Organizational Context
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Role in organization
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How would you describe
your role within your organization?
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Implementation of the YBCS Intervention
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Intervention
Overview, History and Rationale
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Describe your
organization’s YBCS intervention.
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What
are the key components of the YBCS intervention?
Who
is the target audience for the YBCS intervention?
How
have the key components of the YBCS intervention been tailored
to meet the unique needs of the target audience?
Was this YBCS
intervention adapted from an already existing program or
intervention?
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Describe your
organization’s goals and objectives for the YBCS
intervention.
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Describe your role in the
YBCS intervention.
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Intervention execution
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Describe how the YBCS
intervention is implemented.
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How
often is each component of the YBCS intervention implemented?
What
is the duration of the YBCS intervention?
Who
is responsible for delivering key components of the YBCS
intervention?
How
are YBCS intervention participants recruited?
How
has the delivery of the YBCS intervention been tailored to meet
the unique needs of the target audience?
How do you engage
members of the target audience (e.g., YBCS, families/caregivers,
health care providers) in the implementation of the YBCS
intervention?
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What
communication strategies is your organization using to promote or
implement the YBCS intervention?
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How
is mass media (e.g., radio, newspaper, Internet) being utilized
to deliver or promote YBCS intervention components?
How
is small media (e.g., newsletter, email, brochures) being
utilized to deliver or promote YBCS intervention components?
How
is social media (e.g., Facebook, Twitter) being utilized to
deliver or promote YBCS intervention components?
How
is earned media (e.g., free or donated media) being utilized to
deliver or promote YBCS intervention components?
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What tools, guidelines
and/or protocols are used to direct the implementation of the
YBCS intervention?
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What,
if any, manuals have been created to support implementation of
the YBCS intervention?
Who
created these guidelines?
How are these used
to implement the YBCS intervention?
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What
trainings are offered to staff to implement the YBCS
intervention?
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How
are trainings identified?
Who
delivers these trainings?
What
is the duration of each of these trainings?
How
often are trainings offered to staff?
Are there external
trainings that your organization has participated in to support
implementation of the YBCS intervention?
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Implementation Fidelity
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To what extent has the
YBCS intervention been implemented as planned?
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How does implementation of
the YBCS intervention vary across sites?
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Are there
differences in the way that the YBCS intervention is delivered
across sites (e.g., setting, geographic location, target
population)? If so, how is implementation different?
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Does your organization use
any process improvement strategies to improve the delivery of the
YBCS interventions?
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Facilitators
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What factors, if any, have
facilitated your organization’s implementation of the YBCS
intervention?
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What
internal organizational factors (e.g., leadership, staff,
resources, expertise) have helped your organization implement
the YBCS intervention?
What
external factors (e.g., training, TA, partnerships) have helped
your organization implement the YBCS intervention?
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Barriers
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What factors, if any, have
challenged your organization’s implementation of the YBCS
intervention?
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What
internal organizational factors (e.g., leadership staff,
resources, expertise) have challenged your organization’s
implementation of the YBCS intervention?
What
external factors (e.g., training, TA, partnerships) have
challenged your organization’s implementation of the YBCS
intervention?
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What
strategies has your organization used to overcome barriers
related to implementation of the YBCS intervention?
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Evaluation
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Knowledge
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Describe your
understanding of program monitoring and/or evaluation.
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Have
you participated in any past evaluation efforts? If so, please
describe.
Do you have
experience creating program logic models?
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Measurement
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For what the YBCS
intervention is trying to accomplish, how would you define
success?
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Describe how your
organization shares evaluation findings from the YBCS
intervention.
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Facilitators
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What, if any, facilitators
have helped your organization conduct program monitoring and
evaluating for the YBCS intervention?
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Barriers
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What, if any, barriers has
your organization encountered in evaluating the YBCS
intervention?
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What
strategies has your organization used to overcome barriers
related to program monitoring and evaluation of the YBCS
intervention?
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Partnerships
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Contribution
to the intervention
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Describe
how partners participate in the planning or implementation of the
YBCS intervention.
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How
does your organization interact with partners?
How
does your organization communicate with partners?
How
often does your organization communicate with
partners?
How
long has your organization worked partners?
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What partnerships have
been the most beneficial for your organization in the
implementation of the YBCS intervention?
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What additional
partnerships would [insert Nonfunded Organization name] benefit
from to support the implementation of the YBCS intervention?
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Perceptions
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Awareness
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How has the YBCS
intervention affected awareness for the existence of support
services and/or educational resources among the target audience?
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In
your opinion, what aspect of the YBCS intervention has been the
most effective in increasing awareness for support
services and/or educational resources?
In
your opinion, what communication strategies were the most
effective in promoting and increasing awareness for the YBCS
intervention?
Does your
organization have data to support the effectiveness of this? If
so, explain how this data is used. (Request to see or obtain
copies of data, data collection tools, or reports pertaining to
how a program has assessed awareness.)
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Access
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How has the YBCS
intervention affected access to support services and/or
educational resources for the target audience?
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In
your opinion, what aspect of the YBCS intervention has been the
most effective in increasing access to support
services and/or educational resources?
Does your
organization have data to support the effectiveness of this? If
so, explain how this data is used. (Request to see or obtain
copies of data, data collection tools, or reports pertaining to
how a program has assessed access.)
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Utilization
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How has the YBCS
intervention affected utilization of support services and/or
educational resources by the target audience?
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In
your opinion, what aspect of the YBCS intervention has been the
most effective in increasing utilization of support
services and/or educational resources?
Does your
organization have data to support the effectiveness of this? If
so, explain how this data is used. (Request to see or obtain
copies of data, data collection tools, or reports pertaining to
how a program has assessed utilization.)
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YBCS
knowledge, attitudes, and beliefs (KAB)
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What knowledge, attitudes,
and beliefs does the YBCS intervention aim to affect? How has the
YBCS intervention impacted those specific knowledge, attitudes,
and/or beliefs among the target population? (Examples of KAB
targets include: strategies for reducing
the risk of recurrence and the development of new malignancies,
chronic disease onset, and improving overall health and quality
of life).
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In
your opinion, what aspect of the YBCS intervention has been the
most effective in KAB among the target population?
Does your
organization have data to support the effectiveness of this? If
so, explain how this data is used. (Request to see or obtain
copies of data, data collection tools, or reports pertaining to
how a program has assessed KAB among target audience(s).)
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Value of the YBCS intervention
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What has been the value of
the YBCS intervention?
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In
your opinion, how did the YBCS intervention impact the target
audience?
In your opinion,
how did the YBCS intervention contribute to the evidence base
for promising strategies to reach YCBS, YBCS caregivers, and/or
YBCS health care providers?
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Lessons learned
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What have been some key
lessons learned from your organization’s experience with
the YBCS intervention?
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Recommendations
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What ideas do you have for
improving your organization’s YBCS intervention?
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