remind you that your answers today are completely voluntary and confidential. Let's get started with the first questionnaire.

TIME STARTED:_____:_____

QUESTIONNAIRE 2A

To start, we would like you to complete the first questionnaire packet. After you are finished I have some additional questions for you to answer. (OPEN THE QUESTIONNAIRE TO THE GENERAL INSTRUCTIONS.) Before you begin, I'd like to go over the general instructions with you. (READ INSTRUCTIONS IN QUESTIONNAIRE PACKET TO HER). I will be here in case you need to ask me something.

This packet includes several different questionnaires. Please be sure to read the instructions for each separate section. Answer each question as quickly, but carefully, as possible; do not go back over your answers. Please remember that your responses are completely confidential. If at any time you have any questions, feel free to ask me.

AFTERWARDS, CHECK FOR COMPLETENESS, THANK HER, AND BEGIN THE INTERVIEW:

PART 1 -- ATTITUDES TOWARD PREGNANCY

The first set of questions concern your decision to have this baby and your feelings in the past week about the pregnancy.

1. I will read you a list of feelings and I would like to know how often you have felt each of them in the past week, including today. Please answer using this card (HAND CARD C).

CARD C

NEVER...... 1

RARELY...... 2

SOMETIMES...... 3

OFTEN...... 4

ALWAYS...... 5

In the past week, how often have you
felt ______about being pregnant? / Never / Rarely / Some-times / Often / Always
A. Anxious (or worried) / 1 / 2 / 3 / 4 / 5
B. Confident / 1 / 2 / 3 / 4 / 5
C. In conflict (had mixed feelings) / 1 / 2 / 3 / 4 / 5
D. Lucky / 1 / 2 / 3 / 4 / 5
E. Concerned / 1 / 2 / 3 / 4 / 5
F. Excited / 1 / 2 / 3 / 4 / 5
G. Upset / 1 / 2 / 3 / 4 / 5
H. Happy / 1 / 2 / 3 / 4 / 5
I. Afraid / 1 / 2 / 3 / 4 / 5
J. Special / 1 / 2 / 3 / 4 / 5
K. Panicky / 1 / 2 / 3 / 4 / 5
L. Pleased / 1 / 2 / 3 / 4 / 5
M. Healthy / 1 / 2 / 3 / 4 / 5

2. Now I am going to read you four different feelings that women sometimes have when they are pregnant. Please tell me which one fits you best right now, that is, your feelings today and in the past week. Would you say that...

having a baby now is something I really want,...... 1

having a baby now is O.K., ...... 2

having a baby now is not exactly what I want, or...... 3

having a baby now is definitely not what I want?...... 4

3. Do you ever wish you were not pregnant? Would you say . . .

you never wish,...... 1

rarely wish, ...... 2

sometimes wish,...... 3

often wish, or...... 4

almost always wish that you were not pregnant?...... 5

PART 2 -- PREGNANCY ANXIETY

The next set of questions is about your feelings and expectations about the labor and delivery and your baby.

Please indicate your feelings about each statement by choosing one of the following answers (HAND CARD D).

CARD D

NOT AT ALL...... 1

SOMEWHAT...... 2

MODERATELY...... 3

VERY MUCH...... 4

1. I am confident of having a normal childbirth.

Would you say…

not at all,...... 1

somewhat,...... 2

moderately, or...... 3

very much?...... 4

2. I think my labor and delivery will go normally.

NOT AT ALL,...... 1

SOMEWHAT,...... 2

MODERATELY, OR...... 3

VERY MUCH?...... 4

3. I am fearful regarding the health of my baby.

NOT AT ALL,...... 1

SOMEWHAT,...... 2

MODERATELY, OR...... 3

VERY MUCH?...... 4

4. I am worried that the baby might not be normal.

NOT AT ALL,...... 1

SOMEWHAT,...... 2

MODERATELY, OR...... 3

VERY MUCH?...... 4

5. I am afraid that I will be harmed during delivery.

NOT AT ALL,...... 1

SOMEWHAT,...... 2

MODERATELY, OR...... 3

VERY MUCH?...... 4

Now I want to read a list of things about pregnancy and new babies that might concern you. Please tell me whether these things concern you, and if so how much, using the responses on this card. (HAND CARD E)

