Attachment T - STREAMS Adult 2nd Follow Up question by question justification

ATTACHMENT T

adult follow-up SURVEY Question BY Question JUSTIFICATION

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QUESTION BY QUESTION SOURCE LIST FOR STREAMS adult SURVEY

This document lists each question on the STREAMS second follow-up survey, along with its source(s). The overall structure of the survey matches the first follow-up survey (previously approved), and both surveys include several of the same questions. New questions added for the second follow-up survey are indicated in the table and justified under the “Additional Information” column.

Second follow-up Q#	Question text	From first follow-up survey	Added to second follow-up survey	Additional information
Section B. Relationship Attitudes and Skills
B1a	A good couple relationship is based on mutual respect.	X		Question B1a from STREAMS first follow-up survey. Original source: Personal Responsibility Education Program (PREP) Multi-Component Evaluation.
B1b	In a good couple relationship, you don’t always get your own way.	X		Question B1b from STREAMS first follow-up survey. Original source: PREP Multi-Component Evaluation.
B1c	Relationships go better if partners make decisions together.	X		Question B1c from STREAMS first follow-up survey. Original source: Recommended by Stanley and Rhoades (experts on adult HMRE programs).
B1d	People are more likely to succeed in their relationships if they take things slowly.	X		Question B1d from STREAMS first follow-up survey. Original source: Recommended by Stanley and Rhoades (experts on adult HMRE programs).
B1e	It is important to know a person well before having sex with them.	X		Question B1e from STREAMS first follow-up survey. Original source: Recommended by Stanley and Rhoades (experts on adult HMRE programs).
B1f	Having a casual sexual relationship with someone is no big deal.	X		Question B1f from STREAMS first follow-up survey. Original source: Recommended by Stanley and Rhoades (experts on adult HMRE programs).
B1g	If you are really in love, you can stop working on your relationship.	X		Question B1g from STREAMS first follow-up survey. Original source: Child Trends 3M Project.
B1h	Ending a bad romantic relationship is a good thing.	X		Question B1h from STREAMS first follow-up survey. Original source: Recommended by Stanley and Rhoades (experts on adult HMRE programs).
B1i	There are times when hitting or pushing between people who are in a couple is okay.	X		Question B1i from STREAMS first follow-up survey. Original source: Acceptance of general dating violence scale (Foshee et al. 1992).
B1j	Violence between partners can improve a couple’s relationship.	X		Question B1j from STREAMS first follow-up survey. Original source: Acceptance of general dating violence scale (Foshee et al. 1992).
B1k	Some couples need to use violence to solve their problems.	X		Question B1k from STREAMS first follow-up survey. Original source: Acceptance of general dating violence scale (Foshee et al. 1992).
B1l	Sometimes violence is the only way to express your feelings.	X		Question B1l from STREAMS first follow-up survey. Original source: Acceptance of general dating violence scale (Foshee et al. 1992).
B1m	Violence in a couple’s relationship is a personal matter and people should not interfere.	X		Question B1m from STREAMS first follow-up survey. Original source: Acceptance of general dating violence scale (Foshee et al. 1992).
B2a	I believe I will be able to effectively deal with conflicts that arise in my relationships.	X		Question B2a from STREAMS first follow-up survey. Original source: Relationship Confidence Subscale, Relationship Deciding Scale (Vennum and Fincham 2011).
B2b	I feel good about my ability to make a romantic relationship last.	X		Question B2b from STREAMS first follow-up survey. Original source: Relationship Confidence Subscale, Relationship Deciding Scale (Vennum and Fincham 2011).
B2c	I can recognize the signs of a violent or unhealthy couple relationship.	X		Question B2c from STREAMS first follow-up survey. Original source: Baylor Evaluation of Active Relationships for Young Adults (ARYA).
B2d	I am very confident when I think of having a stable, long term relationship.	X		Question B2d from STREAMS first follow-up survey. Original source: Relationship Confidence Subscale, Relationship Deciding Scale (Vennum and Fincham 2011).
B2e	I have the skills needed for a lasting stable romantic relationship.	X		Question B2e from STREAMS first follow-up survey. Original source: Relationship Confidence Subscale, Relationship Deciding Scale (Vennum and Fincham 2011).
B2f	I am able to recognize early on the warning signs in a bad relationship	X		Question B2f from STREAMS first follow-up survey. Original source: Warning Signs Subscale, Relationship Deciding Scale (Vennum and Fincham 2011).
