Print Page   |   Contact Us   |   Your Cart   |   Report Abuse   |   Sign In   |   Apply for NAQC Membership
Site Search
Sign up for NAQC membership today!

Receive a monthly issue of Connections!
MDS for Evaluating Quitlines - Optional Questions

Revised July 15, 2011

Process for developing standard optional MDS questions
List of standard optional MDS questions
NEW! Optional screening questions for behavioral health issues  Updated July 15, 2011

Process for developing standard optional MDS questions


One of the important benefits of completing the MDS is having standard questions used for evaluating all quitlines. In an effort to meet the needs of the field, the following process for developing standard optional has been developed.
  1. Request: Any NAQC member or group of members can make a request to develop a standard optional question for MDS. The request should include the name and contact information of requesting member(s) and the topic of the standard question. It can be sent to naqc@naquitline.org.

  2. Initial Discussion: NAQC's director of research or co-chairs of the Minimal Data Set (MDS) Update workgroup will contact the requesting member(s) to discuss the topic of the question and to assure that there is no duplication of effort underway.

  3. Action by Requesting Member(s): Requesting member(s) is responsible for drafting a background document for the MDS Update workgroup and for participating in one or two meetings with the working group to discuss the request. This meeting is likely to be by conference call. The content of the background document should include (a) description of the question topic and statement of rationale for developing a standard optional question on this topic; (b) an assessment of the level of interest in the question topic among NAQC members (note - NAQC can help the requesting member(s) gather this information); (c) a listing of questions that are currently being used by quitlines or research projects relevant to the topic; and (d) a proposed standard optional question.

  4. Action by MDS Update workgroup: The working group will circulate the background document to members for consideration and will convene a meeting with the requesting member(s). The working group will either (a) make a decision during the meeting; or (b) require additional information and deliberation. The working group may decide to meet again by conference call or to make a final decision at its annual meeting.

  5. Posting of information about requests: Information about requests will be posted on NAQC's website along with final decisions by the working group. Standard optional questions will be posted as well.

  6. Updating the MDS: As needed, the MDS Update workgroup will meet to review and update the MDS. At that time, the working group will consider new questions that should be added to and current questions that should be deleted or revised from the MDS data set.

List of standard optional MDS questions

The following list identifies all standard optional MDS questions.

NEW! Optional screening questions for behavioral health issues (last updated July 15, 2011)

In partnership with the Behavioral Health Advisory Forum, NAQC is pleased to announce the release of three optional questions to help quitlines assess for behavioral health issues (mental or emotional health issues). For the questions, rationale, implementation guidance and context, please click here.

These are optional questions, andit is not expected that any or all of them would be adopted by quitlines unless it meets the needs of each individual quitline. They are presented as standardized questions so that if a quitline determines it is in its own best interest to adopt one or more of them, it can be reasonably assured that other quitlines also interested in adopting the questions will be using very similar, if not identical, language. The request was received in September 2010, and approved by the MDS Update workgroup in January 2011. If you have any questions, please contact naqc@naquitline.org.

The remaining optional questions and response options are included in the Updated Minimal Data Set documentation (released December 2009) on the MDS technical documents page.


OPTIONAL INTAKE QUESTIONS (last updated December 2009)

·       Optional Intake Question: 2b. Are you: a health professional, a friend or family member, a   community organization, worksite, insurance, or other?

·       OPTIONAL question 5e-1: What types of other[tobacco]  products do you use?

·       Optional 6a-1: How many days did you smoke [cigarettes] in the last 30 days?

·       Optional question 7a-1: Are the cigarettes you usually smoke menthol cigarettes?

·       Optional 6b-1: How many days did you smoke [cigars, cigarillos, or little cigars] in the last 30 days?

·       Optional 6c-1: How many days did you smoke [a pipe] in the last 30 days?

·       Optional 6d-1: How many days did you chew in the last 30 days?

·       Optional 6e-1: How many days did you use other types of tobacco in the last 30 days?

·       OPTIONAL Intake Question 9-1: Other tobacco users: How soon after you wake up do you use tobacco (other than cigarettes)?

