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pdfAppendix E2: LWA Staff Interview Guide 2: Study
Period
Abt Associates Inc.
LWA Staff Interview Guide 2: Study Period
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OMB control no. 0584-0548
Expiration: mm/dd/20xx
WIC Peer Counseling Study
LWA Staff Interview Guide 2: Interviews During the Study Period
INTERVIEWER NAME
DATE
LOCATION
NAME OF LWA
SITE ID
Time start
OMB Clearance Number: 0584-0548
Time end
Expiration Date: xx/xx/20xx
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is
not required to respond to a collection of information unless it displays a valid OMB control number. The
valid OMB control number for this information collection is 0584-0548. The time required to complete this
information collection is estimated to average 3.5 hours per response. If you have any comments concerning
the accuracy of time estimates or suggestions for improving this form, please contact: U. S. Department of
Agriculture, Food and Nutrition Service, Office of Research & Analysis, Room 1014, Alexandria, VA
22302.
Introduction
Thank you for taking the time today to participate in this interview. As part of the WIC Breastfeeding
Peer Counseling Study for the U.S. Department of Agriculture, Food and Nutrition Service (FNS), we
are interviewing people involved in the implementation of the Loving Support Breastfeeding Peer
Counseling program. The purpose of this phase of our study is to describe study enrollment and
random assignment of women to either the enhanced or standard peer counseling program, and to
describe how WIC agencies are implementing the enhanced model of the Loving Support program,
especially in-person visits with program participants.
You and your agency’s name and location will not be identified in reports prepared for this study or
in data files provided to FNS. None of your responses during the interview will be released in a form
that identifies you or any other staff member by name, except as required by law. Although we may
report direct quotations from the interview, you and your agency will be given pseudonyms. Because
of the small number of individuals selected to participate in this interview, it is possible that you may
be identifiable to other people on the basis of what you have said. Please note that this study is not
part of an audit or management review of WIC. Your participation in the interview is completely
voluntary, although someone from your agency must participate as a necessary component of your
agency’s participation in the impact study. Do you have any questions before we begin?
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Module A: Respondent Information
Interviewer: You will likely interview the Breastfeeding Coordinator and/or the Peer Counseling
Coordinator. In some agencies the Breastfeeding Coordinator and the Peer Counseling Coordinator
may be the same individual. You also may interview the LWA Director.
A1. Enter the name and title of each person participating in this interview.
Respondent
Title
I’m going to ask you some questions about the your agency’s participation in the WIC Peer
Counseling Study. I’ll ask you about how the study has been going at your agency and about any
changes you’ve made in the Loving Support Peer Counseling Program since you completed the
Demonstration Period. I’ll have specific questions about three groups of WIC participants:
WIC participants who were randomly assigned to the treatment group;
WIC participants who were randomly assigned to the control group; and
WIC participants who are not participating in the study but receive breastfeeding peer
counseling.
Unless I tell you otherwise, all of my questions have to do with the period of time after the
Demonstration Period ended and since we’ve been randomly assigning peer counseling participants
either to the treatment or control group. As you know, women in the treatment group are supposed to
receive the enhanced Loving Support peer counseling services, and women in the control group are
supposed to receive your agency’s existing Loving Support peer counseling services – the ―businessas-usual‖ peer counseling that you’ve been offering before you got involved in this study.
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Module B: Agency Activities to Promote Breastfeeding
B1.
First, I’d like to talk about your agency’s activities to promote breastfeeding other than peer
counseling. Have there been any changes in the non-peer-counseling activities available to
WIC participants in your agency? [Review the activities from Item B3 from the interview
conducted during the first site visit for any changes]
[list pre-populated from first site visit]
Media campaigns about breastfeeding and/or posting
promotional materials WIC clinics, hospitals, or other
public places
Certified lactation consultants and other trained
specialists available to WIC participants
Breastfeeding support groups or classes for WIC
participants
Breastpumps, breastfeeding pillows, or other equipment
that supports breastfeeding
Peer Counseling or other counseling to WIC participants
that is different from the Loving Support Peer
Counseling program
Special training on breastfeeding to nutritionists and
other WIC staff
A 24-hour breastfeeding hotline or access to designated
staff with cell phones or pagers who are on-call after
clinic hours
Other activities to promote breastfeeding or support
breastfeeding mothers? (specify)
B2.
