GYTS Questionnaire Adaptation GYTS Core Questionnaire Optional Modules and Optional Questions Guidelines for Adapting Translating and Finalizing the GYTS Questionnaire Overview GYTS Implementation ID: 1002373
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1. Global Youth Tobacco Survey (GYTS): Questionnaire Adaptation
2. GYTS Core Questionnaire, Optional Modules, and Optional QuestionsGuidelines for Adapting, Translating, and Finalizing the GYTS QuestionnaireOverview
3. GYTS Implementation Instructions manualQuestionnaire Adaptation Instructions, pages 7 to11Documents Referenced
4. GYTS Core Questionnaire with Optional Questions
5. Standard core questionnaire and optional modules and questions of the GYTS Questionnaire permit adaptation to meet the data needs of the countryCompleted by students aged 13 to 15 years oldGYTS School Policy Questionnaire provides information on tobacco-free policies and enforcement in schoolsCompleted by School Principal or AdministratorOne School Policy Questionnaire for each schoolGYTS Questionnaire and School Policy Questionnaire
6. A total of 153 questions availableThree main sectionsCore QuestionnaireOptional ModulesOptional QuestionsLettering scheme designates a question’s sectionCore Questionnaire (prefix C)Optional Modules (prefix EL, B, S, SL)Optional Questions (prefix O) GYTS Questionnaire
7. 43 total questions (prefix C)All 43 questions must be included in a country’s adapted questionnaire and questions should not be changedSome Core questions require that the Research Coordinator enter country-specific examples and answer choices (Ex. C3, C4, C26, C28, C29, etc.)The maximum number of answer choices is eight (8)Core Questionnaire
8. IntroductionBackground CharacteristicsKey Tobacco-Control IndicatorsTobacco UseCessationSecondhand SmokeEconomicsPro-/Anti-Tobacco Media and AdvertisingKnowledge and Attitudes about TobaccoCore Questionnaire
9. Core Questionnaire – IntroductionExplains and provides examples of different types of tobacco productsDefines and groups tobacco useSmokeless TobaccoChewing tobaccoSnuffDipSmoking TobaccoCigarettesOther typesShishaPipesCigars
10. Examples: Smoking TobaccoBidisHand-rolled cigarettes Manufactured cigarettes PipesCigarKreteks cigarettesWater pipeShisha Narguile
11. Examples: Smokeless TobaccoSnuffChewing tobaccoGutkaSnusDip
12. Core Questionnaire – Background CharacteristicsFour questions on background characteristicsAgeGenderSchool grade levelSpending money (economics)Section includes questions that require Research Coordinator to provide country-specific answers
13. CigarettesEver use and current useAge of initiationFrequency of use (# of days smoked, # of cigarettes)Other smoked tobaccoEver use and current useSmokeless tobaccoEver use and current useSmoking tobacco dependenceCore Questionnaire – Tobacco Use
14. Desire to quit smokingAttempts to quit smoking during past 12 monthsOpinions on being able to quit smokingReceive help/advice to help quit smokingCore Questionnaire – Cessation
15. Exposure to smoking in the past 7 days at home, indoor public places, and outdoor public placesNoticing others smoking at schoolKnowledge of harmfulness of secondhand smokeOpinion on banning smoking Indoor public placesOutdoor public placesCore Questionnaire – Secondhand Smoke
16. Obtaining CigarettesWhere cigarettes were purchased Inability to buy cigarettes because of agePackage typeIndividual sticks, packs, cartons, roll your ownAverage cost of a pack of 20 cigarettesCore Questionnaire – Economics
17. Core Questionnaire – Media: Anti-TobaccoAdvertising messages against tobaccoMedia (Television, radio, internet, billboards, posters, newspapers, magazines, movies)Sports and social events (sports games, fairs, concerts, community events, social gatherings)Attention to health warning labels on cigarette packagesSchool lessons about the dangers of tobacco use
18. Tobacco promotion and use on television shows, videos, and moviesTobacco advertising/ promotions at points of saleItems with tobacco brand logo: ownership, willingness (i.e., Marketing receptivity)Tobacco company representative offering a free tobacco productCore Questionnaire – Media: Pro-Tobacco
19. Core Questionnaire – Knowledge & AttitudesSusceptibility to tobacco useUsing tobacco if offered by friendsFuture tobacco use in the next 12 monthsAbility to quit smokingSmoking tobacco to feel comfortableCuriosity (“I think I might enjoy smoking a cigarette.”)
