Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix F)

CB Evaluation: Regional Partnership Grants (RPG) National Cross-Site Evaluation and Evaluation Technical Assistance [Implementation/descriptive study and Outcomes/Impact analyses]

Appendix F_Standardized Instruments_for Outcome and Impact Data

Outcomes and impacts data - Standardized instruments: Review records and submit (Appendix F)

OMB: 0970-0527

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APPENDIX F

Standardized instruments for outcome and impact analysis

Summary of RPG Cross-Site Evaluation Standardized Instruments

Domain

Standardized Instrument

Recommended Age Range for Focal Child

Administration

Time-point

Child well-being

(Administer only one instrument)1

Child-Behavior Checklist

(Two forms -CBCL Preschool Form/1.5-5 years; CBCL School-Age Form 6-18 years)

1.5-18 years

Baseline and

Program Exit

Infant-Toddler Sensory Profile

(Two forms - ITSP 0-6 months, ITSP 7-36 months)

0-36 months

Baseline

Program Exit2

Family functioning

Adult Adolescent Parenting Inventory (AAPI-2)

0-18 years

Baseline (Form A);

Program Exit (Form B)

Center for Epidemiologic Studies Depression Scale

(CES-D)

Baseline and

Program Exit

Recovery

Addiction Severity Index Self-Report (ASI-SR; alcohol and drug use subscales only)

Baseline and

Program Exit

Trauma Symptoms Checklist 40

(TSC-40; Optional)

Optional at Baseline and Program Exit

Total

Up to 5 instruments for each family







References for Standardized Instruments for the Outcomes and Impact Analysis

  1. Addiction Severity Index, Self-Report Form (McLellon et al. 1992)

    1. McLellan, A.T., H. Kushner, D. Metzger, R. Peters, I. Smith, G. Grissom, H. Pettinati, and M. Argeriou. “The Fifth Addition of the Addiction Severity Index.” Journal of Substance Abuse Treatment, vol. 9, 1992, pp. 199-213

  2. Adult-Adolescent Parenting Inventory (Bavolek and Keene 1999)

    1. Bavolek, S.J., and R.G. Keene. Adult-Adolescent Parenting Inventory – AAPI-2: Administration and Developmental Handbook. Park City, UT: Family Development Resources, Inc., 1999.

  3. Center for Epidemiologic Studies-Depression Scale, 12-Item Short Form (Radloff 1977)

    1. Radloff, L.S. “The CES-D Scale: A Self-Report Depression Scale for Research in the General Population.” Applied Psychological Measurement, vol. 1, 1977, pp. 385–401.

  4. Child Behavior Checklist-Preschool Form (Achenbach and Rescorla 2000)

    1. Achenbach, T.M., and L.A. Rescorla. Manual for the ASEBA Preschool Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families, 2000.

  5. Child Behavior Checklist-School-Age Form (Achenbach and Rescorla 2001)

    1. Achenbach, T.M., and L.A. Rescorla. Manual for the ASEBA School-Age Forms & Profiles. Burlington, VT: University of Vermont, Research Center for Children, Youth, & Families, 2001.

  6. Infant-Toddler Sensory Profile (Dunn 2002)

    1. Dunn, W. The Infant/Toddler Sensory Profile Manual. San Antonio, TX: The Psychological Corporation, 2002.

  7. Trauma Symptoms Checklist-40 (Briere and Runtz 1989)

    1. Briere, J., and M. Runtz. “The Trauma Symptom Checklist (TSC-33): Early Data on a New Scale.” Journal of Interpersonal Violence, vol. 4, 1989, pp. 151-163.




1 Grantees will ask each family to complete only one child well-being instrument, depending on the focal child’s age.

2 If the child is 18 months or older at baseline, the age-appropriate form of the CBCL should be administered at both baseline and program exit. If the child is under 18 months at baseline, the age-appropriate form of the ITSP should be administered at both baseline and program exit.

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