Unchanged
Description of Any Changes
[if applicable]
[if applicable]
[if applicable]
[if applicable]
[if applicable]
[if applicable]
[if applicable]
[if applicable]
Since the Demonstration Period ended, are you aware of any new breastfeeding awareness
campaigns or changes in existing campaigns conducted by organizations other than WIC in
the communities served by your agency?
Yes
No
Don’t know
If yes, describe:
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Module C: WIC Staff Working on Loving Support Peer Counseling
C1.
Since the start of the Study Period (i.e., since the end of the Demonstration Period) and
random assignment– have you added any new staff or re-assigned any existing staff other
than peer counselors to work on the Loving Support Peer Counseling Program?
C2.
Have the responsibilities of any of existing agency staff changed since the start of the Study
Period? (Review the roster from the first site visit and check for any new or re-assigned
staff.In particular, review Peer Counseling Coordinator and/or Breastfeeding Coordinator
responsibilities.) Have there been any changes in the average amount of time these staff
spend working on the Loving Support Peer Counseling Program?
New
Hire(s)?
Agency Positions (Examples)
Peer counseling coordinator(s)
Breastfeeding coordinator(s)
[additional rows as needed]
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Change in responsibilities
[if applicable]
[if applicable]
[if applicable]
Change in average
time on
Loving Support
since Demonstration
Period ended
__ avg. hours/week
__ avg. hours/week
[if applicable]
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Module D: Loving Support Peer Counselors
For Items D1 and D2 you will review the roster of peer counselors collected during the first site
visit.
D1.
Since the start of the Study Period, have you hired any new peer counselors and are you
currently trying to hire additional peer counselors? (write new peer counselors names and
avg weekly hours worked below)
Yes, currently trying
If yes, How many?
Yes, hired additional for the Study Period If yes, How many?
No
Don’t know
D2.
Since the end of the Demonstration Period/ start of the Study Period have there been any
changes in the roster of peer counselors or their average hours per week?
Table below pre-filled in advance of site visit:
Peer Counselor
#1
Peer Counselor
#2
Peer Counselor
#3
Peer Counselor
#4
Peer Counselor
#5
Peer Counselor
#6
Peer Counselor
#7
Peer Counselor
#8
First Name(s)
Prefilled from
Demonstration Period
Prefilled from
Demonstration Period
Prefilled from
Demonstration Period
Prefilled from
Demonstration Period
Prefilled from
Demonstration Period
Prefilled from
Demonstration Period
Prefilled from
Demonstration Period
Prefilled from
Demonstration Period
Ave. Weekly
Hours Worked
(Demonstration
Period)
Still working as
peer counselor?
If changed, current
avg. weekly hours
worked
New Hire since end
of Demo
Period/Start of
Study Period?
Prefilled
YES NO
__ hrs/week
YES
Prefilled
YES NO
YES
Prefilled
YES NO
YES
Prefilled
YES NO
YES
Prefilled
YES NO
YES
Prefilled
YES NO
YES
Prefilled
YES NO
YES
Prefilled
YES NO
YES
Complete this table AFTER the interview and fill TABLE at end of MODULE F
D2i
Total # of Peer
Counselors
D3.
D2ii
Sum of Hours/Week
X 4.3 wks/mo
D2iii
Total # of Peer Counseling
Hours/Month
Has the job description or qualifications for Loving Support peer counselors changed since
the start of the Study Period?
Yes If yes, please provide us with a copy of the job description
No
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D4.
Since the Study Period began, have there been any changes in Loving Support peer
counselors’ other job activities, for example teaching classes? (If yes, describe):
D5.
Since the start of the Study Period, have there been any changes in the wages or non-wage
compenstation you provide to peer counselors?
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Module E: Local Sites Offering Loving Support Peer Counseling
E1.
Below are the service delivery sites that were offering the enhancements to the Loving
Support Peer Counseling during the Demonstration Period. Which sites are participating in
the Study Period and how many peer counselors at each site are participating?
Site Name Where Enhanced
Loving Support Peer Counseling is offered
# Peer Counselors
prefilled
prefilled
prefilled
prefilled
3
4
prefilled
prefilled
prefilled
prefilled
5
prefilled
prefilled
6
prefilled
prefilled
Site #
1
2
New site
New site
All others
Combined
E2.