20. Four Optional Modules provide additional questions to capture further data on tobacco types and use48 questions totalElectronic Cigarettes (3 questions, prefix EL)Shisha (14 questions, prefix S)Bidis (14 questions, prefix B)Smokeless Tobacco (17 questions, prefix SL)All or some questions of an Optional Module can be includedOptional Modules
21. 62 Optional Questions for review (prefix O)Incorporates Core and Optional Questions from previous GYTS questionnairesNew questions based on emerging topics about tobacco useOptional Questions are broken out by key tobacco-control topicsOptional Questions
22. Research coordinators can revise or amend optional modules or optional questions They can also create and include their own questions (i.e., country-created questions)A justification or rationale for the inclusion of country-created questions must be provided for reviewCountry-Created Questions
23. Seven (7) questions on tobacco-free policies and enforcement for students, teachers, and other school personnelCountry-specific answer choices for position/role of person completing the questionnaireSchool Policy Questionnaire
24. QuestionnaireAdaptation & Finalization
25. Research Coordinator has primary responsibility for adapting the GYTS QuestionnaireWorks in collaboration with the country’s Ministry of Health or Education and technical expertsUse core questions, optional modules, and/or optional questionsQuestionnaire Adaptation
26. Start with editable GYTS Core questionnaireFill in country-specific examples and answer choices for specific questions (Ex. C3, C4, C26, C28, C29)Add questions from Optional Modules (if appropriate) Add questions from the list of Optional Questions (if appropriate)Add other questions (“country-created”) if needed to address important country-specific issues Steps for Questionnaire Adaptation
27. Optional Modules can be inserted at the end of the Core Questionnaire Individual optional/country-created questions should be added at the end of the related key topic category Questions may be reordered during the questionnaire review and finalization process to improve flowThe suggested maximum number of questions included in the final questionnaire should not exceed 75Adding QuestionsThe Research Coordinator is not required to add questions from the Optional Modules or the Optional Questions section; a GYTS Questionnaire can include only the Core Questionnaire
28. Submit the Microsoft Word version (English) of the country-adapted GYTS Questionnaire for WHO and CDC review GYTS standard question lettering schemes (e.g., C1-C43 for Core, S1-S14 for Shisha Module) should be maintained until the Questionnaire is finalizedWHO/CDC will Review the Questionnaire and provide comments or editsReturn the Questionnaire for final adaptationsSubmitting to WHO/CDC for Review
29. Remove lettering prefixes and revise questionnaire to consecutive numbering (e.g., 1 to 75)Translate adapted GYTS Questionnaire and School Policy Questionnaire into local country languageBack-translate into English for reviewTranslations and back-translations should be done independently by language expertsQuestionnaire TranslationContent and survey experts should review for consistency
30. Questionnaire testing in group setting with a facilitator6 to 8 participants (13-15 year old students)Student debriefing sessionEvaluate the following:Questionnaire TestingSubmit any revisions to WHO and CDC for approval; any approved revisions must be translated and back-translated to EnglishWording translationComprehension of any new country-specific questionsOverall flow
31. Once finalizedThe order of questions should not be changedThe numbering should be changed to remove the letter prefixes and to number the questions consecutively (e.g., 1-75)RC sends the finalized questionnaire (English and translated versions) to WHO and CDC for documentationFinalizing the Questionnaire
32. GYTS Questionnaire Adaptation ProcessQuestionnaire adaptation: RC, MoH/MoE, and technical expertsRC sends questionnaire (in English) to WHO/CDC for reviewTranslation and back-translation (reviewed by WHO/CDC)Questionnaire testing and modificationFinal questionnaire sent to allfor documentationWHO/CDC works with RC to review/analyze questionnaire for finalization
33. THANK YOU!