Timeline Follow-Back Interview
Contents
1. Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC On days when you did not drink any alcohol not even a sip of a drink I will write 0 For days when you had something to drink I ll write A for alcohol and then the of drinks you consumed I will write down what are called standard drinks show Standard Drink Conversion Card Appendix 5 12 oz beer usually 1 can or bottle 1 standard drink SD 4 oz glass of wine 1 oz shot of hard liquor Do you think you understand how to tell me about your drinking Best Estimate In helping you to fill out the calendar we want you to be as accurate as possible but we realize that it is hard for anyone to recall things with 100 accuracy So if you can t recall for example whether you did something on a Monday or a Thursday of a certain week just give it your best guess If you are not sure whether you drank 15 16 or 17 drinks choose the middle of the range so for 15 to 17 drinks you would say 16 drinks The important point here is that 15 to 17 drinks is very different than if you said you drank only 1 or 2 drinks or 30 to 35 drinks Does that make sense Remember The important thing we want to do is to make sure something is written in for each day on the calendar We are asking you to give your best guess Pace O Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Specific Drinking Activities e Let2. initials if Y circle the drug code Some people will have patterns to their drug use that can help them recall their use Do you have any patterns to your drug use If drug use and sex occur on same day e What time of day did you use drug morning afternoon or night If same time frame as sex e Was that right before having sex with initials if Y circle the drug code During this period of time did you have any times of abstinence of 7 days or more when you did not use any drug at all If YES e What was the longest period of total abstinence during this time e What was the next longest period of total abstinence Next we will work our way backwards from today and fill in the remaining days for each month Repeat for all drugs used Continue to probe Just to be sure we ve covered everything Did you use drugs on any of the days you had sex On any other anchor days Pace 12 Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK TLFB Calendar Coding Sheet Sexual Behavior To be completed by interviewer after the interview using data from calendar Enter 0 if behavior does not apply to this participant Earliest Total Behavior Partners in 3 months How many men did the participant have oral sex with if gt 0 How many times did participant give oral sex if gt 0 How many times with a barrier 10 if gt 0 How many times did participant receive oral s
3. on list and calendar if injected drugs Include medications only if used outside of prescribed dosages Page 25 Session Participant ID June 27 2003 Revisor Initals JK Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK APPENDIX 4 Coding Key for Sexual Behavior For each type of sex code all other characteristics should be recorded Type of sex Time of sex V vaginal M morning OR oral receiving A afternoon OG oral giving N night AR anal receptive Al anal insertive Frequency 1x 2x 3x etc Condom use Circle type of sex code if male condom used during all penetration Square type of sex code if female condom used during all penetration Type of Condom L latex Na natural P polyurethane DK don t know Negotiation prior to sex NC participant initiated discussion of condoms NC2 partner initiated discussion of condoms NC no discussion of condoms NH1 participant brought up discussion of HIV AIDS NH2 partner brought up discussion of HIV AIDS NH mo discussion of HIV AIDS example JD V1x NC NH MJ AR1x NCI NH Pace YA Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK APPENDIX 5 Standard Drink Conversion Card Pace 97 Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK APPENDIX 6 Drug List 1 Marijuana hash aka herb joint J pot reefer weed s
4. place to stay Pace 7 Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Substance Use TLFB Assessment General Instructions OK thanks for being so thorough with that Sometimes it s not easy to talk about things that are so personal Now we are going to switch topics We are still interested in the last 3 months so we will use the same calendar we used to talk about sexual behavior But now we are interested in your use of alcohol What we would like you to do is recall your drinking for the past three months Again this is not as difficult a task as it may seem especially when we use the same calendar I ll work it through with you Alcohol Use Assessment Have you had any alcohol to drink in the past 3 months If NO e Just to be sure can you think of any times you drank some beer or wine or hard liquor between start date and today If NO Skip to drug assessment If YES continue We have already marked the standard holidays as well as your own personal holidays or special events which we can use to help you recall your drinking Also people who have fairly regular drinking patterns can use such patterns to help us fill out the calendar For example you may have a weekend weekday change in your drinking or your drinking may be different depending on the season What the calendar will do then is give you a picture of the dates and patterns of your drinking Pace
