Program Contact: Andra Tharp, PhD
Submission Date: August 31, 2012
Required documentation for complete submission:
1. Justification Memo: Below
2. Supporting Statement Part A: Attached
3. Supporting Statement Part B: Attached
4. Draft 30-day and 60-day FRN: Attached
5. Privacy Act statement: Attached
6. Part I Worksheet: Attached
7. Part II Worksheets for each data collection instrument: Attached
8. Attachments/Appendices: authorizing legislation, Comments from 60-day FRN; data collection instrument(s); Institutional Review Board (IRB) approval letter: Attached
Circumstances of Revision Request for OMB 0920-0941
This is a revision request for OMB #0920-0941, which received approval through July 2015 for the multi-site evaluation of Dating Matters (4 cities, 44 schools). The comprehensive study has both outcome and process evaluation components and includes multiple assessments.
The current revision request has two aims:
1) Request to revise follow-up outcome evaluation instruments and drop mid-year outcome evaluation student survey, and
2) Request to add process evaluation instruments to enhance implementation.
1) Regarding the first aim, Dating Matters grantees and contractors had one year for planning prior to implementation. During the planning year, contractors made edits to evaluation instruments to enhance the connection with the final program and to eliminate redundant or unnecessary items. As described in detail below, these changes are minor and fully consistent with the focus and scope of what was already approved.
In working with our grantees and schools over the planning year, it also became clear that our original plan to collect baseline, mid-year, and follow-up surveys from students would create too much burden for schools. To be responsive to the schools’ needs, we are proposing to drop the mid-year student survey. We believe that given the variation in implementation of the student curricula across schools (some classrooms in some schools will implement the curricula in the fall, some in the spring) and the added burden to schools, we could remove the mid-year survey without losing critical information about program effects. Therefore, the project is now requesting approval for these changes that resulted during the planning year as a function of finalizing the program materials, clarifying instructions, responding to school concerns, and shortening several instruments.
2) Regarding the second aim, as a result of grantees’ planning processes, we identified additional needs for the process evaluation. For example, it became clear that because the 6th and 7th grade parent curricula were new, we should assess not only implementer’s fidelity to the sessions (in previously approved instruments) but also parents’ satisfaction with the program. Therefore, we are requesting to add five new process evaluation instruments (with accompanying screenshots, consent, and assent forms as appropriate) and one new version of an outcome evaluation instrument that will assist CDC, our contractors, and grantees in monitoring and improving program implementation.
In addition, the development of our capacity and readiness assessment was delayed. Although two of the three parts of the assessment were completed in time for our initial submission (school leadership and local health department capacity and readiness assessments), our contractor did not complete the third component of the assessment (community advisory board capacity and readiness assessment) until this summer. Therefore, we are requesting to add this third and final component to the capacity and readiness assessment.
We want to emphasize that even with the revision of follow-up instruments and addition of process evaluation instruments, the methods and design of the Dating Matters evaluation are unchanged. There has been no change related to individually identifiable information.
The changes described above are reflected in the revised Supporting Statement A and B and are summarized in the table below. Because of the decision to drop the mid-year student survey, the changes result in an overall decrease in burden and burden cost:
|
Total Burden Hours |
Total Burden Cost |
Approved |
35,099 |
$421,415.69 |
Proposed |
27,923 |
$374,389.09 |
Difference |
-7176 |
-$47,026.60 |
To clarify exactly what changes are proposed, we first describe the new instruments (also discussed in SSA and SSB) and summarize the purpose and change to each revised instrument. In subsequent tables we itemize exactly which changes have been made to the three revised instruments.
