Universal Health Visiting Pathway evaluation - phase 1: main report - primary research with health visitors and parents and case note review

The Universal Health Visiting Pathway was introduced in Scotland in 2015 to refocus the approach to health visiting. This is the first report of 4 that provides findings of the National Evaluation of Health Visiting. It focuses on primary research with health visitors and parents and case note review.


Appendix 6 Parents - online questionnaire

Telephone only text is in blue

Online only text is in red

Intro – telephone

Good morning/afternoon/evening – Please can I speak to <NAME FROM SAMPLE>?

My name is [NAME] and I’m calling from Ipsos MORI, the independent research company. We’re getting in touch because you took part in a Scottish Government survey in the last couple of years and indicated that you would be happy to be contacted for follow-up research.

[CONSENT1]

We’ve been commissioned by the Scottish Government to conduct research with parents of babies and young children in Scotland about the health visiting service in Scotland. You may have received a letter or email mentioning the research.

Would you be willing to take part in a short interview to share your views?

a)

IF NECESSARY, ADD THE FOLLOWING

As parent of a young child/children in Scotland, your views are really important. It should only take around 20 minutes. If you do not have time now, we can make an appointment for you to complete the survey at a later date, or you can complete it online from the link in the email we sent you.

NOTE – If they say they are not the parent who dealt with the Health Visitor, ask if we can speak to the parent or carer who had most contact instead.

1. Yes – happy to take part now

2. Yes - later (MAKE APPOINTMENT)

3. Wants to complete online (RE-SEND EMAIL)

4. Refused

READ OUT

Just to reassure you that your responses will be kept strictly confidential in accordance with General Data Protection Regulations (GDPR). We will not share your individual responses with anyone else.

If you would like to read the survey privacy policy, I can give you the website address just now (READ OUT IF NECESSARY – PRIVACY POLICY LINK). You are free to withdraw or refuse to answer a question at any time.

INTRO – online

Thank you very much for taking part in this survey. We really appreciate you taking time to share your views.

The Scottish Government has commissioned Ipsos MORI, the independent research organisation, to conduct research with parents of babies and young children in Scotland. We want to understand your experiences of seeing a health visitor or family nurse, and how, if at all, the health visiting service can be improved.

As parent of a young child/children in Scotland, your views are really important. The survey should only take 15-20 minutes to complete. If you want to pause the survey and finish it later, you can get back into it by re-entering the unique link from the letter or email we sent you. If another parent or carer in your family would be better able to answer questions about experiences of seeing a health visitor or family nurse, please pass this survey on to them to complete.

[NEXT SCREEN]

Your responses will be kept strictly confidential in accordance with General Data Protection Regulations (GDPR) – findings will be reported as percentages (e.g. “50% of parents thought that …”). We will not share your individual responses with anyone else.

If you would like any more information on the survey, please contact HVsurvey@ipsos-mori.com. If you would like to read the survey privacy policy, this can be accessed here: [ADDDRESS.COM]

Taking part in this survey is voluntary. You do not have to answer any questions you do not wish to answer, and you are free to end the survey at any point.

CONSENT

Are you happy to take part in this survey? You are free to withdraw or refuse to answer a question at any time.

1. Yes

2. No

INITIAL SCREENER

[screen1]

Can I just check, are you currently resident in Scotland?

1. Yes – CONTINUE

2. No – THANK AND CLOSE

[screen2]

And can I just check, do you currently have any children aged 5 or under living at home with you?

1. Yes – CONTINUE

2. No – THANK AND CLOSE.

SCRIPTING NOTE – TEXTFILLS COMMONLY USED IN THIS SURVEY

{CHILDAGE year/month-old} = age of child (in years) as randomly selected by the script after Q4. Should show as ‘x year-old’ where age is known in years, or ‘y month-old’ where age is known in months.

{health visitor/family nurse} = text substitute based on whether they have indicated they see a health visitor or a family nurse

IF Q7 = 2 TEXT SUB = ‘Family Nurse’

IF Q6 = 3-9 OR Q7 = 1 TEXT SUB = ‘Health Visitor’

There are also variants on this, based on whether they see one or more health visitor/family nurse.

