SAMHSA Grantees Survey

Applicability and Use of The Community Guide among SAMHSA
Grantees

Form Approved
OMB No. 0920-0974
Expiration Date: 10/31/2019

The Community Guide is a free resource to help choose
evidence-based interventions that could be used to improve
health and prevent disease in your community. The purpose of
this survey is to gather baseline data to assess your level of
awareness and use of The Community Guide. Please do not
forward this email and only complete this survey
once. The survey should take no longer than 15 minutes.
Thank you in advance for your participation.

The public reporting burden of this collection of information is estimated to average 15 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. An agency may
not conduct or sponsor, and a person is not required to respond to a collection of information unless it
displays a currently valid OMB control number. Send comments regarding this burden estimate or any other
aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR
Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-0974).

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 1. Have you heard of The Guide to Community Preventive Services, otherwise known as The
Community Guide? *www.thecommunityguide.org
Yes
No
Not Sure

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 2. How did you learn about The Community Guide?
Academic institution
Colleague
Conference/Annual Meeting
Media
Publication/Report
The Community Guide website
The CDC website
Task Force meeting
Training/workshop
Other (please specify)

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 3. Do you use The Community Guide in your work?
Yes, often
Yes, sometimes
No
I'm not sure

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 4. Do you use The Community Guide for any of the following? (Select all that apply.)
Foster dialogue about public health challenges and effective solutions
Mobilize communities to address public health
Inform research priorities
Educate about the systematic review process and evidence-based public health
Evaluate programs, services, and policies
Establish priorities for seeking or using financial resources
Develop overall program strategy
Plan individual evidence-based interventions
Justify existing programs
I do not use The Community Guide for the specified purposes
Other (please specify)

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 5. Have you used The Community Guide for work involving any of the following topics? (Please
check all that apply.)
Adolescent health

Motor vehicle injury

Alcohol (excessive consumption)

Nutrition

Asthma

Obesity

Birth defects

Oral health

Cancer

Physical activity

Cardiovascular disease

Social environment

Diabetes

Tobacco

Emergency preparedness

Vaccination

Health communication

Violence

Health equity

Worksite

HIV/AIDS, STIs, Pregnancy

I don't know

Mental health

No, I have not used The Community Guide

Other (please specify)

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 6. For the following question, please refer to the most recent task you worked on that used
information from The Community Guide. Please check all answers that apply.
My work was aimed at influencing change in a(n)...
Individual
Program
Policy
Organization
Community
Other (please specify)

* 7. For the following question, please refer to the most recent task you worked on that used
information from The Community Guide. Please check all answers that apply.
My work was aimed at changing...
Attitudes
Behaviors
Knowledge
Policy
Skills
Other (please specify)

* 8. Based on your answers from Questions 6 and 7, please provide a brief explanation of the aims of
your work (e.g. overall research question, target audience, goals).

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 9. For the following question, please refer to the most recent task you worked on that used
information from The Community Guide. Please indicate how much you agree or disagree with each
of the following statements.
The Community Guide information contributed to a change in...
Strongly
disagree

Disagree

Neither agree
nor disagree

Agree

Strongly
agree

N/A

My knowledge of
the health issue.
My attitudes/beliefs
about the health
issue.
Actions I took to
address the health
issue.

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 10. Overall, how much of an impact did The Community Guide information have on your work?
High impact
Some impact
No impact

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 11. Have you ever encouraged others to use The Community Guide?
Yes
No

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 12. Who have you encouraged to use The Community Guide? Please check all that apply.
Colleague(s)
Supervisor(s)
People who work for me
Grantee(s)
Student(s)
Practitioner(s) in the field
General community
Other (please specify)

* 13. Why did you encourage others to use The Community Guide? Please check all that apply.
The Community Guide summarizes relevant studies to show what works.
The Community Guide helps ensure that resources are applied effectively.
The Community Guide is comprehensive.
The Community Guide contains recommendations based on evidence that is objective.
The Community Guide is a credible source.
Other (please specify)

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 14. Do you know what a Community Guide in Action story is?
Yes
No

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Applicability and Use of The Community Guide among SAMHSA
Grantees

* 15. How could the Community Guide Branch increase visibility of Community Guide in Action
stories?

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Applicability and Use of The Community Guide among SAMHSA
Grantees

Community Guide in Action stories give examples of how The Community Guide has been successfully
used to improve health in communities across the country.

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Applicability and Use of The Community Guide among SAMHSA
Grantees

Thank you for completing the survey!
Community Guide in Action stories give examples of how The Community Guide has been successfully
used to improve health in communities across the country. Do you have a Community Guide in Action story
that you would like to share with us? If yes, please visit our website for more details about story submission
https://www.thecommunityguide.org/stories.
Click "Next" to End the Survey.

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Applicability and Use of The Community Guide among SAMHSA
Grantees

At this time you are not eligible to participate in this survey. Please visit The Community Guide
to learn more about how it could be useful to you and the community you serve. Thank you!

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