Now that the Study Period is underway, we’d like to update information on how peer
counselors allocate their time to the clinics/service delivery sites that are participating in the
study. Are there any peer counselors working on the study who are not listed below? Has the
allocation of peer counselor time to sites changed since the study began?
Peer Counselor Time Allocation Chart
Peer Counselor
Name:
Site. #1
Site #2
Site #3
Site #4
Site #5
Site #6
prefilled
prefilled
prefilled
prefilled
prefilled
prefilled
1 prefilled
2 prefilled
3 prefilled
4 prefilled
5 prefilled
6 prefilled
7 prefilled
8 prefilled
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Module F: Loving Support Peer Counseling Service Delivery
F1.
How has the process of matching peer counselors and alternate peer counselors to WIC
participants been working out?
F2.
Have there been any changes in who makes these assignments or in the factors that you
consider when matching Peer Counselors to WIC participants (If necessary, probe for peer
counselor availability, language, age, cultural or racial/ethnic similarity, geographic
proximity to WIC participant’s hospital/home/preferred LWA service delivery site, similar
temperament, other?)
F3.
What happens if a peer counselor isn’t available to contact a WIC participant when she goes
into the hospital for delivery or to meet with her during her first 10-days post-partum? How
often are the designated alternate peer counselors needed?
F4.
During the last reported month, how many women total were in the Loving Support Peer
Counseling Program– that is, across all peer counselors, how large was the total peer
counseling caseload? (This answer is needed for calculating caseload and intensity – see
TABLE at end of MODULE F)
F5.
Since the study began, what percentage of WIC participants first enrolled in Loving Support
Peer Counseling Program:
% WIC Participants who first enroll in Loving
Support:
During their first trimester of pregnancy:
During their second trimester of pregnancy:
During their third trimester:
Within the first month after they had given birth:
More than one month post-partum:
F6.
During
Demonstration
Period
prefilled
prefilled
prefilled
prefilled
prefilled
Currently
At our last visit to your agency, during the Demonstration Period, your agency reported that
[prefilled] percent of women targeted for the Loving Support Peer Counseling Program
actually took up the services—that is, they participated in an in-person or telephone contact
with a Loving Support peer counselor. Has this percentage changed since the study began?
If so, what percent of women targeted now take up services?
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Contacts with WIC participants
F7.
Now let’s discuss the delivery of the enhanced Loving Support peer counseling services to
women assigned to the treatment group. How do peer counselors find out when a WIC
participant in the study is in the hospital to deliver her baby?
F8.
Have there been any major barriers to making contacts with WIC participants in the
Treatment group when they are in the hospital? What steps have you taken in response to
those challenges?
F9.
About how many attempts on average are required before a peer counselor successfully
contacts a WIC Participant in the Treatment Group who is in the hospital to deliver her baby?
F10.
How do peer counselors make arrangements to complete the in-person post-partum visit?
What are the major challenges you’ve encountered? What steps have you taken in response
to those challenges? What practices have proven most successful?
F11.
About how many attempts on average are required before a peer counselor successfully meets
in-person with a WIC Participant in the Treatment Group during the first 10-days postpartum?
F12.
Do peer counselors ever inadvertently contact a WIC Participant in the control group when
she is in the hospital? What steps were taken to reduce this?
F13.
Do peer counselors ever hold in-person meetings during the first 10-days postpartum with
WIC Participants in the control group? If yes, what are the circumstances when this happens
(i.e., peer counselor happens to be in the office when a WIC participant comes in to get her
next set of food voucher).
F14.
Do WIC participants in the control group ever request in-person meetings with peer
counselors during their first 10-days post-partum? How do peer counselors respond to these
requests?
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Estimated Average Caseload and Average Peer Counseling Intensity
Complete this table AFTER the conclusion of the interview
During last reported month before Demonstration Period
# of WIC participants enrolled in peer counseling
(F4)
Total # of Peer Counselors
(D2i)
Total # of Peer Counseling Hours
(D2iii)
Caseload: Average # of WIC participants per Peer Counselor
(F4)/(D2i)
Intensity: Average # of Peer Counseling Hours per WIC participant
(D2iii)/(F4)
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Module G: Recruiting, Training and Supporting Peer Counselors
G1.
