Evaluation Questions by Instrument

Att 39 Evaluation questions by instrument.xlsx

National Network of Sexually Transmitted Disease Clinical Prevention Traning Centers (NNPTC)

Evaluation Questions by Instrument

OMB: 0920-0995

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NUMBER QUESTION TYPE RATIONALE Intensive Complete POST Course Evaluation
Intensive Complete Long-Term Evaluation Intensive Didactic Post-Course Evaluation
Intensive Didactic Long-Term Evaluation Practicum Post-Course Evaluation
Practicum Long-Term Evaluation Wet Mount Post-Course Evaluation
Wet Mount Long-Term Evaluation STD Treatment Guidelines Complete Post-Course Evaluation
STD Treatment Guidelines Complete Long-Term Evaluation STD Treatment Guidelines Short Post-Course Evaluation
Condensed STD Treatment Short Long-Term Evaluation Basic Post-Course Evaluation
Basic Long-Term Evaluation



POST LT POST LT POST LT POST LT POST LT POST LT POST LT
1 scale satisfaction S1

S1

S1

S1

S1

S1

S1

2 scale satisfaction S2

S2

S2

S2

S2

S2

S2

3 scale satisfaction S3

S3

S3

S3

S3

S3

S3

4 scale satisfaction S4

S4

S4

S4

S4

S4

S4

5 open response satisfaction S5

S5

S5

S5

S5




S5

6 open response satisfaction














S6




7 multiple choice continuing education CE1

CE1

CE1

CE1

CE1

CE1

CE1

8 multiple choice continuing education CE2

CE2

CE2

CE2

CE2

CE2

CE2

9 multiple choice continuing education CE3a

CE3a

CE3a

CE3a

CE3a

CE3a




10 open response continuing education CE3b

CE3b

CE3b

CE3b

CE3b

CE3b




11 multiple choice intention to change practice A1
A1f A1
A1f A1
A1f A1
A1f A1
A1f


A1
A1f
12 open response intention to change practice A2
A2f A2
A2f A2
A2f A2
A2f A2
A2f


A2
A2f
13 multiple choice intention to change practice

A3f

A3f

A3f

A3f

A3f A3



A3f
14 open response intention to change practice

A4f

A4f

A4f

A4f

A4f




A4f
15 multiple choice intention to change practice

A5f

A5f

A5f

A5f

A5f




A5f
16 multiple choice intention to change practice

A6f

A6f

A6f

A6f

A6f

A6f


17 multiple choice intention to change practice

A7f

A7f

A7f




A7f

A7f


18 multiple choice intention to change practice
















A8f


19 multiple choice STD guidelines use

UseGuideF

UseGuideF

UseGuideF

UseGuideF

UseGuideF

UseGuideF

UseGuideF
20 scale confidence-chlamydia LOC1bef LOC1aft
LOC1bef LOC1aft















21 scale confidence-chlamydia LOC2bef LOC2aft
LOC2bef LOC2aft






LOC2bef LOC2aft






22 scale confidence-chlamydia LOC3bef LOC3aft
LOC3bef LOC3aft















23 scale confidence-chlamydia LOC4bef LOC4aft
LOC4bef LOC4aft






LOC4bef LOC4aft






24 multiple choice knowledge check-chlamydia KC1

KC1







KC1







25 multiple choice knowledge check-chlamydia KC2

KC2







KC2







26 scale patient population-chlamydia PPC1bef PPC1aft PPC1f PPC1bef PPC1aft PPC1f





PPC1bef PPC1aft PPC1f





27 scale patient population-chlamydia PPC2bef PPC2aft PPC2f PPC2bef PPC2aft PPC2f














28 scale confidence-gonorrhea LOG1bef LOG1aft
LOG1bef LOG1aft















29 scale confidence-gonorrhea LOG2bef LOG2aft
LOG2bef LOG2aft






LOG2bef LOG2aft






30 scale confidence-gonorrhea LOG3 bef LOG3aft
LOG3 bef LOG3aft















31 scale confidence-gonorrhea LOG4bef LOG4aft
LOG4bef LOG4aft






LOG4bef LOG4aft






32 multiple choice knowledge check-gonorrhea KG1

KG1







KG1



KG1f


33 multiple choice knowledge check-gonorrhea KG2

KG2







KG2







34 scale patient population-gonorrhea PPG1bef PPG1aft PPG1f PPG1bef PPG1aft PPG1f





PPG1bef PPG1aft PPG1f





35 scale patient population-gonorrhea PPG2bef PPG2aft PPG2f PPG2bef PPG2aft PPG2f