CHILDREN IN THE HOUSEHOLD

[ASK ALL]

First, a few questions about you and your household.

ASK ALL

Q1 How many children aged under 18 do you have living with you?

1. None

2. Numeric response 0-19

IF Q1 =NONE, THANK AND CLOSE

ASK AS LOOP [FOR AS MANY CHILDREN AGED <18 AS IN HOUSEHOLD]

Q2 And how old (in years) is your [youngest / second youngest / third youngest etc.] child? If they are under a year-old, please enter ‘0’.

1. Numeric response, range 0-17

2. Don’t know

3. Prefer not to say

b)

ASK IF ANY CHILDREN UNDER 1 (0 AT Q2)

Q2b

How many months old is your baby?

1. Numeric response, range 0-11

2. Don’t know

3. Prefer not to say

ELIG1

CALCULATED NUMBER OF CHILDREN AGED 0-5 IN HOUSEHOLD

ELIG2

CALCULATED NUMBER OF CHILDREN AGED 0-4 IN HOUSEHOLD

ELIG3

CALCULATED NUMBER OF CHILDREN AGED 5 YEARS IN HOUSEHOLD

ELIG4

CALCULATED NUMBER OF CHILDREN AGED 4 YEARS IN HOUSEHOLD

SCRIPTER: IF DO NOT HAVE ANY CHILDREN AGED 0-5 (ELIG1 = 0), THANK AND CLOSE.

Checking whether 4/5 year-olds are in primary education

ASK ALL WHO HAVE 1+ 4 YEAR OLDS AND NOT CODE 2 OR 3 AT Q3

TEXTSUBS – IF ELIG4 =1 ‘four year-old’, if ELIG4 >1, ‘four year-olds’

Q4a Prior to COVID and lockdown had your {four year-old / four year-olds} started primary school education? (not including pre-school education)

1. Yes

2. No

3. Prefer not to say

ASK ALL WHO HAVE 1+ 5 YEAR OLDS AND NOT CODE 2 OR 3 AT Q3

TEXTSUBS – IF ELIG3 =1 ‘five year-old’, if ELIG3 >1, ‘five year-olds’

Q4b Prior to COVID and lockdown had your {five year-old / five year-olds} started primary education? (not including pre-school education)

1. Yes

2. No

3. Prefer not to say

SELECTING CHILD TO BE THE FOCUS OF THE QUESTIONNAIRE

SCRIPTER NOTE: IF ANY CHILDREN AGED 4 OR YOUNGER (I.E. ELIG2 >0), RANDOMLY SELECT ONE IN THIS AGE GROUP TO BE THE FOCUS OF THE QUESTIONNAIRE.

IF ONLY HAVE CHILDREN AGED 5 (ELIG2 = 0 AND ELIG3 >0), SELECT YOUNGEST CHILD (I.E. 5 YEAR-OLD MENTIONED FIRST IN THE LOOP)

SHOW ON SCREEN (CHILDAGE = AGE OF CHILD SELECTED BY SCRIPT, AS ABOVE).

[CHILDSEL]

For the rest of the survey, we would like you to answer in relation to your {CHILDAGE year/month-old} child. (If you have twins or triplets the same age, please answer for all of them).

ASK ALL

Q5a Can I just check, what is your relationship to this {CHILDAGE year/month-old}?

(SINGLE CODE)

DO NOT READ OUT

1. Parent (including stepparent)

2. Foster parent

3. Grandparent

4. Other – PLEASE SAY WHAT

5. Prefer not to say

ASK ALL

Q6 How old are you?

1. 19 or under

2. 20-24

3. 25-29

4. 30-34

5. 35-39

6. 40-44

7. 45-49

8. 50+

9. Prefer not to say

ASK IF Q6 = 1 OR 2 (i.e. aged <25). DO NOT ALLOW DON’T KNOW.

