OMB Control Number: ______
Expiration Date: _______
Length of time for instrument: 0.25 hours
APPENDIX J:
FPRQ Pilot Test Instruments for Eligible Center Directors
2/1/12
Instruments included:
Pilot Test Screener
Pilot Test Consent Form
FPRQ Center Director Survey
FPRQ Environmental Checklist
Family and Early Care and Education Provider Relationship Quality Study CENTER DIRECTOR SCREENER
A) IF CONTACTING PARTICIPANT FOR THE FIRST TIME/RETURNING A CALL:
Hello. My name is [WESTAT STAFF NAME] and I’m calling from Westat, a research firm located in Rockville, Maryland. May I speak with the program director?
CONNECTED WITH CENTER DIRECTOR
Westat is conducting a research study for the U.S. Department of Health and Human Services about the relationship between parents and their children’s early care and education providers. The study is interested in how families and early care and education providers work together to care for and educate children ages 0-5. We are currently recruiting early care and education programs to participate in this study.
Is your program:
A Head Start or Early Head Start program (GO TO PROGRAM TAB)
A pre-school (GO TO PROGRAM TAB)
A child care center (GO TO PROGRAM TAB)
A home-based child care setting (GO TO HOME-BASED SETTING TAB)
Other: _________________________________
CENTER DIRECTOR SCREENER CONTINUED
As the program director, you will be asked to complete a brief survey about your program. The survey will take about 15 minutes to complete. As a token of our appreciation, we will give you a check for $50.
In order to make sure that your program/center is eligible to participate in the study, I need to ask you a few questions.
Before we start, I want to assure you that your participation is completely voluntary and that your responses will remain confidential. If we come to a question you do not wish to answer, please let me know and we will move on to the next question.
How old are the children in your program/center?
0-2 YEARS OLD
3-5 YEARS OLD
6 AND OLDER ONLY (GO TO INELIGIBLE TAB)
How many children attend your program/center?
1
2-5
5-10
MORE THAN 10
We are also recruiting individual teachers/childcare providers to complete a survey about their experiences teaching and caring for children. The teacher/ provider survey will take about 30 minutes to complete and, as a token of our appreciation, we will send each provider a check for $25 after receiving their completed survey by mail. Would you be able to give us the names of providers in your program/center that would be interested in completing the provider survey?
YES
NO (GO TO INELIGIBLE TAB)
Great! Based on what you have told me, your program is eligible to participate in this study!
Because this study is interested in how parents and early care and education providers work together to teach and care for children, we will also be recruiting parents to complete a similar survey about how they work with their children’s providers/teachers. In order to recruit parents, I need your permission to hand out brochures and flyers to parents of children in your program/center.
IF RESPONDENT REFUSES TO PROVIDE THIS INFORMATION TO PARENTS, OR ALLOW US TO POST FLYERS/BROCHURES IN THE CLASSROOMS/NEAR THE CLASSROOMS, GO TO INELIGIBLE TAB. OTHERWISE, CONTINUE.
I would like to set up a time when I could come by and drop off the brochure and study materials, your survey, and your check. It would be best if this were a convenient time for me to also meet the providers/teachers in your program who may also be willing to participate. When I come by to meet you and the providers, I will also bring some brochures and flyers that you can post or give to parents. When would be a good time for me to come by?
SET UP MEETING
DATE: _____________________
TIME: _____________________
CONFIRM ADDRESS FOR MEETING
NAME: _____________________
STREET: _____________________ CITY: _____________________
STATE: _____________________ ZIP CODE: ___________________
I’ll also bring your check for $50 when I stop by. Can you tell me exactly how your name should appear on the check?
NAME: _____________________
In case I need to reach you by phone what is the best phone number to reach you?
___THIS PHONE NUMER
___NEW PHONE NUMBER ___________________
Is there another phone number you can provide me in case I’m unable to reach you at this phone number?
___________________
Is there an email address I may use to contact you in case I need to reach you?
EMAIL ADDRESS:______________________________________
Great! I look forward to meeting you on [DATE]. Thank you for agreeing to participate in this important study!
IN PERSON MEETING WITH PROGRAM/CENTER DIRECTOR
Hi, my name is [WESTAT STAFF NAME] and we spoke over the phone about your program participating in this study that Westat is conducting about the relationship between parents and early care and education providers.
GIVE RESPONDENT THEIR CHECK
GIVE RESPONDENT SURVEY PACKAGE
OBTAIN SIGNED CONSENT FORM
LEAVE RESPONDENT WITH BROCHURES/FLYERS TO BE POSTED IN CARE CENTER
Is now still a good time for me to meet with the teachers/providers that may also be willing to participate in the study?
HOME-BASED CARE SETTING SCREENER CONTINUED
You will be asked to complete a survey about your care setting and your experiences caring for children. The survey will take about 45 minutes to complete. As a token of our appreciation, we will give you a check for $50 after receiving your completed survey.
