CDC’s WISEWOMAN Program
Year 3 Evaluation Survey: Part III
Introduction
We would like to thank you for agreeing to complete this survey about the WISEWOMAN program. In concert with our continued assessment of the quality and impact of programs, this survey will focus on non-WISEWOMAN resources, relationships with community-level organizations, and data use and sharing.
Responses provided to this survey are considered those of individual WISEWOMAN programs—not those of individuals—and all responses provided will be maintained securely by ICF Macro staff.
We anticipate sharing preliminary findings during the 2011 Annual WISEWOMAN Meeting in Atlanta, and we will share an executive summary and facilitate a Webinar after all data analysis has been completed before the end of this year.
We would like to thank you for agreeing to complete this final survey, and ask that you respond to the questions that follow.
Informed Consent Statement
ICF Macro is conducting this survey as part of the evaluation of the CDC’s WISEWOMAN program. The purpose of this survey is to better understand WISEWOMAN program implementation in your State/Tribe, including:
how programs maximize reach to priority populations
specific training and technical assistance needs
how programs develop and use quality assurance protocols
programs’ use of non-WISEWOMAN resources to provide services
program sustainability
data use
supplemental program activities
Participation in the survey is voluntary; you may choose to end the survey at any time for any reason with no penalty and may choose not to answer any questions at any time for any reason. Your participation in the survey poses few, if any risks to you and you may choose not to participate in the survey for any reason.
ICF Macro evaluation staff will know which program has provided responses. This will allow us to follow up with programs should any responses require clarification. In addition, ICF Macro staff will track responses from each of the 3 surveys to link a given program’s responses across the 3 data collection points. All responses provided to CDC will be in aggregate—across all programs—and without linking specific responses to the programs that provide them.
Your answers will help CDC assess how well WISEWOMAN is able to meet its objectives, and your responses will help CDC work with program staff to improve the program in the most sustainable manner moving forward.
If you have any questions about this survey, or evaluation, please contact Mr. Lawrence Scholl, ICF Macro Senior Project Manager, at Phone: (404) 433-0735, E-mail: [email protected].
unless otherwise indicated, these questions relate to your current program activities. Please answer all questions about your current activities, performed DURING THE PERIOD of the current Funding opportunity announcement (DP08-804, june 30, 2008-PRESENT).
SECTION A: WISEWOMAN Sustainability
The WISEWOMAN Program is interested in learning about any activities and data collected that are specific to the sustainability of the program. The WISEWOMAN Program acknowledges that your funded program may operate differently than others. Responses to these questions will not impact your funded program negatively, and programs will not be penalized in any way.
Which of the following activities aimed at promoting program sustainability does your program conduct? Select all that apply.
Additional resources (e.g., in-kind donations, monetary donations)
Integration with essential clinical services
Integration with essential community services
Partner advocacy
Legislation
Internal newsletter publications
External media announcements (e.g., newsletter, newspaper, magazine, radio)
Peer-reviewed articles
Informational fact sheets and pamphlets
Other activities (please specify) _____
None – we have not conducted any activities to promote sustainability
Do not know
What types of non-WISEWOMAN resources (i.e., additional external resources, such as community support services) does your program use to provide WISEWOMAN services? [Open entry]
What are barriers to using non-WISEWOMAN resources to provide WISEWOMAN services? Select all that apply.
Limited access to non-WISEWOMAN resources
Policies within your organization that limit use of non-WISEWOMAN resources
Not enough time to seek out non-WISEWOMAN resources
Not enough knowledge of non-WISEWOMAN resources
Lack of internal support
Lack of support from partner organizations
Lack of support from direct service providers
Other barriers (please specify) _____
None – we have not had any barriers
Do not know
How can CDC help you access non-WISEWOMAN resources to provide WISEWOMAN services? Select all that apply.
Formal training (e.g., Webinar)
Technical assistance (TA) (e.g., individual consultation, assistance with developing tools)
Guidance (e.g., emails, documents, and tools to provide suggestions or advice based on policies or evidence)
Other assistance (please specify) _____
None - we do not need assistance from CDC (Skip to Question #6)
Do not know (Skip to Question #6)
Please describe the training, technical assistance, and guidance (e.g., emails, documents, tools) that would help you access non-WISEWOMAN resources to provide WISEWOMAN services. [Open entry]
SECTION B: Community support services
In Program Year 2, we learned that some funded programs use community support services to help sustain the program. In the following questions, we would like to learn about your program’s activities related to community support services. The WISEWOMAN Program acknowledges that your funded program may operate differently than others. Responses to these questions will not impact your funded program negatively, and programs will not be penalized in any way.