Q7 TEXT SUBSTITUTES:

IF ONLY HAVE 1 ELIGIBLE CHILD AND THIS CHILD IS IN PRIMARY EDUCATION (Q4A or Q4B = 1) – vA textsubs

IF THIS DOES NOT APPLY (I.E. SELECTED CHILD IS NOT IN PRIMARY EDUCATION), vB textsubs

vA textsubs

Q7 Most families with young children in Scotland see a health visitor, but some young families see a family nurse instead. As far as you are aware, {did} you { } have a health visitor or a family nurse for your {CHILDAGE year/month-old} {before they started school}?

(If you are not sure, you probably {had} a health visitor, so please select that option)

vB textsubs

Q7 Most families with young children in Scotland see a health visitor, but some young families see a family nurse instead. As far as you are aware, {do} you {currently} have a health visitor or a family nurse for your {CHILDAGE year/month-old} { }?

(If you are not sure, you probably {have a health visitor, so please select that option)

1. Health Visitor

2. Family Nurse

c) NO DK

TEXT SUBSTITUTES FOR REMAINDER OF QUESTIONNAIRE: IF Q6 = 3-9, OR Q7 = 1, ‘health visitor’. IF Q7 = 2, ‘family nurse’.

SHOW IF Q4A or Q4B = 1

INSTRUCTION FOR THOSE WITH ONLY ONE ELIGIBLE CHILD, WHO IS NOW AT SCHOOL

[INSTSCHA]

As your {CHILDAGE year/month-old} has already started primary education, we are aware that you probably no longer see your {health visitor/family nurse}. Please answer the remainder of the questionnaire / survey based on the time before your {CHILDAGE year/month-old} started primary education.

CONTINUITY OF CARE

TEXT SUBSTITUTE: IF Q6 = 3-9, OR Q7 = 1, ‘health visitor’. IF Q7 = 2, ‘family nurse’.

The next few questions are about visits from your {health visitor/family nurse}

ASK ALL

Q8 Thinking about all the contact you have had with a {health visitor/family nurse} for your {CHILDAGE year/month-old}, is there one main {health visitor/family nurse} you have seen for them most of the time?

TEL: DO NOT READ OUT

1. Yes

2. No

3. Don’t know

4. Prefer not to say

ASK IF Q8= 2, 3 OR 4

TEXT SUB – IF Q7 = 2, TEXT SUB = ‘family nurses’. OTHERWISE = ‘Health visitors’

Q9 How many different {health visitors/family nurses} have you had contact with for your {CHILDAGE year/month-old}? If you are not sure, please try to give your best guess.

1. NUMERIC ANSWER 2-20

2. Don’t know

3. Prefer not to say

ASK ALL WHERE REFERENCE CHILD IS 6+ MONTHS OLD (I.E. DO NOT ASK IF REFERENCE CHILD IS 5 MONTHS OLD OR YOUNGER)

Tel: DO NOT READ OUT ANSWER OPTIONS

Q10 Thinking about the 12 months up to March 2020 (i.e. before lock down) - how many times did you have contact with a {health visitor/family nurse} in relation to your {CHILDAGE year/month-old} over those twelve months? This could be either by phone or in person. If you can’t remember exactly, please give your best guess.

1. Numeric answer 0-100

2. Not had any contact in the last 12 months

3. Not sure

4. Prefer not to say

ASK IF Q10 =2 (not had any contact in the 12 months before COVID)

Q11 Before March 2020, when was the last time you had contact with a {health visitor/family nurse} in relation to your {CHILDAGE year/month-old}? This could be either by phone or in person.