B2g	I know what to do when I recognize the warning signs in a bad relationship	X		Question B2g from STREAMS first follow-up survey. Original source: Warning Signs Subscale, Relationship Deciding Scale (Vennum and Fincham 2011).
B3a	Living together is just the same as being married	X		Question B3a from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
B3b	It is better for children if their parents are married	X		Question B3b from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
B4a	Admitting that you might be wrong during an argument.	X		Question B4a from STREAMS first follow-up survey. Original source: Conflict Management Subscale, Interpersonal Competence Questionnaire (Buhrmester et al. 1988).
B4b	Avoiding saying things that could turn a disagreement into a fight.	X		Question B4b from STREAMS first follow-up survey. Original source: Conflict Management Subscale, Interpersonal Competence Questionnaire (Buhrmester et al. 1988).
B4c	Accepting another person’s point of view even if you don’t agree with it.	X		Question B4c from STREAMS first follow-up survey. Original source: Conflict Management Subscale, Interpersonal Competence Questionnaire (Buhrmester et al. 1988).
B4d	Listening to another person’s opinion during a disagreement.	X		Question B4d from STREAMS first follow-up survey. Original source: Conflict Management Subscale, Interpersonal Competence Questionnaire (Buhrmester et al. 1988).
B4e	Working through problems without arguing.	X		Question B4e from STREAMS first follow-up survey. Original source: Conflict Management Subscale, Interpersonal Competence Questionnaire (Buhrmester et al. 1988).
Section C. Current Relationships
C1	When you completed your last survey, you told us you were [engaged to/married to/in a romantic relationship with] [Baseline Partner]. Are you and [Baseline Partner] currently… engaged, married, divorced, separated, or have you never been married to each other?	X		Question C1 from STREAMS first follow-up survey. Original source: Developed for STREAMS.
C2	When are you planning to get married?	X		Question C2 from STREAMS first follow-up survey. Original source: Building Strong Families (BSF) Evaluation.
C3	Which of the following best describes your relationship status?	X		Question C3 from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
C4	When did your relationship with [Baseline Partner] end?	X		Question C4 from STREAMS first follow-up survey. Orignal source: BSF Evaluation.
C5	I am going to read you a list of reasons that people give for why their relationships ended. For each reason, tell me if this is why your relationship with [Baseline Partner ended. Was it because…[LIST OF POTENTIAL REASONS].	X		Question C5 from STREAMS first follow-up survey. Original source: BSF Evaluation.
C6	Do you think it is a good thing for you that you and [Baseline Partner] broke up?	X		Question C6 from STREAMS first follow-up survey. Original source: Parents and Children Together (PACT) Evaluation.
C7	Do you currently live with [Baseline Partner] in the same household… all of the time, most of the time, some of the time, or none of the time?	X		Question C7 from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
C8	How often do you and [Baseline Partner] see or talk to each other?	X		Question C8 from STREAMS first follow-up survey. Original source: BSF Evaluation.
C9	Since [RA DATE], how many romantic partners have you been involved with? [Please include [Baseline Partner.]	X		Question C9 from STREAMS first follow-up. Original source: Developed for STREAMS to measure relationship stability.
C9a	During your last survey, you reported that [Baseline Child Parent or First Follow Up Child Parent] was the biological father of [Baseline Child or First Follow Up Child]. Are you currently involved in a romantic relationship with [Baseline Child Parent or Follow Up Child Parent]?	X		Question D6 from STREAMS first follow-up survey.
C10	On [FUP1 status date], you reported that you were in a romantic relationship with [First Follow Up Partner/a different partner]. Are you currently involved in a romantic relationship with [First Follow Up Partner/that same partner]?		X	Added to gather information on current status of romantic relationship with partner from first follow-up survey. Original source: Developed for STREAMS.
C10a	Are you currently involved in a romantic relationship with someone?	x		Question C10 from STREAMS first follow-up survey. Orignal source: BSF Evaluation.
C11	Just to be able to refer to [him/her] by name in this interview, what is your current partner’s first name?	X		Question C11 from STREAMS first follow-up survey. Original source: PACT Evaluation.
C11a	Is [New Partner] a man or a woman?	X		Question C11a from STREAMS first follow-up survey. Original source: PACT Evaluation.
