Revised - Formative Research to Develop Educational Materials for Parents, Caregivers, and Child Care Providers of Children Ages 2-5 (SLT)

Attachment C: Screener: Child Care Provider (English)

Page 8

OMB# 0584-0524

Exp: 09/30/2019

Attachment C: Screener: Child Care Provider (English)

OMB BURDEN STATEMENT 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 0584-0524. The time required to complete this information collection is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

BACKGROUND (DO NOT READ TO RECRUITEES)

We are recruiting child care providers within Bronx County, New York, Miami-Dade County, Florida and Gwinnett County, Georgia who are employed by or operate child care sites that participate in the Child and Adult Care Food Program (CACFP). The in-depth interview (IDI) research we are recruiting for is intended to provide comprehensive feedback on the messaging, format, and images of the Nibbles for Health newsletters and Nutrition and Wellness Tips for Young Children: Provider Handbook for the Child and Adult Care Food Program (CACFP) materials (herein referred to as “Newsletters” and “Handbook,” respectively).

We aim to achieve a mix of IDIs with providers from both child care centers and family child care homes that participate in the CACFP. Interviews will be further segmented by language (English or Spanish) in each market.

RECRUIT AT LEAST ONE RESPONDENT PER CHILD CARE SITE

Table 1: IDI Research Details for Providers

PROPOSED LOCATION (County/State)
	Bronx/NY	Miami-Dade/FL	Gwinnett/GA	Total
IDIs of providers
English	3	3	3	9
Spanish	1	1	1	3*
Total	4	4	4	12
*soft quota

START READING SCRIPT HERE:

Hello, my name is ________ from _______. We are looking for people to participate in a

one-on-one interview related to children’s health sponsored by the U.S. Department of Agriculture/Food and Nutrition Service. The interview will take approximately 1 hour and will be held in person on __________ and _________ ^­­­­­­at the child care facility or home where you work. Stipend for Participation: The site will receive $300 in the form of a Visa or MasterCard gift card to show our appreciation for your participation in this important study.

1.	First, when was the last time you participated in a research study? This includes online surveys, telephone surveys, etc.
		Within the past 6 months	TERMINATE
		7 to 12 months ago	ASK Q2
		Never	SKIP TO Q3

2.	What was the topic of the discussion that you participated in? RECORD ANSWER __________________ TERMINATE IF CHILDCARE, NUTRITION, OR HEALTHCARE

3.	Does anyone in your household or immediate family work in nutrition, public health, or dietetics?
		YES		TERMINATE
		NO

4. Does the family child care home or center where you work participate in the Child and Adult Care Food Program (CACFP)?

	YES		CONTINUE
	NO		TERMINATE
	Don’t Know		(IF CAN’T GET RELIABLE THIRD-PARTY CONFIRMATION, TERMINATE)

5. How would you describe your role at the child care center or family child care home where you work?

	Director		SKIP TO Q. 9
	Child Care Provider or Teacher		CONTINUE TO Q. 6 (SOFT QUOTA OF ONE IN EACH MARKET)
	Meal Planning or Kitchen Staff		SKIP TO Q. 9 (SOFT QUOTA OF ONE IN EACH MARKET)
	Other		TERMINATE

6. Do you care for at least one child between the ages of 2 and 5?

	YES
	NO	TERMINATE

7. How many children in this age range are you typically responsible for in a day? ____

8. Which category(s) describes the age of the child/children you care for?

MULTIPLE RESPONSES POSSIBLE

• Age 2 SOFT QUOTA 1 PER GEOGRAPHY

• Age 3-4 SOFT QUOTA 1 PER GEOGRAPHY

• Age 5

9. Do you work for a home-based family child care site or a center-based child care site?

Family Child Care Home Child Care Center			CONTINUE (AT LEAST 1 IDI PER MARKET) CONTINUE

10.	What is the last grade of school you completed? (READ LIST)
		Less than High School	CONTINUE
		High School	CONTINUE
		Vocational school/Technical school	CONTINUE
		Some College	CONTINUE
		College	CONTINUE
		Post-graduate degree	CONTINUE
		Refused/NA	TERMINATE

11.	Which of the following groups includes your age? (READ LIST)
		Under 18	TERMINATE
		18 to 35	CONTINUE
		36 to 45	CONTINUE
		46 to 55	CONTINUE
		56 or older	CONTINUE
Refused/NA			TERMINATE

12. Please confirm the gender with which you identify (READ LIST):

• Male SOFT QUOTA OF 1 PER STUDY

• Female

• Other (please specify: _____________________)

13A.		Which of the following best describes your ethnicity? (READ LIST)
			Hispanic or Latino	CONTINUE
			Not Hispanic or Latino	CONTINUE

13B. What describes your race?

	American Indian or Alaskan Native
	Asian
	Black or African American
	Native Hawaiian or Other Pacific Islander
	White or Caucasian

13C.

Is Spanish your primary language?

Yes

RECRUIT 1 IDI in Bronx, NY; 1 IDI for Miami-Dade, FL; and 1 IDI for Gwinnett, GA.

No

RECRUIT 3 IDI in Bronx, NY; 3 IDI for

Miami-Dade, FL; and 3 IDI for Gwinnett, GA.

14.	We would like you to participate in a one-on-one interview on children’s nutrition. The interview will be held in person on _________and ___________AM/___PM at the child care site where you work. It will take approximately 1 hour.
		Would you like to attend?
		Yes	CONTINUE AND RECRUIT
		No	TERMINATE AND THANK

Name: _____________________________________________

Address: _____________________________________________

City: _________________ State: _________ Zip: _________

Telephone: ____________________________________________

E-mail: ____________________________________________

CIRCLE ONE:

DATE: _____________ ____AM or ____ PM

GEOGRAPHY (CIRCLE ONE):

Bronx Gwinnett Miami-Dade