CARD E

NEVER...... 1

SOMETIMES...... 2

MOST OF THE TIME...... 3

ALMOST ALL OF THE TIME...... 4

6. I am concerned or worried about how the baby is growing and developing inside me.

Would you say…

never, ...... 1

sometimes, ...... 2

most of the time, or ...... 3

almost all of the time? ...... 4

7. I am concerned or worried about losing the baby.

never, ...... 1

sometimes, ...... 2

most of the time, or ...... 3

almost all of the time? ...... 4

8. I am concerned or worried about having a hard or difficult labor and delivery.

never, ...... 1

sometimes, ...... 2

most of the time, or ...... 3

almost all of the time? ...... 4

9. I am concerned or worried about taking care of a new baby.

never, ...... 1

sometimes, ...... 2

most of the time, or ...... 3

almost all of the time? ...... 4

10. I am concerned or worried about developing medical problems during the pregnancy.

never, ...... 1

sometimes, ...... 2

most of the time, or ...... 3

almost all of the time? ...... 4

PART 3 -- BABY'S FATHER [UPDATE]

This next set of questions is about the baby’s father. Some of them are to update our records on your relationship with him since we last saw you. Others are new questions about his background.

IF NO IDEA WHO BF IS CODE:

DOESN’T KNOW ...... 1

THEN ASK:

What is your marital status currently?

Never married ...... 1

Married ...... 2

Separated ...... 3

Divorced ...... 4

Widowed ...... 5

THEN SKIP TO Q11

1.Which of the following statements best describes your situation?

You are legally married to the baby's father,...... 1

You are legally married to the baby's father, but you are

separated from him now,...... 2

Are you separated for a practical reason such as job or school?

Marital discord...... 1

Job/School

(Describe: ______) 2

Incarceration...... 3

Other (Specify: ______)...... 4

You were legally married to the baby's father, but are

divorced from him now, ...... 3

You are not legally married to the baby’s father, but

you live with him, or ...... 4

You are neither legally married to nor living with the baby's father? 5

2. How often have you seen the baby's father in the past month? Would you say...

every day, ...... 1

several times a week,...... 2

several times during the month, but not every week,.....3

once during the month, or...... 4

never?...... 5

RECORD ANY COMMENTS:

The next few questions are about where the baby’s father was born, his background, and his education.

3. What is the baby’s father’s birthdate? ____/____/____ (CODE 66/66/66 FOR

MM DD YY “DON’T KNOW”)

4. Where was he born? (CIRCLE CODE NUMBER)

BF / SPECIFY
MEXICO / 1
EL SALVADOR / 2
GUATEMALA / 3
CUBA / 4
PUERTO RICO / 5
OTHER LATIN AMERICA / 6
CARIBBEAN / 7
UNITED STATES / 8
CANADA / 9
ASIA (CHINA, JAPAN, KOREA) / 10
SOUTHEAST ASIA (PHILIPINES, THAILAND, VIETNAM, LAOS, ETC.) / 11
OTHER ASIA (INDIA, PAKISTAN) / 12
PACIFIC (AUSTRALIA, NEW ZEALAND, GUAM) / 13
AFRICA / 14
MIDDLE EAST (ISRAEL, IRAN, LEBANON) / 15
EUROPE / 16
OTHER/UNCLEAR / 17
DON'T KNOW / 18

5. How long has he lived in the United States? _____ MONTHS/YEARS (CIRCLE ONE)

(CODE = 777 FOR “ALL HIS LIFE”; CODE = 666 FOR “DON’T KNOW”)

[DATA ENTRY NOTE: CONVERT TO MONTHS WHEN ENTERING DATA]

6. How many years of school did he complete? (CIRCLE ONE)

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17+ 66

(CODE = 66 FOR “DON’T KNOW”)

7. In what country?

U.S...... 1

U.S AND OTHER (SPECIFY: ______).2

OTHER (SPECIFY: ______)..3

DON’T KNOW...... 4

8. What is the highest level of education the baby’s father completed. Please use this card.

(HAND CARD O)