5. three months At first this may seem hard but by using a calendar show calendar see Appendix 1 and a few tips to help your memory you d be surprised how well you can remember things that have happened Do you have a date book or a calendar that you use If you have an appointment book or a daily diary you can use it to help you recall past events If YES e Do you have it with you today You can use this to help remember specific days If NO s It s OK if you don t have one with you Let s start with yesterday date and go back 3 months those dates are date through date Interviewer marks these dates on the calendar and shows Participant Standard holidays such as Halloween and Christmas are marked on the calendar to help you recall your activities around these times You can also tell me about personal holidays and events such as birthdays celebrations hospitalizations check receipt days and so on Do you have any special holidays or dates you want to mark on the calendar to help you better recall your activities during the past 3 months Interviewer fills in calendar if appropriate Best Estimate In helping you to fill out the calendar we want you to be as accurate as possible but we realize that it is hard for anyone to recall things perfectly So if you can t recall for example whether you did something on a Monday or a Thursday of a certain week just give it your best guess Pace 2 Time Line Follow Bac
6. with someone else besides you f Please tell me if you think that person uses injection drugs g Please tell me if you think that person has HIV or AIDS For women only male partners h Please tell me if you think that person has had sex with another man in his lifetime Code as YES NO or NOT SURE Pace 4 Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Specific Sexual Activities You re doing great Thanks Now Pd like to get back to the calendar and talk with you about the kinds of sex you had with each of these people during the past three months show calendar Let s start with the last time you had sex and then work our way backward Use the Coding Key to record items 1 7 on calendar see Appendix 4 1 When was the last day you had sex with initials Begin coding calendar with partner s initials About what time of day did you and initials have sex morning afternoon or night What type of sex did you have on that day with initials What other kinds of sex did you have on that day For each type of sexual behavior How many times did you have type of sex on that day Definition When sex begins until orgasm is 1 time Did you or your partner use a condom when you had type of sex on that day If YES a What type of condom did you use Male or female Latex natural polyurethane don t know b Was a condom used each time c Was there any time
7. Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Comprehensive TimeLine FollowBack TLFB An Interview to Assess Sexual Behavior Alcohol and Drug Use Used in the Health Improvement Project Michael P Carey Ph D Principal Investigator Center for Health and Behavior Syracuse University Syracuse NY 13244 2340 Citation Carey M P Carey K B Maisto S A Gordon C M amp Weinhardt L S 2001 Assessing sexual risk behavior with the timeline followback TLFB approach Continued development and psychometric evaluation International Journal of STD and AIDS 12 365 375 Paoe 1 IL MI Table of Contents Manual A General Instructinos B Sexual Behavior Assessment C Alcohol Use Assessment D Drug Use Assessment Appendices A Monthly Calendars B Defining Sexual Terms C Answer Sheets D Coding Key for Sexual Behavior E Standard Drink Conversion Card F Drug List Coding Sheets Pace 7 Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Time Line Follow Back Interview Sexual Behavior and Substance Use General Instructions Now we re going to talk about health related behaviors that you may have done over the past three months What we re going to do is work together to come up with the number of times that you did each behavior in the past