1. Within the last 18 months

2. 18-24 months ago

3. More than 2 years ago

4. Not sure

ASK ALL ASK IF Q10 =2 (not had any contact in the 12 months before COVID) AND WHERE REFERENCE CHILD IS 6+ MONTHS OLD (I.E. DO NOT ASK IF REFERENCE CHILD IS 5 MONTHS OLD OR YOUNGER)

[INTROHV]

IF Q6 = 3-9, OR Q7 = 1 AND Q8 = 1, ‘health visitor’

IF Q6 = 3-9 OR Q7 = 1 AND Q8 = 2-4, ‘health visitors’

IF Q7 = 2, AND Q8= 1, ‘family nurse’

IF Q7 = 2, AND Q8 = 2-4, ‘family nurses’

The next questions are about your views of the {health visitor/health visitors/family nurse/family nurses} you have or had for your {CHILDAGE year/month-old} child. When answering these questions, as far as possible please think about the contact you had with them BEFORE lock down started – that is, before March this year.

d)

CONTACT WITH HEALTH VISITOR

ASK ALL AND WHERE REFERENCE CHILD IS 6+ MONTHS OLD (I.E. DO NOT ASK IF REFERENCE CHILD IS 5 MONTHS OLD OR YOUNGER)

TEXTSUBS:

IF Q6 = 3-9, OR Q7 = 1 AND Q8 = 1, ‘health visitor’

IF Q6 = 3-9 OR Q7 = 1 AND Q8 = 2-4, ‘health visitors’

IF Q7 = 2, AND Q8= 1, ‘family nurse’

IF Q7 = 2, AND Q8 = 2-4, ‘family nurses’

Q12 Thinking back to the contact you had with your {health visitor/health visitors/family nurse/family nurses} before lock down started - how often did you {health visitor/health visitors/family nurse/family nurses} phone or visit when they said they would?

TEL ONLY: Would you say they always did, usually did, sometimes did, rarely did or never did?

1. Always

2. Usually

3. Sometimes

4. Rarely

5. Never

6. Don’t know

7. Prefer not to say

ASK ALL WHERE REFERENCE CHILD IS 6+ MONTHS OLD (I.E. DO NOT ASK IF REFERENCE CHILD IS 5 MONTHS OLD OR YOUNGER)

TEXTSUBS:

IF Q6 = 3-9, OR Q7 = 1 AND Q8 = 1, ‘health visitor’

IF Q6 = 3-9 OR Q7 = 1 AND Q8 = 2-4, ‘health visitors’

IF Q7 = 2, AND Q8 = 1, ‘family nurse’

IF Q7 = 2, AND Q8 = 2-4, ‘family nurses’

Q13 Again, thinking back to the contact you had with your {health visitor/health visitors/family nurse/family nurses} in the 12 months before March 2020 - how do you feel about the level of support you had from them in relation to your {CHILDAGE year/month-old} child? Was it too much, about right, or not enough?

1. Too much

2. About right

3. Not enough

4. Don’t know

5. Prefer not to say

DISCUSSIONS WITH HEALTH VISITOR

ASK ALL

TEXTSUBS AS ABOVE

Q14

Thinking about all the contact you have had with your {health visitor/health visitors/family nurse/family nurses} about your {CHILDAGE year/month-old}, how much information or advice have they given you about each of the following? This could either be talking to you about it or sharing written information.

SINGLE CODE

TEL: READ OUT ANSWER OPTIONS FOR FIRST TOPIC (AND REPEAT AS NECESSARY) – WOULD YOU SAY THEY HAVE GIVEN YOU A GREAT DEAL, A FAIR AMOUNT, SOME, NOT VERY MUCH, OR NOTHING AT ALL IN TERMS OF INFORMATION OR ADVICE ABOUT THAT?

ASK ALL. ROTATE ORDER

14.1. Options for feeding your child in their first 6 months

14.2. Weaning / healthy eating for children

14.3. Playing with your child

14.4. How to talk with your child

14.5. Reading to your child

14.6. Your child’s learning and development

14.7. Your child’s physical health

14.8. Your child’s general happiness and wellbeing

14.9. How to build a secure relationship with your child

14.10. Keeping your child safe

14.11. How to handle behaviour that you find challenging from your child

14.12. Your own mental health and wellbeing

14.13. The impact on children of parents smoking, drinking alcohol or using drugs

14.14. Help with money issues or benefits

1. A great deal

2. A fair amount

3. Some

4. Not very much

5. Nothing at all

6. Information/advice was offered but I felt I already knew enough so didn’t take it up

7. Don’t know

8. Prefer not to say

ASK ALL

Q15

In general, how much do you feel you know about each of the following?