CARD O

NONE...... 1

PRIMARY, ELEMENTARY, OR MIDDLE SCHOOL...... 2

HIGH SCHOOL OR GED ...... 3

TECHNICAL OR VOCATIONAL SCHOOL...... 4

SOME COLLEGE, BUT NO DEGREE (NUMBER OF YEARS ____)..5

ASSOCIATE DEGREE...... 6

BACHELOR’S DEGREE...... 7

OTHER GRADUATE DEGREE (MASTERS, DOCTORATE,

MEDICAL, LAW)...... 8

CERTIFICATE (SPECIFY: ______)..9

OTHER (SPECIFY: ______)...... 10

DON’T KNOW ...... 11

9. Which best describes the baby’s father’s ethnic and racial category? (HAND CARD I)

CARD I

HISPANIC OR LATIN...... 1

NONHISPANIC WHITE, EUROPEAN, NORTH AFRICAN,

MIDDLE EASTERN ...... 2

AFRICAN AMERICAN...... 3

BLACK, NOT AMERICAN (SPECIFY: ______).....4

ASIAN OR PACIFIC ISLANDER, JAPANESE, CHINESE, KOREAN,

VIETNAMESE, FILIPINO, INDIAN (SUBCONTINENT OR PACIFIC ISLANDER

ORIGIN)...... 5

NATIVE AMERICAN OR ALASKAN NATIVE...... 6

MULTI-ETHNIC (SPECIFY:______)...7

DON’T KNOW...... 8

ASK Q10-Q12 ONLY IF RESPONDENT HAS NOT SEEN (FROM Q2) THE BF IN THE PAST MONTH; OTHERWISE, SKIP TO PART 4.

10. Have you had any contact with the baby's father by telephone or mail in the past month?

NO...... 0

YES...... 1

11.Is there someone else whom you think of as the baby's father, or who does the things he would usually do?

NO...... 0 (SKIP TO PART 5)

YES...... 1

12. Is this person your partner, a relative, or a friend?

PARTNER/SIGNIFICANT OTHER...... 1 (CONTINUE)

PARENT...... 2 (SKIP TO PT 5, PG 22)

SIBLING...... 3 (SKIP TO PT 5, PG 22)

FRIEND (NON-ROMANTIC)...... 4 (SKIP TO PT 5, PG 22)

OTHER...... 5 (SKIP TO PT 5, PG 22)

CONTINUE TO PART 4 AND READ SPECIAL INSTRUCTIONS.

PART 4 -- SUPPORT EFFECTIVENESS SCALE - BABY’S FATHER

IF RESPONDENT HAS A SUBSTITUTE FOR BABY'S FATHER, THEN READ SPECIAL

INSTRUCTIONS AND COMPLETE THIS SECTION, SKIPPING REGULAR

INSTRUCTIONS. IF SHE HAS NO PARTNER AND NO SUBSTITUTE, SKIP TO PART 5.

Now I’m going to ask you some questions about three different kinds of help or support the baby’s father may give you and some detailed questions about what you think about the way he helps you. Please answer as carefully and openly as you can. I’ll always refer to the past three months -- this means from [THREE MONTHS AGO] to [PRESENT MONTH]. You can focus on that time frame.

SPECIAL INSTRUCTIONS TO USE FOR SUBSTITUTES:

Now I’m going to ask you some questions about three different kinds of help or support SUBSTITUTE NAMED IN PREVIOUS SECTION) may give you, and some detailed questions regarding what you think about the way he or she helps you. Please answer as carefully and openly as you can. I’ll always refer to the past 3 months -- this means from [THREE MONTHS AGO] to [PRESENT MONTH]. You can focus on that time frame.

The first kind of help I’ll ask you about is assistance with tasks that you have to get done. These tasks might be small or large. For instance, you might need help with a household job or getting errands done.

1. Within the past three months, how often have you needed or wanted help with these kinds of tasks from the baby’s father [SUBSTITUTE]? Please use this card to respond.

(Hand Card K)

Would you say…

never,...... 1

almost never,...... 2

sometimes,...... 3

often, or...... 4

very often?...... 5

1A. In the past three months, how often has the baby’s father [SUBSTITUTE] attempted to help you with tasks? (CARD K)

Would you say…

never, ...... 1 (SKIP TO Q1B)

almost never,...... 2 (SKIP TO Q1B)

sometimes,...... 3

often, or...... 4

very often?...... 5

1A.a. (IF SOMETIMES, OFTEN, OR VERY OFTEN) Can you give me an example of

this? [RECORD VERBATIM]

1B. In general, when the baby’s father [SUBSTITUTE] attempts to help you with tasks, how good is the match between the amount of help he offers and the amount you need?

Would you say you get…

much less help than you want,...... 1

a little less help than you want,...... 2

just the right amount of help,...... 3

a little more help than you want, or...... 4

much more help than you want?...... 5

1C. Sometimes a person receiving help may wish the help had been different somehow. For instance, a person might wish the help had been offered at a different time, or in a different way. When the baby’s father [SUBSTITUTE] attempts to help you with tasks, to what extent do you wish it were different? Please use this card to respond (Hand card L).

Would you say you wish his help with tasks was…

not at all different,...... 1 (SKIP TO Q1D)

somewhat different, ...... 2

moderately different, or...... 3

very different?...... 4

1C.a. How would you like it to be different? (PROBE FOR GENERAL PRINCIPLES AND RECORD VERBATIM.)

