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 Cooperative Agreement (CA)
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Core Components of the
DP11-1111 Cooperative Agreement
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Describe
your participation in the DP11-1111 cooperative agreement (CA).
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Facilitators
|
What
factors, if any, have facilitated your organization’s
participation in the
CA?
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What
internal organizational factors (e.g., staff, resources,
expertise) have helped your organization participate in the CA?
What
external factors (e.g., training, TA, partnerships) have helped
your organization participate in the CA?
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Barriers
|
What
factors, if any, have challenged your organization’s
participation in the
CA?
|
What
internal organizational factors (e.g., staff, resources,
expertise) have challenged your organization’s
participation in the CA?
What
external factors (e.g., training, TA, partnerships) have
challenged your organization’s participation in the CA?
|
What
strategies has your organization used to overcome
barriers/challenges related to the CA?
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Implementation
of the YBCS Intervention
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Intervention Overview,
History and Rationale
|
Describe
your organization’s YBCS intervention that is funded
through the CA.
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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?
|
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
|
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?
|
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?
|
What
tools, guidelines and/or protocols are used to direct the
implementation of the YBCS intervention?
|
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?
|
What
trainings are offered to staff to implement the YBCS
intervention?
|
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
|
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
|
What
factors, if any, have facilitated your organization’s
implementation of the YBCS intervention?
|
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?
|
Barriers
|
What
factors, if any, have challenged your organization’s
implementation of the YBCS intervention?
|
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?
|
What
strategies have your organization used to overcome barriers
related to implementation of the YBCS intervention?
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Evaluation
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Knowledge
|
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
|
What,
if any, facilitators have helped your organization conduct
program monitoring and evaluating for the YBCS intervention?
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Barriers
|
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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Development and Engagement
|
How
has your organization’s involvement in the CA helped you to
develop and maintain partnerships?
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Have
you collaborated with other grantees as a part of the CA?
Has
access to other programs serving YBCS helped your organization
develop new partnerships? If so, please explain.
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Contribution to the
intervention
|
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?
|
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 Grantee Organization name]
benefit from to support the implementation of the YBCS
intervention?
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Perceptions
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Awareness
|
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
|
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.)
|
Utilization
|
How
has the YBCS intervention affected utilization of support
services and/or educational resources by the target audience?
|
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.)
|
YBCS knowledge, attitudes,
and beliefs (KAB)
|
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).
|
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
|
What
have been some key lessons learned from your organization’s
experience with the YBCS intervention?
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Recommendations
|
What
ideas do you have for improving your organization’s YBCS
intervention?
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