36 scale patient population-gonorrhea PPG3bef PPG3aft PPG23f PPG3bef PPG3aft PPG23f





PPG3bef PPG3aft PPG23f





37 scale confidence-syphilis LOS1bef LOS1aft
LOS1bef LOS1aft















38 scale confidence-syphilis LOS2bef LOS2aft
LOS2bef LOS2aft






LOS2bef LOS2aft






39 scale confidence-syphilis LOS3bef LOS3aft
LOS3bef LOS3aft






LOS3bef LOS3aft






40 scale confidence-syphilis LOS4bef LOS4aft
LOS4bef LOS4aft






LOS4bef LOS4aft






41 multiple choice knowledge check-syphilis KS1

KS1







KS1







42 scale patient population-syphilis PPS1bef PPS1aft PPS1f PPS1bef PPS1aft PPS1f





PPS1bef PPS1aft PPS1f





43 scale patient population-syphilis PPS2bef PPS2aft
PPS2bef PPS2aft






PPS2bef PPS2aft






44 scale patient population-syphilis PPS3bef PPS3aft PPS3f PPS3bef PPS3aft PPS3f





PPS3bef PPS3aft PPS3f





45 scale confidence-HPV LOHPV1bef LOHPV1aft
LOHPV1bef LOHPV1aft















46 scale confidence-HPV LOHPV2bef LOHPV2aft
LOHPV2bef LOHPV2aft















47 scale confidence-HPV LOHPV3bef LOHPV3aft
LOHPV3bef LOHPV3aft















48 scale confidence-HPV LOHPV4bef LOHPV4aft
LOHPV4bef LOHPV4aft















49 scale patient population-HPV PPHPV1bef PPHPV1aft PPHPV1f PPHPV1bef PPHPV1aft PPHPV1f














50 scale patient population-HPV PPHPV2bef PPHPV2aft PPHPV2f PPHPV2bef PPHPV2aft PPHPV2f














51 scale patient population-HPV PPHPV3bef PPHPV3aft PPHPV3f PPHPV3bef PPHPV3aft PPHPV3f














52 scale confidence-sexual history LOSH1bef LOSH1aft
LOSH1bef LOSH1aft















53 scale confidence-sexual history LOSH2bef LOSH2aft
LOSH2bef LOSH2aft















54 scale patient population-sexual history PPSH1bef PPSH1aft PPSH1f PPSH1bef PPSH1aft PPSH1f







PPSH1f





55 scale patient population-sexual history PPSH2bef PPSH2aft PPSH2f PPSH2bef PPSH2aft PPSH2f







PPSH2f





56 multiple choice expedited partner therapy EPT
EPTf EPT
EPTf





EPT
EPTf EPT




57 scale skills SK1bef SK1aft


















58 scale skills SK2bef SK2aft



SK2bef SK2aft












59 scale skills SK3bef SK3aft



SK3bef SK3aft












60 scale skills SK4bef SK4aft



SK4bef SK4aft












61 scale skills SK5bef SK5aft



SK5bef SK5aft












62 scale skills SK6bef SK6aft



SK6bef SK6aft












63 scale skills SK7bef SK7aft



SK7bef SK7aft












64 multiple choice short guidelines














SGCH1




65 multiple choice short guidelines

SGCH2f

SGCH2f







SGCH2f SGCH2
SGCH2f


66 multiple choice short guidelines














SGCH3
SGCH3f


67 multiple choice short guidelines














SGCH4
SGCH4f


68 multiple choice short guidelines

SGCH5f

SGCH5f







SGCH5f SGCH5
SGCH5f


69 multiple choice short guidelines

SGCH6f

SGCH6f







SGCH6f SGCH6
SGCH6f


70 multiple choice short guidelines

SGCH7f

SGCH7f







SGCH7f

SGCH7f


71 multiple choice short guidelines

SGCH8f

SGCH8f







SGCH8f

SGCH8f


72 multiple choice short guidelines
















SGCH9f


73 multiple choice knowledge check-general

KSG1f

KSG1f







KSG1f KSG1
KSG1f


74 multiple choice knowledge check-general

KSG2f

KSG2f







KSG2f KSG2
KSG2f


75 multiple choice knowledge check-general

KSG3f

KSG3f







KSG3f KSG3




76 scale confidence-wet mount








LOWM1bef LOWM1aft









77 scale confidence-wet mount








LOWM2bef LOWM2aft









78 scale confidence-wet mount








LOWM3bef LOWM3aft









79 multiple choice knowledge check-wet mount








KWM1










80 scale knowledge check-general

















K1bef K1aft
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