In order to make sure that care setting is eligible to participate in this study, I need to ask you a few questions.
Before we start, I want to assure you that your participation is completely voluntary and that your responses will remain confidential. If we come to a question you do not wish to answer, please let me know and we will move on to the next question.
How old are the children you care for?
0-2 YEARS OLD
3-5 YEARS OLD
6 AND OLDER ONLY (GO TO INELIGIBLE TAB)
How many children do you care for?
1
2-5
5-10
MORE THAN 10
Great! Based on what you have told me, you are eligible to participate in this study!
We are also recruiting parents to complete a brief survey. In order to recruit parents, we are asking participating care settings to pass out brochures and flyers to parents of children in their care.
I would like to set up a time when I could come by and drop off these brochures and flyers, your survey, and your check. When I come by to meet with you I will also bring some brochures and flyers that you can post or give to parents. When would be a good time for me to come by?
NOTE: IF PROVIDER WANTS TO CHECK WITH PARENTS FIRST BEFORE AGREEING TO PARTICIPATE, ARRANGE A TIME TO CALL BACK
TIME TO CALL BACK:
DATE: _____________________
TIME: _____________________
Let’s set a tentative date to meet and I will send you some materials about the study, including a brochure, that you can share with parents.
SET UP MEETING
DATE: _____________________
TIME: _____________________
CONFIRM ADDRESS FOR MEETING
NAME: _____________________
STREET: _____________________ CITY: _____________________
STATE: _____________________ ZIP CODE: ___________________
I’ll also bring your check for $50 when I stop by. Can you tell me exactly how your name should appear on the check?
NAME: _____________________
In case I need to reach you by phone, what is the best phone number to reach you?
___THIS PHONE NUMBER
___NEW PHONE NUMBER ___________________
Is there another phone number you can provide me in case I’m unable reach you at this phone number?
Is there an email address I may use to contact you in case I need to reach you?
EMAIL ADDRESS:_____________________________________
Great! I look forward to meeting you on [DATE]. Thank you for agreeing to participate in this study!
FOR CALL BACKS: Thank you for considering participating in this study! I look forward to talking with you again on DATE ________________ .
IN PERSON MEETING WITH HOME-BASED PROGRAM DIRECTOR
Hi, my name is [WESTAT STAFF NAME] and we spoke over the phone about your participating in the study that Westat is conducting about the relationship between parents and their children’s teachers or child care providers.
GIVE RESPONDENT THEIR CHECK
GIVE RESPONDENT SURVEY PACKAGE
OBTAIN SIGNED CONSENT FORM
LEAVE RESPONDENT WITH BROCHURES/FLYERS TO BE POSTED IN CARE SETTING
PARTICIPANT IS INELIGIBLE BASED ON ANSWERS PROVIDED
Unfortunately, you are not eligible to participate in our study. I’d like to thank you for your interest and time.
PROGRAM DIRECTOR REFUSED TO PROVIDE THE NAMES OF TEACHERS OR REFUSED TO PROVIDE THE INFORMATION TO PARENTS.
Thank you for your time. Do you know of another program like yours that may want to participate in this study?
IF YES-RECORD INFORMATION FOR THE OTHER PROGRAM
NAME OF DIRECTOR: ___________________________________
NAME OF PROGRAM: ___________________________________
PHONE NUMBER: ___________________________________
ADDRESS: ___________________________________
___________________________________
___________________________________
IF PROGRAM DIRECTOR DOES NOT KNOW ANOTHER PROGRAM.
Okay, thank you for taking the time to speak with me. I greatly appreciate it. Goodbye.
CONSENT FORM
Westat is conducting a study called the Family-Provider Relationship Quality Study for the U.S. Department of Health and Human Services. The goal of the study is to develop a measure of relationships between parents and those that care for and teach their children. We are asking you to fill out a survey which will ask questions about your child care program. We are also asking your permission to recruit providers and parents from within your program to participate.
Your survey should take about 20 minutes to complete. Those for parents and providers will take about 30 minutes to complete.
Participation is completely voluntary. You may stop at any time, and you do not have to answer any questions you do not wish to answer.
All information obtained from this study will be treated as confidential and will only be seen by people authorized to work on this project. The report summarizing the findings will not contain any names or identifying information.
As part of this study you will be asked to allow the study’s representative to post flyers and talk with and recruit providers to participate.
You will receive a check for $50 as a token of our appreciation for completing the survey and allowing the study to recruit providers and parents.
If you agree to participate in the study, please sign the following statement:
I have read this consent form and understand the proposed project.
I have consented to participate in this study.
_________________________ ___________
Signature Date
________________________
Printed Name
Director Survey
In the following pages, we will ask questions about your early education and child care program. We will also ask about the physical environment, the parents and families of children enrolled in your program, and the providers you employ.