What types of non-WISEWOMAN community support services does your program use to help sustain your program? Select all that apply.
Local affiliates of national organizations (e.g., nonprofit organizations, for-profit associations, sororities) Please specify_________
Local schools, colleges, or universities Please specify_________
Local community health organizations Please specify_________
Other (non-health related) local community organizations Please specify_________
Other types (please specify) ____
None – we do not use non-WISEWOMAN community support services
Do not know
How does your program access non-WISEWOMAN community support services to help sustain your program?
[Open entry]
None – we do not access community support services
Do not know
What are barriers to accessing non-WISEWOMAN community support services? Select all that apply.
Limited access to community support services
Policies within your organization that limit use of community support services
Not enough time to seek out community support services
Not enough knowledge of community support services
Lack of support from partner organizations
Lack of support from direct service providers
Other barriers (please specify) _____
None – we have not had any barriers
Do not know
What assistance can CDC provide to help you access non-WISEWOMAN community support services? Select all that apply.
Formal training (e.g., Webinar)
Technical assistance (TA) (e.g., individual consultation, assistance with developing tools)
Guidance (e.g., emails, documents, and tools to provide suggestions or advice based on policies or evidence)
Other assistance (please specify) _____
None – we do not need assistance from CDC (Skip to Question #11)
Do not know (Skip to Question#11)
Please describe the training, TA, and guidance (e.g., emails, documents, tools) that would help you access non-WISEWOMAN community support services. [Open entry]
SECTIOn C: RElationships with community-level organizations
The WISEWOMAN Program is interesting in learning about your program’s relationships with community-level organizations. The WISEWOMAN Program acknowledges that your funded program may operate differently than others. Responses to these questions will not impact your funded program negatively, and programs will not be penalized in any way.
What types of community-level organizations have you developed relationships with to make resources and services available to WISEWOMAN participants to help participants maintain healthy behaviors? Select all that apply.
YMCA/YWCA
Local hospitals and health centers
Local schools and colleges
American Heart Association chapters
American Stroke Association chapters
Cooperative Extension Service
Support groups (please specify)_____________
Other types of community-level organizations (please specify) ____
None – we do not partner with community-level organizations
Do not know
How does your program work with community organizations to help WISEWOMAN participants maintain healthy behaviors? Select all that apply.
Agreements with community organizations to allow WISEWOMAN participants to utilize the organization’s services at free or reduced cost
Promote community organization services to WISEWOMAN participants
Arrange for community organizations to recruit WISEWOMAN participants to their programs
Provide incentives to WISEWOMAN participants to use services provided by community organizations
Other ways your program works with community organizations (please specify) ____
None – we do not work with community organizations to help WISEWOMAN participants sustain the health benefits of the program
Do not know
What are barriers to developing relationships with community-level organizations to help WISEWOMAN participants maintain healthy behaviors? Select all that apply.
Limited time to develop relationships
Limited funding to develop relationships
Limited expertise with developing relationships
Lack of involvement from partner organizations
Lack of involvement by direct service providers
Other barriers (please specify) _____
None – we have not had any barriers
Do not know
How can CDC help you develop relationships with community-level organizations? Select all that apply.
Formal training (e.g., Webinar)
Technical assistance (TA) (e.g., individual consultation, assistance with developing tools)
Guidance (e.g., emails, documents, and tools to provide suggestions or advice based on policies or evidence)
Other (please specify) _____
None – we do not need assistance from CDC (Skip to Question #16)
Do not know (Skip to Question #16)
Please describe the training, TA, and guidance (e.g., emails, documents, tools) that would help you develop relationships with community-level organizations. [Open entry]
Section D: Data Use and Sharing Lessons Learned
The WISEWOMAN Program is interesting in learning about your program’s use of data and how your program shares data. The WISEWOMAN Program acknowledges that your funded program may operate differently than others. Responses to these questions will not impact your funded program negatively, and programs will not be penalized in any way.
When does your program use the data your program collects? [Open entry]
How does your program use the data your program collects? [Open entry]
For what purposes does your program share your program’s lessons learned with individuals or organizations outside the program? Select all that apply.