C12	Are you and [New Partner/ First Follow Up Partner /Baseline Child Parent/First Follow Up Child Parent] currently…engaged, married, divorced, separated, or have you never been married to each other?	X		Question C1 from STREAMS first follow-up survey. Original source: Building Strong Families (BSF) Evaluation.
C13	When [did you/are you planning to] get married?	X		Question C13 from STREAMS first follow-up survey. Original source: Building Strong Families (BSF) Evaluation.
C14	Which of the following best describes your relationship with [New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent]?	X		Question C14 from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
C15	Do you currently live with [New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent] in the same househould… all of the time, most of the time, some of the time, or none of the time?	X		Question C15 from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
C16	Now I would like to ask about how you feel about your relationship with [Baseline Partner/New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent]. On a scale from 0 to 10, where 0 is not at all happy and 10 is completely happy, taking all things together, how happy would you say your relationship with [Baseline Partner/New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent] is?	X		Question C16 from STREAMS first follow-up survey. Original source: BSF Evaluation.
C17	On a scale from 0 to 10, where 0 is not at all committed and 10 is completely committed, how committed are you to your [marriage/relationship] with [Baseline Partner/New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent]?	X		Question C17 from STREAMS first follow-up survey. Original source: PACT Evaluation. Added to measure relationship quality, a potential outcome of relationship education programming.
C18	On a scale from 0 to 10, where 0 is not at all committed and 10 is completely committed, how committed would you say [Baseline Partner/New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent] is to your [marriage/relationship]?	X		Question C18 from STREAMS first follow-up survey. Original source: PACT Evaluation.
C19	I’m going to ask you some questions about [Baseline Partner/New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent]. Tell me whether your strongly agree, agree, disagree, or strongly disagree with the following statements….[LIST OF PARTNER CHARACTERISTICS].	X		Question C19 from STREAMS first follow-up survey. Original source: BSF Evaluation, PACT Evaluation and FaMLE Cross-Site Project. Items C19a: PACT Evaluation Items C19b, d,e,h: FaMLE Cross-Site Project Items C19c, f, g, i, j, k, l: BSF Evaluation
C20	Now I am going to read you some statements about things you and [Baseline Partner/New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent] may experience when you are together. Tell me if this never happens, hardly ever happens, sometimes happens, or often happens….[LIST OF RELATIONSHIP EXPERIENCES].	X		Question C20 from STREAMS first follow-up survey. Original source: BSF Evaluation and FaMLE Cross-Site PPS. Items C20a, c,e,f, I,k,m,n,o BSF Evaluation Items C20b, d, g, h, j, l, FaMLE Cross-Site Project
C21	Since [RA DATE], has [Baseline Partner/New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent] cheated on you with someone else? Would you say…	X		Question C21 from STREAMS first follow-up survey. Original source: PACT Evaluation.
C22	Since [RA DATE], have you cheated on [Baseline Partner/New Partner/First Follow Up Partner/Baseline Child Parent/First Follow Up Child Parent] with someone else?	X		Question C22 from STREAMS first follow-upsurvey. Original source: PACT Evaluation.
C23a – C23d	In the past year, did any romantic partner you’ve been involved with ever [LIST OF BEHAVIORS]. In the past year, did this happen once, twice, 3 to 5 times, 6 to 10 times, 11 to 20 times, more than 20 times.	X		Question C24a-C24d from STREAMS first follow-up survey. Original source: Supporting Healthy Marriages (SHM) Evaluation.
C23e – C23f **** SEE NOTE ON PAGE T-11	CTS2S 10 and CTS2S 12. In the past year, did this happen once, twice, 3 to 5 times, 6 to 10 times, 11 to 20 times, more than 20 times.	X		Question C24e-C23f from STREAMS first follow-up survey. Original source: Short form of the Revised Conflict Tactics Scale.
C23g	In the past year, did any romantic partner you’ve been involved with ever use threats or force to make you have sex or do sexual things you didn’t want to do? In the past year, did this happen once, twice, 3 to 5 times, 6 to 10 times, 11 to 20 times, more than 20 times.	x		Question C24g from STREAMS first follow-up survey. Original Source: BSF Evaluation.
C24	In the past year, have you sought professional help when your partner [LIST OF BEHAVIORS]?		X	Developed for STREAMS. Added as a measure of help-seeking for domestic violence, a potential outcome of relationship education programming.