1. How many children are enrolled in your program?
________children
2. What is the youngest age child that you will accept in your program?
From birth
6 months
1 year
2 years
3 years
3. What is the oldest age child that you will accept in your program?
4 years
5 years
6 years
7 years
4. Approximately what percentage of children in your program belongs to each of the following racial/ethnic groups?
[THE COLUMNS SHOULD ADD TO 100%.]
a.) H
b
c
d
e
f
g.) Two or more races, not Hispanic or Latino
100%%
Total enrollment (sum of a through g)
5. How many primary child care providers or teachers do you employ in your program?
________providers or teachers
6. How many paraprofessionals or aides do you employ in your program?
_______paraprofessionals or aides
7. About how many children, if any, have their tuition or fees paid for by a federal, state, or local agency?
[CHECK ONLY ONE BOX]
None
Fewer than half
More than half
All of them
Refused
Don’t know
8. If you provide information to parents about services that may help them, when do you do so?
[CHECK ALL THAT APPLY]
After parents bring it up
After a regular check-in with parents
System in place to assess parents’ needs
I provide information at some other time
I do not provide information to parents
9. Do you ask parents to provide you feedback about your program?
[CHECK ONLY ONE BOX]
Yes
No
IF NO-GO TO END OF SURVEY
10. How often do you use the feedback you receive from parents to make changes to your program?
[CHECK ONLY ONE BOX]
Never
Rarely
Often
Very Often
END: THANK YOU FOR PARTICIPATING IN THIS SURVEY
Environmental Checklist
SECTION 1: This booklet contains some questions about your program’s physical environment, as well as some questions about information and services your program may offer parents of children in their care. This checklist will help us get to know your program better. The items in this section apply to .early care and education programs, including centers, Head Start, and family child care programs. Please check “yes” or “no” for each item. Section 1 continues on the back. Please complete all of Section 1 and then complete Section 2 if it applies to your program type.
At this center/Head Start/family child care program: |
Yes |
No |
1. Parents and families members are allowed to visit at any time |
|
|
2. The program greets family members and children at arrival and departure |
|
|
3. There is easy access for drop-off and pick-up of children |
|
|
4. There is a space for parents to talk to each other |
|
|
5. There is adult-sized furniture that is available for parents’ use |
|
|
6. The program offers a variety of opportunities for parent involvement, including: |
|
|
a. Volunteering in program/care activities |
|
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b. Observing children in the program |
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c. Bringing in materials such as arts and crafts or snacks for snack time |
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d. Parent meetings |
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e. Parent workshops |
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f. Parent conferences |
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7. Parents are invited to shape the planning of the program |
|
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8. The program has suggestion boxes and/or surveys for family members to evaluate the program |
|
|
9. The program extends specific invitations to fathers or other male members of the family to participate in program activities |
|
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10. The program offers special man-to-man activities for fathers or other male members of the family |
|
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11. Parents have telephone and e-mail access to providers |
|
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12. Families’ preferences for communication are maintained in a family record |
|
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13. Providers use the following methods to communicate with families: |
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a. Face-to-face at drop-off and pick-up |
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b. Telephone |
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c. Email |
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d. Texting |
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e. Written notes |
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f. Website |
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g. Newsletter |
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h. Calendar |
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i. Bulletin boards |
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j. Parent- teacher conferences |
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k. Parent meetings |
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14. Written information and materials are available in all languages spoken by the families |
|
|
15. Written information and materials are available at the appropriate literacy level |
|
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16. The program provides a variety of information about community services |
|
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17. The program provides parenting information in a variety of ways |
|
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18. The program provides opportunities for families to get together |
|
|
SECTION 1, continued |
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At this center/Head Start/family child care program: |
Yes |
No |
|
||
19. The program gives information to families about: |
|
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a. General health and mental health services in their community |
|
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b. Substance abuse services |
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c. Tax credits, child care subsidies or vouchers, or employer child care benefits |
|
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d. Housing assistance |
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e. Energy or fuel assistance |
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f. Community events |
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g. Developmental screening services |
|
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h. Immigration services, legal services, or social services |
|
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i. Adult education, GED classes, ESL classes, or continuing education |
|
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j. Employment opportunities |
|
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k. Food pantries |
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l. Domestic violence programs |
|
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m. Homeless services |
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20. The program provides opportunities for family-to-family interaction through: |
|
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a. Field trips |
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b. Family picnics |
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c. Family events |
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21. The program provides parenting information through: |
|
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a. Parenting workshops |
|
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b. Parenting classes |
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c. Bulletin boards |
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d. Newsletters |
|
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e. Resource library with books, videos |
|
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f. Tip sheets |
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SECTION 2: For Center and Head Start Programs Only
Please check “yes” or “no” for each item.
At this center/Head Start program: |
Yes |
No |
1. The program has a reception area |
|
|
2. Signs and/or directions for locating classrooms and other spaces are posted in the center in languages parents understand |
|
|
3 The program has a formal advisory committee |
|
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4. The program offers the following opportunities for parents: |
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5. The program helps families to: |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Department of Health and Human Services |
| File Modified | 0000-00-00 |
| File Created | 2021-01-31 |