Your plans for training included the following [prefilled]. In practice, have there been any
adaptations to this plan? Were there any areas of the training that were not as effective as
expected? What steps were taken to remediate?
G2.
Your plans for supervising and supporting/mentoring peer counselors included the following
[prefilled]. In practice, are these plans working? Have they been adapted in any way?
G3.
Your plans included providing peer counselors with the following resources to help them
deliver the enhanced Loving Support peer counseling services to women in the treatment
group. Have these resources been provided to peer counselors? If not, why not?
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Module H: Loving Support Peer Counseling Expenditures
H1.
Have there been any changes in the amount of funding you receive for the peer counseling
program, or funding levels at your agency overall that may have affected staff who work
directly with the peer counseling program? I realize that you receive a quarterly grant
amount from Abt as part of your participation in the study but I’m asking about other changes
in funding amounts for the Loving Support Peer Counseling Program, or for your agency as a
whole.
Yes
No
Don’t know
If yes Describe these funding changes. How have these funding changes affected agency
staff who work with the peer counseling program? How have these funding changes affected
peer counselors?
H2.
Have you had any unexpected expenses related to participating in the study?
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Module I: Relationships with Hospital and Other Community Partnerships
I1.
Below is information about hospitals that serve WIC participants in your area and any partnerships between your agency these hospitals. I’d
like to review this information to see if any of these hospitals have changed their policies since the study began.
Proportion at 1st site visit (prefilled)
a.
What proportion of these hospitals have been designated a Baby-Friendly Hospital, as
outlined by UNICEF and the World Health Organization?
b.
c.
What proportion of these hospitals have rooming in for newborns?
In what proportion of these hospitals are mothers encouraged to breastfeed within the first
hour after birth?
In what proportion of these hospitals are breastfeeding infants routinely given any
supplementation, including water?
What proportion of these hospitals provide formula discharge packs?
What proportion of these hospitals have lactation consultants on staff?
What proportion of the hospitals have staff that received training in lactation management in
the last 3 years?
What proportion of these hospitals have any discharge lactating support programs?
What proportion of these hospitals refer pregnant or newly delivered women to your agency?
In what proportion of these hospitals do WIC staff provide education to newly delivered
women in the hospital?
In what proportion of these hospitals are WIC certifications of newly delivered women and
their infants done while in the hospital?
In what proportion of these hospitals does your agency have a local clinic or service delivery
site?
In what proportion of these hospitals are peer counselors allowed access to WIC participants
in this hospital? If most, some, or few/none, report why peer counselors are not
permitted in other hospitals.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m
.
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ALL
MOST
SOME
FEW/
NONE
Circle Changes (if any)
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
All Most Some Few/None
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I2.
When we visited you in [month, year] before the start of the study, your agency was
collaborating , or was planning to collaborate, with the following non-hospital organizations
to implement the Loving Support Peer Counseling Program? [review table below]. Have
there been any changes to these collaborations since the Study Period began? If so, please
describe these changes.
Unchanged?
Organization 1 Name:
Prefilled
Organization 2 Name:
Prefilled
Organization 3 Name:
Prefilled
Changes
(describe)
I3.
Have you formed any new collaborations since the Study Period began? In particular, have
you formed any collaborations with organizations to help you deliver the enhancements to the
Loving Support Peer Counseling Program to women in the treatment group? What have
been the major achievements and major challenges of each new collaboration?
New Collaborations Since the Start of the Study Period
Organization 1 Name:
Organization 2 Name:
Describe the
collaboration
I4.
When we visited you in [month, year] before the start of the study, you indicated that agency
staff and peer counselors [did/did not] encourage pregnant WIC participants or new mothers
to participate in the ―Text4Baby‖ program? Has there been any change in this practice since
the study began?
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Module J: Perception of the Enhancements
J1.
After the study concludes, is your agency planning to offer the enhanced Loving Support peer
counseling services to all WIC participants in peer counseling? Why or why not?
J2.
What changes would you make?
Thank you very much for spending this time with me and for answering these questions. We
appreciate all of the effort and hard work that you and your staff are making to help make this study a
success.
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| File Type | application/pdf |
| File Title | Abt Single-Sided Body Template |
| Author | EpsteinC |
| File Modified | 2011-11-09 |
| File Created | 2011-11-09 |