DOI: 10.3886/icpsr35259.v2
title: Aligning Forces for Quality Evaluation: Consumer Survey Round 1, 2007-2008 and 2010
title: Version 2

description: This survey was conducted as part of the evaluation of the Aligning Forces for Quality (AF4Q) initiative, the Robert Wood Johnson Foundation's signature effort to lift the overall quality of health care in 17 targeted communities, reduce racial and ethnic disparities and provide models of national reform. The survey was administered to adults with one or more of five chronic illnesses -- diabetes, hypertension, heart disease, asthma and depression -- in the AF4Q communities and a national sample residing in non-AF4Q communities to provide a basis for comparison between the AF4Q communities and the rest of the United States. Survey questions focused on patient activation; consumer knowledge of publicly available performance reports that highlight quality differences among physicians, hospitals, and health plans; the ability to be an effective consumer in the context of a physician visit; patient knowledge about her/his illness; skills and willingness to self-manage one's illness; the impact of insurance and payment models; and the relationship between out-of-pocket costs and health care utilization.
description: Response Rates: The response rates in the AF4Q markets and national comparison sample were 21-41 percent (American Association of Public Opinion Research Response Rate 4).
description: Presence of Common Scales: Patient Activation Measure
description: The survey was administered in 14 AF4Q communities and the national comparison sample in 2007-2008 (Round 1.1) and three additional AF4Q cities in 2010 (Round 1.2). The Round 1.1 communities are Greater Cincinnati; Cleveland, Ohio; Detroit, Michigan; Humboldt County, California; Kansas City, Missouri; the State of Maine; Memphis, Tennessee; the State of Minnesota; Puget Sound, Washington; Willamette Valley, Oregon; Western Michigan; Western New York State; the State of Wisconsin; and York County, Pennsylvania. The Round 1.2 cities are Albuquerque, New Mexico; Boston, Massachusetts; and Indianapolis, Indiana. Respondents were sampled using random digit dialing and directory listed samples. Asians, African-Americans, and Hispanics were oversampled. Round 1.1 covered only landline phones while Round 1.2 covered both landline and cell phones.
description: Datasets: 
DS0: Study-Level Files
DS1: Public Use Version of the Data
DS2: Restricted Use Version of the Data
description: Adults 18 years of age or older with one or more of five chronic conditions -- diabetes, hypertension, heart disease, asthma and depression -- and had seen a health care provider for that condition within two years prior to the interview date.
description: computer-assisted telephone interview (CATI)Additional information about Aligning Forces for
Quality is available on the AF4Q 
website.The survey instrument is copyrighted. The instrument includes the Patient Activation Measure (PAM) module which is copyrighted separately. PAM is a commercial product which assesses an individual's knowledge, skill and confidence for managing one's health and healthcare. Use of the PAM module requires a license provided by Insignia Health. Users may examine the copy of the survey instrument and PAM module provided in the codebook without obtaining a license.