SINGLE CODE

ASK ALL – ROTATE ORDER

15.1. Options for feeding your child in their first six months

15.2. Weaning / healthy eating for children

15.3. The benefits of playing with children under 5

15.4. How to talk with children under 5

15.5. The benefits of reading to children under 5

15.6. How to support your child’s learning and development

15.7. How to support your child’s physical health and development

15.8. How to support your child’s general emotional development and wellbeing

15.9. How to build a secure relationship with your child

15.10. Keeping your child safe

15.11. How to handle behaviour that you find challenging from your child

15.12. How to manage your own mental health and wellbeing

15.13. The impact on children of parents smoking, drinking alcohol or using drugs

15.14. Where to go for help with money issues or benefits

TEL: READ OUT ANSWER OPTIONS FOR FIRST TOPIC (AND REPEAT AS NECESSARY) – WOULD YOU SAY YOU KNOW A GREAT DEAL, A FAIR AMOUNT, SOME, NOT VERY MUCH, OR NOTHING ABOUT THAT?

1. A great deal

2. A fair amount

3. Some

4. Not very much

5. Nothing at all

6. Don’t know

7. Prefer not to say

SERVICES/REFERRALS

ASK ALL

TEXTSUBS:

IF Q6 = 3-9, OR Q7 = 1 AND Q8 = 1, ‘health visitor’, ‘Has’

IF Q6 = 3-9 OR Q7 = 1 AND Q8 = 2-4, ‘health visitors’, ‘Have’

IF Q7 = 2, AND Q8 = 1, ‘family nurse’, ‘Has’

IF Q7 = 2, AND Q9 = 2-4 ‘family nurses’, ‘Have’

MULTICODE

Q16 [Has/have] your {health visitor/health visitors/family nurse/family nurses} ever requested help from or suggested that you contact any of these services in relation to your {CHILDAGE year/month-old} child?

TEL: READ OUT CODES 1-9 AND CODE EACH MENTIONED

1. Local doctor/GP

2. Practice nurse

3. Paediatrician

4. Another health service for your child (e.g. Audiology, Optician, Speech and Language Therapy, dietician, Child and Adolescent Mental Health Services)

5. Other services that support parents of young children (e.g. parent and baby/child groups, Children’s Centres)

6. Social worker

7. Services that offer help accessing childcare

8. Services that help with food, money or housing issues

9. Any other services – PLEASE SAY WHAT

10. No – they didn’t refer me to any services

11. Not sure

12. Prefer not to say

ASK IF Q16 = 1-9

IF Q6 = 3-9, OR Q7 = 1 AND Q8 = 1, health visitor’s

IF Q6 = 3-9 OR Q7 = 1 AND Q8 = 2-4, health visitors’

IF Q7 = 2, AND Q8 = 1, family nurse’s

IF Q7 = 2, AND Q8 = 2-4 family nurses’

Q17 And which, if any, of these have you contacted, used or attended as a result of your [health visitor’s/health visitors’/family nurse’s/family nurses’] suggestion?

TEL: READ OUT CODES 1-9 AND CODE EACH MENTIONED

1. Local doctor/GP

2. Practice nurse

3. Paediatrician

4. Another health service for your child (e.g. Audiology, Optician, Speech and Language Therapy, dietician, Child and Adolescent Mental Health Services)

5. Other services that support parents of young children (e.g. parent and baby/child groups, Children’s Centres)

6. Social worker

7. Services that offer help accessing childcare

8. Services that help with food, money or housing issues

9. Any other services – PLEASE SAY WHAT

10. None of these

11. Not sure

12. Prefer not to say

ATTITUDINAL QUESTIONS – CONFIDENCE, SATISFACTION, RELATIONSHIP

ASK ALL ASK IF IS 6+ MONTHS OLD (I.E. DO NOT ASK IF REFERENCE CHILD IS 5 MONTHS OLD OR YOUNGER)

SINGLE CODE

Q18

Thinking about the period before lock down started in March, in general how satisfied or dissatisfied were you with the health visiting service you received for your {CHILDAGE year/month-old} child?