C25	In the past year, did you need to see a doctor because of a fight with a romantic partner? In the past year, did this happen once, twice, 3 to 5 times, 6 to 10 times, 11 to 20 times, more than 20 times.	X		Question C25 from STREAMS first follow-up survey. Original source: BSF Evaluation.
C26	In the past year, did this happen…once, twice, 3 to 5 times, 6 to 10 times, 11 to 20 times, or more than 20 times?	X		Question C26 from STREAMS first follow-up survey. Original source: PACT Evaluation.
C27 – C28 **** SEE NOTE ON PAGE T-11	CTS2S 9. In the past year, did this happen once, twice, 3 to 5 times, 6 to 10 times, 11 to 20 times, more than 20 times.	X		Question C27-C28 from STREAMS first follow-up survey. Original source: Short form of the Revised Conflict Tactics Scale.
C29 – C30 **** SEE NOTE BELOW	CTS2S 11. In the past year, did this happen once, twice, 3 to 5 times, 6 to 10 times, 11 to 20 times, more than 20 times.	X		Question C29-C30 from STREAMS first follow-up survey. Original source: Short form of the Revised Conflict Tactics Scale.
** NOTE: The specific wording of items C24e, C25f, C27, C28, C29, C30 is not shown in the table because the material is from the Conflict Tactics Scale copyright © 2003 by Western Psychological Services. Authorized research translation reprinted by S. Marsh, Mathematica Policy Research, for specific, limited research use under license of the publisher, WPS, 625 Alaska Avenue, Torrance, California, 90503, U.S.A. ([email protected]). No additional reproduction, in whole or in part, by any medium or for any purpose, may be made without the prior written authorization of WPS. All rights reserved.
Section D. Children
D1	Now I have some questions about children you may have had since [RA DATE]. Our records indicate that you were expecting a baby around [Baseline Child Expected Date]. Did you have a baby around that time?	X		Question D1 from STREAMS first follow-up survey. Original source: BSF Evaluation.
D1a	For the baby you were expecting on [BL CHILD EXPECTED DATE], what date was the baby born?	X		Question D1a from STREAMS first follow-up survey. Original source: BSF Evaluation.
D2	How many babies did you have on [Child Birthdate]?	X		Question D2 from STREAMS first follow-up survey. Original source: Modified from BSF Evaluation.
D3	[Thinking of the youngest baby you had on [BIRTHDATE],] What is the baby’s first name?	X		Question D3 from STREAMS first follow-up survey. Original source: Modified from BSF Evaluation.
D4	Is [Child] a boy or a girl?	X		Question D4 from STREAMS first follow-up survey. Original source: PACT Evaluation.
D5	Now I’d like to ask you some questions about your child, [Baseline Child/First Follow Up Child, Second Follow Up Child] who was born on [BIRTHDATE]. Does [Baseline Child/First Follow Up Child/Second Follow Up Child] live with you all of the time, most of the time, some of the time, or none of the time?	X		Question D5 from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
D5a	Have you had in-person contact with [Baseline Child/First Follow Up Child, Second Follow Up Child] who was born on [BIRTHDATE] in the past month?		X	Source: Developed for STREAMS. Added to facilitate subsequent questions about children.
D6	The next questions are about things you may have done with [Baseline Child/First Follow Up Child/Second Follow Up Child] in the past month. In the past month, with how often have you [LIST ACTIVITIES]? Was it more than once a day, about once a day, a few times a week, a few times amonth, rarely, or not at all. [LIST ACTIVITIES]		X	Added to measure mothers’ engagement in activities with her child. Source: BSF Evaluation.
D7	The next questions are about times you have spent with [Baseline Child/First Follow Up Child/Second Follow Up Child] in the past month. In the past month, how often would you say that [LIST ACTIVITIES]? Is that often, sometimes, rarely, or never.		X	Added to measure maternal warmth. Source: BSF Evaluation.
D8	In general, would you say [Baseline Child/First Follow Up Child/Second Follow Up Child]’s health is excellent, very good, fair, or poor?		X	Added to measure perceptions of child’s overall health. Source: BSF Evaluation.
D9	In the past month did [Baseline Child/First Follow Up Child/Second Follow Up Child] have a cold, flu, or fever that limited [his/her] ability to participate in [his/her] usual activities?		X	Added to measure impact of children’s health on activity level. Source: BSF Evaluation.