Program improvement
Program sustainability
Recruitment of participants
Development of relationships with new partners
Development of relationships with direct service providers
Other reasons (please specify) __________
None – we do not share lessons learned with people or organizations outside the program
Do not know
What strategies does your program use to improve (upon) the (existing) program? Select all that apply.
Conduct conference calls to share lessons learned
Conduct program evaluations
Offer technical assistance to staff or partners
Other strategies (please specify) ____
None – we do not use strategies for the purpose of program improvement (Skip to Question #21)
Do not know (Skip to Question #21)
With whom do you share lessons learned for program improvement Select all that apply.
Direct service providers
Internal partners (e.g., other groups or divisions within your agency)
External partner organizations
Other (please specify) ____
Do not know
How can CDC facilitate sharing lessons learned for program improvement? [Open entry]
What strategies does your program use to share lessons learned for program sustainability? Select all that apply.
Distributing success stories
Developing and issuing press releases
Contributing to news stories
Creating promotional products
Giving presentations at community meetings
Regularly share program progress with senior leadership
Other strategies (please specify) ____
None – we do not share lessons learned for the purpose of program sustainability (Skip to Question #24)
Do not know (Skip to Question #24)
With whom do you share lessons learned for program sustainability? Select all that apply.
Direct service providers
Internal partners (e.g., other groups or divisions within your agency)
External partner organizations
Other (please specify) ____
Do not know
How can CDC facilitate sharing lessons learned for program sustainability? [Open entry]
What strategies has your program used (within the past 3 years of the current FOA—since June 30, 2008) to communicate your lessons learned to the field of public health? Select all that apply.
Produce articles for publication in public health-related peer-reviewed journals
Produce articles for distribution in newsletters
Give presentations (paper or poster) at public-health-related professional meetings
Give presentations at community meetings
Post lessons learned on program web sites
Post lessons learned on partner web sites
Other strategies (please specify) _____
None – we do not communicate our lessons learned to contribute to the public health knowledge base
Do not know
Section E: perceived IMpact of the wisewoman program
The WISEWOMAN Program is interesting in learning about your view of your program’s impact on the clinical health and health promotion services offered by WISEWOMAN—both to non-WISEWOMAN and WISEWOMAN patients. Please rate the extent you agree with each statement. Responses to these questions will not impact your funded program negatively, and programs will not be penalized in any way.
As the result of the WISEWOMAN Program, direct service providers provide WISEWOMAN services to non-WISEWOMAN patients.
Strongly disagree
Somewhat disagree
Neither disagree or agree
Somewhat agree
Strongly agree
Do not know
As the result of the WISEWOMAN Program, direct service providers have changed how they intervene with the majority of patients (including non-WISEWOMAN patients) about physical activity.
Strongly disagree
Somewhat disagree
Neither disagree or agree
Somewhat agree
Strongly agree
Do not know
As the result of the WISEWOMAN Program, direct service providers have changed how they intervene with the majority of patients (including non-WISEWOMAN patients) about healthy eating.
Strongly disagree
Somewhat disagree
Neither disagree or agree
Somewhat agree
Strongly agree
Do not know
As the result of the WISEWOMAN Program, community partners (e.g., community gardens, local grocery stores) are doing more to promote cardiovascular health within your community.
Strongly disagree
Somewhat disagree
Neither disagree or agree
Somewhat agree
Strongly agree
Do not know
As the result of the WISEWOMAN Program, local political leaders are doing more to promote cardiovascular health within your community.
Strongly disagree
Somewhat disagree
Neither disagree or agree
Somewhat agree
Strongly agree
Do not know
As the result of the WISEWOMAN Program, there have been improvements made to parks, gyms, and other established recreation areas within your community.
Strongly disagree
Somewhat disagree
Neither disagree or agree
Somewhat agree
Strongly agree
Do not know
As the result of the WISEWOMAN Program, there have been improvements made to residential neighborhoods to promote physical activity (e.g., sidewalks; street lights; walking trails)?
Strongly disagree
Somewhat disagree
Neither disagree or agree
Somewhat agree
Strongly agree
Do not know
CLOSING
These are all of the questions that we have for now. Thank you for taking the time to complete this survey today. Should you have any questions about this survey or the evaluation overall, please contact Mr. Lawrence Scholl, ICF Macro Senior Project Manager, at Phone: (404) 404-0735, E-mail: [email protected].
Information Collection #3
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| File Type | application/msword |
| Author | Thearis A. Osuji |
| Last Modified By | Scholl, Larry |
| File Modified | 2011-02-12 |
| File Created | 2011-02-12 |