Table Linking Changes Described Above to Specific Attachments |
|||||||||
REVISED |
|||||||||
Attachment |
Description |
Nature of change |
Justification |
Change in Burden |
|||||
Attachment E |
Student Outcome Evaluation Survey-Follow-up |
Request to Revise |
Streamlined, item duplication removed |
0 |
|||||
Attachment F |
Student Outcome Survey-Mid-Term |
Request to Drop |
Drop mid-point survey to reduce data collection burden on schools |
-8019 |
|||||
Attachment EEEE |
Parent Outcome Survey-Follow-up |
Request to Revise |
Streamlined, item duplication removed |
0 |
|||||
EXPANDED AND NEW |
|||||||||
Attachment |
Description |
Justification |
# of Respondents |
# of Responses |
Burden Hours/ Response |
Total Burden Hours |
|||
Attachment IIII |
Educator Outcome Evaluation Survey-Follow-up |
In original request baseline and follow-up surveys were the same. In change request a baseline version was created (Attachment I). The current request involves creating a follow-up version of the survey |
1584 |
1 |
30/60 |
792* |
|||
Attachment JJJJ and HHHH (screenshots): |
Community Capacity/Readiness Assessment |
The community capacity/readiness assessment is the third and final component of capacity/readiness assessment. We request to add this component to our information collection. The request is proposed now because the contractor who developed instrument did not finalize it until Summer 2012. |
80 |
1 |
1 |
+80 |
|||
Attachment KKKK: |
Communications Focus Groups Guide |
The focus group research component of the evaluation has been expanded to include the communications program. These groups will be used to test and improve the communications materials. |
96 |
1 |
1.5 |
+144 |
|||
Attachment LLLL: |
Parent Program Manager TA Tracking Form |
The technical assistance tracking system has been expanded to include both on-site master trainers: the student program master trainer (previously approved) and parent program manager (requested) |
4 |
50 |
10/60 |
+33 |
|||
Attachment MMMM: |
6th Grade Curricula Parent Satisfaction Questionnaire |
Questionnaire added to assess parents’ satisfaction and engagement in parent curricula to assist in program improvement and sustainability |
1890 |
1 |
10/60 |
+315 |
|||
Attachment NNNN: |
7th Grade Curricula Parent Satisfaction Questionnaire |
Questionnaire added to assess parents’ satisfaction and engagement in parent curricula to assist in program improvement and sustainability |
1890 |
1 |
10/60 |
+315 |
|||
Attachment OOOO |
Student Assent for Communications Focus Group Participation (see Attachment KKKK) |
Assent Form (No burden) |
|
|
0 |
0 |
|||
Attachment PPPP |
Parent Consent for Student Communications Focus Group Participation (see Attachment KKKK) |
Consent Form (No burden) |
|
|
0 |
0 |
* Please note that the burden for Attachment IIII was already approved as part of Attachment I. We had anticipated using the same version of this survey for baseline and follow-up and have since created two versions of this instrument. As described in SSB, we expect a 95% response rate for the baseline survey (Attachment I) and 90% response rate for follow-up (Attachment IIII). The previous package estimated burden based on 95% response at both time points. Therefore, although the burden associated with Attachment IIII is 792 hours, this is actually a reduction of 44 hours from the previous request where 95% follow-up was expected for both administrations of Attachment I.
Revisions itemized below in modified, deleted, and added item tables:
Itemized proposed changes in Attachments—Modified items: |
|||
Form |
Reason |
Number |
Question |
Attachment E |
Language simplified for comprehension. |
7 |
Please give your answers based on how things have been for you in the last six months. |
Attachment E |
Added sometime because Yes/No responses were not sufficient. |
11 |
Response Options: Always; Sometimes; Never |
Attachment E |
Broken into two separate questions to accommodate skip pattern for respondents who have not dated someone who was a different age. |
13-14 |
13.