TEL: Would you say you were….(READ OUT CODES 1-5)?

1. Very satisfied

2. Fairly satisfied

3. Neither satisfied nor dissatisfied

4. Fairly dissatisfied

5. Very dissatisfied

6. Don’t know

7. Prefer not to say

ASK ALL

SINGLE CODE

TEXTSUBS AS ABOVE

Q19

And overall, how satisfied or dissatisfied are you with the advice and information you have received from your {health visitor / health visitors / family nurse / family nurses} in relation to your {CHILDAGE year/month-old} child?

TEL: Would you say you were…(READ OUT CODES 1-5)?

1. Very satisfied

2. Fairly satisfied

3. Neither satisfied nor dissatisfied

4. Fairly dissatisfied

5. Very dissatisfied

6. Don’t know

7. Prefer not to say

ASK ALL

SINGLE CODE

TEXTSUBS AS ABOVE

Q20 Do you agree or disagree that “I can talk to my {health visitor / health visitors / family nurse / family nurses} about anything”?

TEL: IF AGREE PROBE: is that strongly agree or tend to agree?

IF DISAGREE PROBE: is that strongly disagree or tend to disagree?

1. Strongly agree

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Strongly disagree

6. Don’t know

7. Prefer not to say

ASK ALL

TEXTSUBS:

IF Q6 = 3-9, OR Q7 = 1 AND Q8 = 1, ‘health visitor’, ‘listens’

IF Q6 = 3-9 OR Q7 = 1 AND Q8 = 2-4, ‘health visitors’, ‘listen’

IF Q7 = 2, AND Q8 = 1, ‘family nurse’, ‘listens’

IF Q7 = 2, AND Q8 = 2-4, ‘family nurses’, ‘listen’

Q21 And how well would you say your {health visitor/health visitors/family nurse/family nurses} {listens / listen} to your concerns?

TEL: READ OUT CODES 1-4: Would you say they listen …

1. Very well

2. Fairly well

3. Not very well

4. Not at all well

5. Don’t know

6. Prefer not to say

ASK ALL

SINGLE CODE

Q22 Would you say you agree or disagree that “My <health visitor / family nurse > has helped me feel more confident about making the right decisions for my child”?

TEL: IF AGREE, PROBE: WOULD YOU SAY YOU AGREE STRONGLY OR TEND TO AGREE

TEL: IF DISAGREE, PROBE: WOULD YOU SAY YOU DISAGREE STRONGLY OR TEND TO DISAGREE

1. Agree strongly

2. Tend to agree

3. Neither agree nor disagree

4. Tend to disagree

5. Disagree strongly

6. Don’t know

7. Prefer not to say

POST-LOCK DOWN EXPERIENCES OF HEALTH VISTING

e) ASK ALL

Q23 Thinking now about the period since lock down started, in March 2020. Have you had any contact about your {CHILDAGE} year-old child with any of the following NHS services since March 2020?

(MULTICODE)

TEL: READ OUT CODES 1-5 AND CODE ALL MENTIONED

1. Health Visitor or Family Nurse

2. GP

3. Accident and Emergency

4. Hospital (not A & E)

5. NHS 24

6. No, none of these (UNIQUE CODE)

7. Don’t know

8. Prefer not to say

f)

LOOP AND ASK FOR ALL THOSE SERVICES MENTIONED AT Q23

Q24 And was that contact with <service> about your {CHILDAGE} year-old child face-to-face, or by some other method (e.g. telephone or email)?

ALLOW MULTICODE (1 AND 2 OK TOGETHER)

1. Face-to-face

2. Some other method

3. Don’t know

4. Prefer not to say

g)

LOOP AND ASK FOR ALL THOSE SERVICES MENTIONED AT Q23

Q25 And how satisfied or dissatisfied have you been with the contact you had with <service> for your {CHILDAGE} year-old child since lock down started?