8. es crank crystal dexies ice meth white crosses 4 OTC stimulants diet pills cold pills 5 sedatives tranquilizers sleeping pills barbs goofballs reds yellow jackets 6 opiates pain killers codeine heroin horse china white H smack junk 7 hallucinogens LSD acid blotters sunshine window pane mescaline buttons peyote 8 inhalants amyl butyl nitrate poppers snappers rush glue paint gasoline aerosols whippits 9 PCP angel dust elephant tranquilizers 10 other Tis injection drug use Place asterisk next to drug code on list and calendar if injected drugs Have you used any other drugs not shown on the list Record on Answer Sheet Include medications only if used outside of prescribed dosages Specific Drug Use Activities Paoe 19 1 5 Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Which drug did you use most frequently in the last 3 months We ll start with that one When was the last time you used drug If drug use and sex occur on same day e What time of day did you use drug morning afternoon or night If same time frame as sex e Was that right before having sex with initials if Y circle the drug code When was the time before that If drug use and sex occur on same day e What time of day did you use drug morning afternoon or night If same time frame as sex e Was that right before having sex with
9. ex 11 if gt 0 How many times with a barrier 12 How many women did participant have oral sex with 13 if gt 0 How many times did participant give oral sex 14 if gt 0 How many times with a barrier 15 if gt 0 How many times did the participant receive oral saal ll o e 16 if gt 0 How many times with a barrier IIT Pila A 17 30 FOR MEN ONLY ss 17 How many men did the participant have anal sex with f Y So if gt 0 How many times with a condom unknown type S AE A E 22 lif gt 0 How many times as the receptive partner 23 if gt 0 How many times with a latex condom L 24 if gt 0 How many times with a natural condom L 25 if gt 0 How many times with a condom unknown typ _ 126 How many women did the participant have anat sex with J E E ee ES 27 if gt 0 How many times did participant have anal sex 18 if gt 0 How many times as the insertive partner 19 if gt 0 How many times with a latex condom al ROA AA 20 if gt 0 How many times with a natural condom PAM FAO o 28 if gt 0 How many times with a latex condom Page 14 Session Participant IDA Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK Middle Earliest Total Behavior Month Month Partners in 3 months 29 if gt 0 How many times with a natural condom o a eee 30 if gt 0 How many times with a condom unknown type bs ee ie ead 31 36 FOR WOMEN ONLY 31 How
10. insemilla Colombian Acapulco Gold Panama Red 2 Cocaine coke crack dust freebase snow lady rock 3 Amphetamines speed bennies black beauties crank crystal dexies ice meth white crosses 4 OTC stimulants diet pills cold pills 5 Sedatives tranquilizers sleeping pills barbs goofballs reds yellow jackets 6 Opiates pain killers codeine heroin horse china white H smack junk 7 Hallucinogens LSD acid blotters sunshine window pane mescaline buttons peyote 8 Inhalants amyl buty nitrate poppers snappers rush glue paint gasoline aerosols whippits 9 PCP angel dust elephant tranquilizers 10 Other Pace IR Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK Pace 20
11. k Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Sexual Behavior TLFB Assessment e First I m going to ask you about your sexual behaviors I know these are personal but I want to remind you that this interview is confidential None of this information will go into your record It is just for our research to help people stay healthy OK Defining Sexual Terms e Before we get into questions about specific behaviors let s go over some definitions These definitions may be helpful to you in answering my questions e The word sex can mean different things to different people So PI use three terms vaginal oral and anal sex See Appendix 2 Record 1 4 on Answer Sheet see Appendix 3 1 Vaginal sex is when a man puts his penis inside a woman s vagina Some people call this making love What term or words do you use for Vaginal sex 2 Oral sex is when a person puts his or her mouth on another person s private parts a man s penis or a woman s vagina Some people call this giving head What term or words do you use for Oral sex 3 Anal sex is when a man puts his penis inside another person s rectum or buttocks What term do you use for Anal sex Anal sex is different than rear entry vaginal sex In rear entry vaginal sex the partner is behind but the penis is in the vagina 4 Are there any other kinds of sex that you know about to clarify that they understand and t
12. many men did the participant have anal sex with a 32 if gt 0 How many times did participant have anal sex FEA e e 33 if gt 0 How many times with a latex condom ee eee PENE 34 if gt 0 How many times with a natural condom 35 if gt 0 How many times with a condom unknown type 36 How many times did participant have sex with a bisexual male 37 How many times did participant have sex with a partner who is not monogamous 38 How many times did participant have sex with a partner who they were not sure is monogamous 39 How many times did participant have sex with a partner who injected drugs 40 How many times did participant have sex with a partner who they were not sure injected drugs 41 How many times did participant have sex with a partner who 15 HIV positive Page 15 Session Participant ID 42 How many times did participant have sex with a partner who they were not sure is HIV positive 43 How many times did participant talk with a partner about R betore having sex ESOT 44 How many times did participant talk with a partner about using a ft condom befor having sx IES 45 How many times did participant have sex directly following P acohol consumption Y 46 How many times did participant have sex after using substances R aon Pn ee 47 How many times did participant talk to partner about condoms and use condoms after drinking alcohol or using other substances 48 How many times did participant