Have you ever dated someone who is a different age than
yourself? |
Attachment E |
Language simplified for comprehension. |
15 |
How many different people have you dated since you began dating? |
Attachment E |
Reference period changed to accommodate respondents who answering in regard to a dating relationship in the past. |
24 |
Please indicate how often each of the following statements is true currently or was true in your most recent dating relationship. |
Attachment E |
Change from months to initials to remind respondents of who they are describing. |
25a |
a. The person I am thinking about when filling out this questionnaire has these initials: ___________. |
Attachment E |
Respondents may have multiple caregivers (for example, a mother and a father). Language was changed to accommodate this scenario. |
26 |
From the list below, choose the one adult in your home who is the main person who takes care of you. If there is more than one person who takes care of you, select the one you spend the most time with. |
Attachment E |
Reference period changed to capture discrete time period between fall survey iteration (baseline) and spring survey iteration (follow-up). |
52 |
In the past 6 months, how often did you: |
Attachment E |
Alcohol-related items collapsed into single item to reduce length of questionnaire. |
44a |
Drank more than a sip of beer, wine, wine coolers, or liquor (like whiskey or gin)? |
Attachment E |
Added examples of inhalants to improve students’ comprehension of the question |
44e |
Used inhalants? (sniffing glue, huffing, whippits) |
Attachment E |
Specified illegal drugs to differentiate from legal non-prescription drugs. |
44f |
Used other illegal drugs (cocaine, crack, meth, heroin)? |
Attachment EEEE |
Text edited for clarity (i.e., respondent may interpret as literally the same building or house). |
18 |
How many years have you lived together with your Middle School child (even if you moved homes)? |
Attachment EEEE |
Reference period added to focus attention of respondent on recent events. |
30 |
In the past month, when you talked about dating, did you tell your child… |
Attachment EEEE |
Text changed to make questions applicable to both girls and boys. |
31e |
How many times have you ever talked to your child about what to do to keep from getting pregnant or getting someone else pregnant? |
Attachment EEEE |
Wording changed on three questions regarding participation in parenting programs to make clear that these questions are asking about travel and time spent on any of the three Dating Matters parent currciula |
84 |
How long does it take you to get to a single Dating Matters parent program event? (Estimate your average travel time one way) |
85 |
How far do you travel (mileage) to participate in a session of the Dating Matters parent program? (Estimate your average travel distance one way) |
||
86 |
How many Dating Matters parent program sessions have you attended so far this year? |
Itemized proposed changes in Attachments—Deleted items: |
||
Form |
Reason |
Question |
Attachment E |
Item was dropped due to concerns about whether the respondents could complete this item reliably. |
28. In a typical week, how many days from 0-7 do you eat a meal with your family? |
Attachment E |
Question dropped because most respondents are under the legal driving age, they would not be driving and would not have a reason to drive a car without the owner's permission. |
Item 4 from Delinquency Scale …drive a car without its owner's permission? |
Attachment E |
Technology-based harassment items dropped to reduce length of questionnaire. |
1a) Someone made a rude or mean comment to me online 1d) Someone tried to get me to talk about sex online when I did not want to. 1e) Someone asked me for sexual information about myself when I did not want to tell the person, e.g., really personal questions, like what my body looks like or sexual things I have done. 2a) Made rude or mean comments to anyone online. 2d) Tried to get someone else to talk about sex online when they did not want to. |
Attachment F |
Reduce burden on schools |
All items removed (as described above) |
Attachment EEEE |
Item was dropped due to concerns about whether the respondents could complete this item reliably. |
Can your child tell how you are feeling without asking you? |
Itemized proposed changes in Attachments—Added items: |
|||
Form |
Reason |
Number |
Question Text |
Attachment EEEE |
Added two questions about parent program attendance and about participating in at-home sessions of parents programs for the purpose of estimating cost of participation |
83 |
Have you participated in a Dating Matters parent program? -Yes, I participated in the 6th grade parent curriculum, Parents Matter! –If yes, proceed to question 86 -Yes, I participated in the 7th grade parent curriculum—If yes, proceed to question 86 -Yes, I participated in the 8th grade parent curriculum, Families for Safe Dates, which is done in the home—if yes proceed to question 89 --No, I have not participated in a Dating Matters parent program—If no, survey now completed—return survey |
87 |
Some of the Dating Matters parent curricula involve doing sessions or activities at home. How much time did you spend on at home sessions/activities for your Dating Matters curriculum? -I participated in the 6th grade curriculum, with no at home activities -An hour or less -Over an hour to two hours -Over 2 hours to 4 hours --Over 4 hours to 6 hours -Over 6 hours to 8 hours -Over 8 hours to 10 hours -Over 10 hours |
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Tharp, Andra (CDC/ONDIEH/NCIPC) |
File Modified | 0000-00-00 |
File Created | 2021-01-29 |