TEL: WOULD YOU SAY YOU WERE…(READ OUT CODES 1-5)

1. Very satisfied

2. Fairly satisfied

3. Neither satisfied nor dissatisfied

4. Fairly dissatisfied

5. Very dissatisfied

6. Unsure

7. Prefer not to say

h)

ASK IF NOT CODED 1 AT Q23 (I.E. NO CONTACT WITH HV SINCE LOCK DOWN)

Q26 Would you have expected to have any contact with your {health visitor/family nurse} over this period (that is, between March and now)?

1. Yes

2. No

3. Unsure

ASK ALL

Q27 If you needed to visit A & E tomorrow with your {CHILDAGE} year-old child, how comfortable would you feel about attending in person?

TEL: WOULD YOU SAY YOU FEEL VERY COMFORTABLE, FAIRLY COMFORTABLE, FAIRLY UNCOMFORTABLE OR VERY UNCOMFORTABLE?

1. Very comfortable

2. Fairly comfortable

3. Fairly uncomfortable

4. Very uncomfortable

5. Don’t know

6. Prefer not to say

Q28 If you needed to visit a GP surgery tomorrow with your {CHILDAGE} year-old child, how comfortable would you feel about attending in person?

1. Very comfortable

2. Fairly comfortable

3. Fairly uncomfortable

4. Very uncomfortable

5. Don’t know

6. Prefer not to say

i)

Q29 If a health professional was to visit you at home tomorrow in relation to your {CHILDAGE} year-old child’s health how comfortable would you be about having them in your home?

1. Very comfortable

2. Fairly comfortable

3. Fairly uncomfortable

4. Very uncomfortable

5. Don’t know

6. Prefer not to say

Q30. During the last few months, do you feel like your mental health and wellbeing has stayed the same, got better or got worse?

1. Got better

2. Stayed the same

3. Got worse

4. Don’t know

5. Prefer not to say

ASK IF AGE OF ELIGIBLE CHILD <1

Q31 During the last few months, how easy or difficult have you found it to access online peer support – that is, support that brings parents together to share their experiences - if you needed it around …

a. Infant feeding

b. Antenatal classes

c. Weaning support

TEL: ASK AFTER a AND IF NECESSARY AFTER b and c:

Have you found it very easy, fairly easy, not very easy or not at all easy to access online peer support around this issue?

1. Very easy

2. Fairly easy

3. Not very easy

4. Not at all easy

5. Not needed this kind of support

6. Don’t know

7. Prefer not to say

j)

Q32

OPEN ENDED

Based on your experience of health visiting for your {CHILDAGE} year-old child, what, if any changes, do you think could be made to the health visiting service in the future?

[OPEN TEXT]

DEMOGRAPHICS

Finally, a few more questions about you. These will be used for analysis purposes only – for example, to look at differences between groups of parents. Your answer will be kept confidential and will not be used to identify you.

ASK ALL

SINGLE CODE

Q33 Which of the following best describes you at the moment? Are you currently ...

(Please select one response only)

TEL: READ OUT AND CODE FIRST MENTIONED

1. On maternity/paternity leave from a part-time job (8-29 hours a week)

2. On maternity/paternity leave from a full-time job (30 hours or more a week)

3. Working part time (8 - 29 hours a week)

4. Working full time (30 hours or more a week)

5. On furlough from a part-time job

6. On furlough from a full-time job

7. Not working (under 8 hrs) – looking after children

8. Not working (under 8 hrs) – unemployed (registered)

9. Not working (under 8 hrs) - unemployed (not registered but seeking work)

10. Not working (under 8 hrs) - retired

11. Not working (under 8 hrs) - student

12. Not working (under 8 hrs) - other (inc. sick or disabled)

13. Don't know

14. Prefer not to say

Q34

ASK ALL

SINGLE CODE

Are you currently living with a husband, wife or partner?

1. Yes

2. No

3. Prefer not to say

Q35 How would you describe yourself?

TEL: … As a man, as a woman or in another way?

ASK ALL

SINGLE CODE

1. As a man

2. As a woman

3. In another way

4. Prefer not to say

Q36 Does your {CHILDAGE year/month-old} child have any ongoing physical, mental health or developmental condition or disability?