13. o elicit potential confusion re penetrative risky sex Pace 4 Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Coding Sexual Partners N How many sexual partners have you had in the past 3 months Record on Answer Sheet If NONE Record on Answer Sheet e Were there any people who you could have had sex with but you chose not to or chose to do another activity s If YES I don t need to know the person s name but could you tell me the person s initials e Why didn t you have sex If 1 sexual partners Continue Now we re going to make a list of the people you ve had sex with in the past three months e Let s start with the person you had sex with most recently I don t need to know the person s name but could you tell me the person s initials Record items a d on Answer Sheet e Is this person a A man or a woman b A new partner that you ve had sex with for the first time in the past 3 months If b Y code New Partner c Someone you ve been having sex with for longer than a month d Someone who you have sex with 5 or more times If c Y and d N code Casual Partner If c and d Y code Regular Partner e Who else have you had sex with in the past three months continue to fill in grid e Now Pd like to mention the initials of each partner you ve named Record items e h on Answer Sheet e Please tell me if you think that person may have been having sex
14. s JK Sexual Behavior Defining Sexual Terms Manual page 3 Type of Sex Term or words used for type of sex ao ao o o 4 Are there any other kinds of sex that you know about Other Coding Sexual Partners Manual page 4 How many sexual partners have you had in the past 3 months If NONE Were there any people who you could have had sex with but you chose not to or chose to do another activity Check No or Yes No Yes If YES Initials Why didn t you have sex Page 20 Session Participant ID Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK Manual page 4 a Gender b Is this person a c Is this person new partner that you ve someone you ve been had sex with for the having sex with for first time in the past longer than a month d Is this person Type of Partner someone who you have sex with 5 or more times 3 months Page 21 Session Participant ID Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK Manual page 4 Partner is not Partner Injected Partner HIV WOMEN ONLY monogamous Drugs positive Bisexual Male Partner Page 22 Session Participant ID Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK Specific Sexual Activities Manual page 6 With initials Were Were there any times that there other times during yo
15. s begin As said before what we want you to do is use the calendar to record your drinking over the past 3 months 1 When did you last drink during this time Drinker replies with date 2 What was the greatest amount you consumed on any given day in the past 3 months Record amount on Answer Sheet Do you recall when this occurred code A of drinks MAX on those dates If A MAX occurs on day of sex e What time of day did you drink morning afternoon or night If same time frame as sex e Was that right before having sex with initials if Y circle the alcohol code e Did you have this maximum amount on any other days you had sex On any other anchor days e Before or after sex anchor days 3 What was the least amount of drinking in the past 3 months Record amount on Answer Sheet When did it occur 4 As mentioned earlier some people will have patterns to their drinking that can help them recall their use Do you have any patterns to your drinking If drinking and sex occur on same day e What time of day did you drink morning afternoon or night If same time frame as sex e Was that right before having sex with initials if Y circle the alcohol code 5 During this period of time did you have any times of abstinence of 7 days or more when you did not drink any alcohol at all not even a drop If YES e What was the longest period of total abstinence during this time e What was the next longest period of total ab