1D. Some people are especially good at helping others with tasks and others are not. People who are good at this do it skillfully, and the people they help feel less burdened without feeling guilty, dependent, or bad about themselves for needing help. When the baby’s father [SUBSTITUTE] attempts to help you with tasks, how good would you say he is at it? Please use Card L again to respond. (CARD L)

Would you say he’s…

not good at it at all,...... 1

somewhat good at it,...... 2

moderately good at it, or...... 3

very good at it?...... 4

1E. Sometimes when a person needs help from a partner [SUBSTITUTE], it’s difficult to get it. It may seem like the person doesn’t want to help or is avoiding helping. When you need the baby’s father’s [SUBSTITUTE’S] help with tasks, how often is it difficult to get? Please use card C to respond (HAND CARD C).

Would you say it’s…

never difficult to get,...... 1

rarely difficult to get,...... 2

sometimes difficult to get,...... 3

often difficult to get, or...... 4

always difficult to get?...... 5

1F. Does he ever offer to help you with tasks without you having to ask? Please use Card C again to respond. (CARD C)

Would you say he…

never offers,...... 1

rarely offers,...... 2

sometimes offers,...... 3

often offers, or...... 4

always offers?...... 5

Now I’d like to ask you some questions about a second kind of help, that is, advice or information. Sometimes people want advice about what to do in a difficult situation, or they may need information on how to do something.

2. Within the past three months, how often have you needed or wanted advice or information of any kind from the baby’s father [SUBSTITUTE]? Please use this card to respond.

(HAND CARD K)

Would you say…

never,...... 1

almost never,...... 2

sometimes,...... 3

often, or...... 4

very often?...... 5

2A. Within the past three months, how often has the baby’s father [SUBSTITUTE] attempted to give you advice or information? Please use Card K again. (CARD K)

Would you say…

never,...... 1 (SKIP TO Q2B)

almost never,...... 2 (SKIP TO Q2B)

sometimes,...... 3

often, or...... 4

very often?...... 5

2A.a. (IF SOMETIMES, OFTEN, OR VERY OFTEN) Can you give me an example of

this? [RECORD VERBATIM]

2B. In general, when the baby’s father [SUBSTITUTE] gives you advice or information, how good is the match between the amount he offers and the amount you need?

Would you say you get…

much less advice or information than you want,...... 1

a little less advice or information than you want,...... 2

just the right amount of advice or information,...... 3

a little more advice or information than you want, or...... 4

much more advice or information than you want?...... 5

2C. When the baby’s father [SUBSTITUTE] attempts to help you by giving you advice or information, to what extent do you wish it were different? Please answer using this card (HAND CARD L)

Would you say you wish his advice or information was…

not at all different,...... 1 (SKIP TO Q2D)

somewhat different, ...... 2

moderately different, or...... 3

very different?...... 4

2C.a. How would you like it to be different? (PROBE FOR GENERAL PRINCIPLES AND RECORD VERBATIM.)

2D. People who are good at giving advice or information are able to offer useful advice in a way that is not controlling, nor does it make others feel inadequate or stupid. How good would you say the baby’s father [SUBSTITUTE] is at giving you advice or information? Please use Card L again. (CARD L)

Would you say he’s…

not good at it at all,...... 1

somewhat good at it,...... 2

moderately good at it, or...... 3

very good at it?...... 4

2E. Sometimes when a person needs advice or information from a partner, it’s really difficult to get. How difficult is it for you to get advice or information from the baby’s father? Please use this card now. (HAND CARD C)

Would you say it’s…

never difficult to get,...... 1

rarely difficult to get,...... 2

sometimes difficult to get,...... 3

often difficult to get, or...... 4

always difficult to get?...... 5

2F. Does he ever offer advice or information without you having to ask for it? (CARD C)

Would you say he…

never offers,...... 1

rarely offers,...... 2

sometimes offers,...... 3

often offers, or...... 4

always offers?...... 5

Now I’ll ask you some questions about a third and final kind of support: emotional support. People can give emotional support to each other in many ways. For instance, they may listen to someone’s concerns and feelings and try to understand them. Or they may give emotional support by showing affection and concern.

3. Within the past three months, how often have you needed or wanted emotional support from the baby’s father [SUBSTITUTE]? Remember that emotional support includes a range of behaviors, including listening and trying to understand, and showing affection and concern. Please use this card to respond. (HAND CARD K)

Would you say…

never,...... 1

almost never,...... 2