ASK ALL

SINGLE CODE

1. Yes

2. No

3. Don’t know

4. Prefer not to say

Q37 Do you yourself have a physical, mental health, developmental condition or disability lasting or expected to last 12 months or more?

ASK ALL

SINGLE CODE

1. Yes

2. No

3. Don’t know

4. Prefer not to say

Q38 What is your ethnic group?

1. White Scottish

2. White - Other British

3. White - Irish

4. Gypsy / Traveller

5. Polish

6. Other white ethnic group

7. Mixed or multiple ethnic group

8. Pakistani, Pakistani Scottish or Pakistani British

9. Indian, Indian Scottish or Indian British

10. Bangladeshi, Bangladeshi Scottish or Bangladeshi British

11. Chinese, Chinese Scottish or Chinese British

12. Other Asian, Asian Scottish or Asian British

13. African, African Scottish or African British

14. Other African

15. Caribbean, Caribbean Scottish or Caribbean British

16. Black, Black Scottish or Black British

17. Other Caribbean or Black

18. Arab, Arab Scottish or Arab British

19. Other ethnic group 20. Don’t know

21. Prefer not to say

Q39 We’re interested in how experiences of health visiting vary between people with different incomes. You don’t have to answer this if you don’t want to, but we hope most parents will as it will help us better understand different experiences. Please could you tell me if it’s easier for you in general to think about your current household income in weekly, monthly or annual amounts?

1. Weekly

2. Monthly

3. Annual

4. Prefer not to say

(SCRIPTER – NO DON’T KNOW)

ASK IF Q39 = 1

Q40a

What is your household’s total weekly income from all sources, including child benefits and any other benefit, BEFORE any deductions for income tax?

TEL: READ OUT BANDS IF NECESSARY

1. Less than £100

2. £100 to £199

3. £200 to £299

4. £300 to £399

5. £400 to £499

6. £500 to £699

7. £700 to £999

8. £1,000 to £1,499

9. £1,500 or more

10. Don’t know

11. Prefer not to say

ASK IF Q39 = 2

Q40b

What is your household’s total monthly income from all sources, including child benefits and any other benefit, BEFORE any deductions for income tax?

TEL: READ OUT BANDS IF NECESSARY

1. Less than £433

2. £433 to £899

3. £900 to £1,299

4. £1,300 to £1,699

5. £1,700 to £2,199

6. £2,200 to £2,999

7. £3,000 to £4,349

8. £4,350 to £6,499

9. £6,500 or more

10. Don’t know

11. Prefer not to say

k)

ASK IF Q39=3

Q40c

What is your household’s total annual (yearly) income from all sources, including child benefits and any other benefit, BEFORE any deductions for income tax?

TEL: READ OUT BANDS IF NECESSARY

1. Less than £5,200

2. £5,200 to £10,399

3. £10,400 to £15,599

4. £15,600 to £20,799

5. £20,800 to £25,999

6. £26,000 to £36,399

7. £36,400 to £51,999

8. £52,000 to £77,999

9. £78,000 or more

10. Don’t know

11. Prefer not to say

ASK ALL

Q41 According to our records, your postcode as

SHOW POSTCODE FROM SAMPLE

Is this still correct?

1. Yes – THANK AND CLOSE

2. No – GO TO Q41b

Q41b

What is the postcode for your home address?

(We’re asking this because we’d like to be able to compare the experiences of parents living in different areas of Scotland – for example, rural areas and cities. To do this, we need people’s postcodes. Only the research team at Ipsos MORI will see your full postcode – it will be stored separately from your other responses and will not be shared with anyone else.)

What is the postcode for your home address?

OPEN TEXT BOX – FORMATTED FOR POSTCODES (SCRIPTER – PLEASE ADD CHECKS AS APPROPRIATE IF POSTCODE NOT IN EXPECTED FORMAT)

1. Prefer not to say

THANK AND CLOSE

Contact

Email: Justine.menzies@gov.scot

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