16. stinence Paoe 1N Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC 6 Next we will work our way backwards from today and fill in the remaining days for each month If drinking and sex occur on same day e What time of day did you drink morning afternoon or night If same time frame as sex e Was that right before having sex with initials if Y circle the alcohol code Repeat probes e Just to be sure we ve covered all the days e Did you drink on any other days you had sex e On any other anchor days e Before or after sex anchor days Paoe 11 Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Drug Use Assessment General Instructions e That was good The last behavior we want to record is drug use e Wewon t record medications if taken as prescribed by your doctor but we will write down any other drugs used or medications if used in amounts more than your doctor recommends e Let s go through this list of other drugs show drug list see Appendix 6 e For each one tell me if you have used this drug in the last 3 months between start date and today Drug List Codes Record on Answer Sheet Circle number of drug s endorsed 1 marijuana hash aka herb joint J pot reefer weed sinsemilla Colombian Acapulco Gold Panama Red 2 cocaine coke crack dust freebase snow lady rock 3 amphetamines speed bennies black beauti
17. talk to partner about condoms but did not use condoms after drinking alcohol or using other substances 49 How many times did participant drink or use other substances and not talk with partner about condoms Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK TLFB Calendar Coding Sheet Substance Use Behavior Enter NA if behavior does not apply to this participant SS month 1 Maximum number of standard drinks 2 Drinking days SOC o YOSOY 13 Heavy drinking days gt 5 standard drinks o o 4 Total number of standard drinks TT 5 Marijuana use days CCOO YO 6 Cocaimewsedays 7 Amphetamine we days OOOO OO YO 8 OTC stimulant use days TT 9 Sedative tranquilizer sleeping pill use days o 10 Opiate use days OOOO YO 11 Hallucinogen use days 12 tnhalant use days COC OO YO 13 PCPusedays ooo O YO YO 14 Other usedays COCO YO O 17 Injection drug use days A Page 16 Session Participant IDA Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK APPENDIX 1 Calendar Pace 17 Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK APPENDIX 2 Defining Sexual Terms Paoe 18 Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK APPENDIX 3 Answer Sheets Page 19 Session Participant IDA Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Inital
18. u refused to have sex with the last 3 months that you this partner or chose to do could have had sex but another activity decided not to have sex or 8 Repeat 1 8 with each partner before moving on to alcohol section ask 9 11 Page 23 Session Participant ID Time Line Follow Back Sex Beh and Substance Use June 27 2003 Revisor Initals JK Manual page 6 9 Were there any other people who you could have had sex with but you chose not to or chose to do another activity Check No or Yes No Yes If YES Initials Why did you choose not to have sex 10 How many times during the past 3 months were you forced to have sex when you did not want to 11 How many times during the past 3 months did you have sex to get money drugs or a place to stay Page 24 Session Participant ID Time Line Follow Back Sex Beh and Substance Use Alcohol Use Manual page 9 2 What was the greatest amount you consumed on any given day in the past 3 months 3 What was the least amount you consumed on any given day in the past 3 months Drug Use Manual page 11 Drug List Codes Circle number of drug s endorsed 1 Have you used any other drugs not shown on the list marijuana hash cocaine amphetamines OTC stimulants sedatives tranquilizers sleeping pills opiates pain killers hallucinogens inhalants PCP other injection drug use Place asterisk next to drug code
19. when your his penis was inside but you weren t he wasn t wearing a condom Did you talk to your partner about using a condom before having type of sex that day If YES Did you start the discussion or did your partner Did you talk with your partner about HIV or AIDS before having type of sex that day If YES Did you start the discussion or did your partner Ask 1 7 with same partner on all sex days before moving on to next partner ask 8 Pace A Time Line Follow Back Sex Beh and Substance Use 4 15 03 Revisor Initals MPC Record 8 11 on Answer Sheet 8 With this partner a Were there other times during the last 3 months that you could have had sex but decided not to have sex or chose to do another activity If YES Why didn t you have sex b Were there any times that you refused to have sex with this partner or chose to do another activity If YES Why did you refuse to have sex Repeat 1 8 with each partner before moving on to alcohol section ask 9 11 9 Were there any other people who you could have had sex with but you chose not to or chose to do another activity If YES Please tell me the person s initials Why did you choose not to have sex Repeat 9 until no more people identified 10 11 How many times during the past 3 months were you forced to have sex when you did not want to How many times during the past 3 months did you have sex to get money drugs or a
Download Pdf Manuals
Related Search