·       Optional Intake Question 11a: Ask only if participant replied they have used cigarettes in the past 30 days in question SI 5a. At what age did you start smoking cigarettes regularly?

·       Optional 11b: Ask only if participant replied they have used cigars, cigarillos, or little cigars  in the past 30 days in question SI 5b. At what age did you start smoking cigars, cigarillos, or little cigars regularly?

·       Optional 11c: Ask only if participant replied they have used a pipe in the past 30 days in question SI 5c. At what age did you start smoking a pipe regularly?

·       Optional 11d: Ask only if participant replied they have used chewing tobacco, snuff, or dip in the past 30 days in question SI 5d. At what age did you start using chewing tobacco, snuff, or dip regularly?

·       Optional 11e: Ask only if participant replied they have used other tobacco products in the past 30 days in question SI 5e. At what age did you start using [NAME OF OTHER TOBACCO PRODUCT] regularly?

·       Optional Intake Question 15a ( USA only): Do you have any health insurance, including pre-paid (such as XXX – provide examples for your state) or government programs (such as Medicaid or Medicare)?

·       Optional Intake Question 15b ( USA only): What type of health insurance do you have?

·       Optional Intake Question 18a ( USA only): (if respond "Asian”): Which specific ethnicity or race do you identify with the most?

·       Optional Intake Question 18b: ( USA only) (if respond "Native Hawaiian or other pacific islander”): Which specific ethnicity or race do you identify with the most?

·       Optional Intake Question 18b: ( Canada only) (if respond "Aboriginal"): Are you a member of an Indian Band/First Nation? Optional 18b-1: Specify Indian Band/First Nation (for example, Musqueam)

·       Optional Intake Question 18c ( USA only): Specify name of enrolled or principal tribe_______________________

·       Optional Intake Question 18-1 ( Canada only): To which of the following ethnic or cultural groups did your ancestors belong?

·       Optional Intake Question 19: Recommended question and scripting: Several communities have been targeted by the tobacco industry or have higher smoking rates. We have some special materials for people in these communities. So we’d like to ask you some demographic questions. Please remember that your answers are completely confidential. Do you consider yourself to be one or more of the following: Straight, Gay or Lesbian, Bisexual, Transgender, Other [NOTE: This question was first requested in June 2005, and approved by the Research & Evaluation Working Group in March 2006]

 

OPTIONAL FOLLOW-UP QUESTIONS (last updated December 2009)


·       OPTIONAL Follow-up Question 3. Have you smoked any cigarettes or used other tobacco, even a puff or pinch, in the last 7 days?

·       Optional Follow-up Question 4e-1: What types of other [tobacco] products do you use?

·       Optional 5a-1: How many days did you smoke [cigarettes] in the last 30 days?

·       Optional 5b-1: How many days did you smoke [cigars, cigarillos, or little cigars] in the last 30 days?

·       Optional 5c-1: How many days did you smoke [a pipe] in the last 30 days?

·       Optional 5d-1: How many days did you chew in the last 30 days?

·       Optional 5e-1: How many days did you use other types of tobacco in the last 30 days?

·       Optional 7-1: Other tobacco product users only: How soon after you wake up do you use tobacco (other than cigarettes)?

·       Optional 9-1:  How many times did you stop using tobacco for 24 hours or longer?

·       Optional 10: When was the last time you used any type of tobacco, even a puff or pinch? [Can also ask this about each type of tobacco separately as Optional 10a-e]

·       Optional satisfaction question 1a: To what extent has the quitline met your quitting needs?

·       Optional satisfaction question 1b: If you were to seek help again, would you contact the quitline?

·       Optional satisfaction question 1c: If a friend were in need of similar help, would you recommend the quitline to him/her?

 

For information about the NAQC minimal data set, or for any other questions, contact naqc@naquitline.org

 

 

 





Sign In


Forgot your password?

Not a NAQC Member?

Latest News
Calendar

9/17/2014 » 9/18/2014
Innovations in Relapse Prevention: A Discussion of Strategies and Solutions

webinar series

Membership 10 years!.

    3219 E. Camelback Road, #416, Phoenix, AZ 85018 | Ph: 800.398.5489 | Fax: 800.398.5489 | email: naqc@naquitline.org