D10	How well does [LIST CHARACTERISTICS] describe [Baseline Child/First Follow Up Child/Second Follow Up Child] in the past month?		X	Added to measure children’s social and emotional development. Source: Brief Infant Toddler Socio-Emotional Assessment (BITSEA).
D10a	The following questions are about feelings and behaviors that can be problems for young children. For each statement, please mark the answer that best describes [Baseline Child/First Follow Up Child/Second Follow Up Child] in the past month.		X	Added to measure children’s social and emotional development. Source: Brief Infant Toddler Socio-Emotional Assessment (BITSEA).
D11	When you completed your last survey, you told us that [Baseline Partner/ First Follow Up Child Parent/Baseline Child Parent] was the biological father of [Baseline Child/First Follow Up Child/Second Follow Up Child]. Is that right?	X		Question D6 from STREAMS first follow-up survey. Original source: Developed for STREAMS.
D11a	Is [First Follow Up Partner/New Partner] the biological father of [Baseline Child/First Follow Up Child/Second Follow Up Child]?		X	Source: Developed for STREAMS. Added to facilitate subsequent questions about co-parenting.
D12	I’d now like to ask some questions about [Baseline Child/First Follow Up Child/Second Follow Up Child]’s biological father. So I can ask a few questions about him, what is [Baseline Child/First Follow Up Child/Second Follow Up Child]’s father’s name?	X		Question D6a from STREAMS first follow-up survey. Original source: Developed for STREAMS.
D13	Does [Father] live in the same household with [Baseline Child/First Follow Up Child/Second Follow Up Child]… all of the time, most of the time, some of the time, or none of the time?	X		Question D12 from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
D14	In the past month, how often has [Father] spent one or more hours a day with [Child]?	X		Question D8 from STREAMS first follow-up survey. Original Source: BSF Evaluation.
D14a	Has [Father] seen [Child] in the past month?		X	Developed for STREAMS. Added to facilitate questions about fathers’ engagement in activities with child.
D14b	How many times in the past month would you say [Father] has participated in the [LIST ACTIVITIES]? Was it more than once a day, about once a day, a few times a week, a few times a month, rarely, or not at all?		X	Added to measure father engagement in activities with child. Source: BSF Evaluation.
D15	Now I’d like you to think about all the expenses associated with raising [Baseline Child/First Follow Up Child/Second Follow Up Child] such as his/her food, clothing, medical expenses, diapers, and any other costs of raising him/her. How much of the cost of raising [Baseline Child/First Follow Up Child/Second Follow Up Child] does [Father] cover? Would you say its… all or almost half, more than half, about half, less than half, or little or none?	X		Question D4a from STREAMS first follow-up survey. Original source BSF Evaluation.
D16 **** SEE NOTE BELOW	PAM 13, 4, 18, 14, 11, 10, 3, 5, 6, and 7. For each statement, please answer if overall you strongly agree, agree, disagree, or strongly disagree. [STATEMENTS].	X		Questions D10 from STREAMS first follow-up. Original source: Parenting Alliance Measure (PAM).
D17	To the best of your knowledge, since [RA DATE], have you been pregnant [again], even if no child was born?	X		Question D11 from STREAMS first follow-up survey. Original source: Evaluation of Adolescent Pregnancy Prevention Approaches (PPA) Project.
D18	Since [RA DATE], how many times have you been pregnant?	X		Question D12 from STREAMS first follow-up survey. Original source: PPA Project.
D19	[Let’s talk about the most recent pregnancy.] Right before the pregnancy, did you want to have a baby?	X		Question D13 from STREAMS first follow-up survey. Original source: PACT Evaluation.
D20	Would you say this pregnancy came sooner than you wanted, at about the right time, or later than you wanted?	X		Question D14 from STREAMS first follow-up survey. Original source: PACT Evaluation.
D21	Are you currently pregnant?		X	Developed for STREAMS. Added to measure pregnancy status, a potential outcome of relationship education programming.
D22	Are you sexually active?		X	Developed for STREAMS. Added to measure engagement in sex, a potential outcome of relationship education programming.
D23	Are you currently trying to get pregnant?		X	Developed for STREAMS. Added to capture attempts to conceive, a potential outcome of relationship education programming.
D24	What kind of birth control are you using?		X	Source: Developed for STREAMS. Added to measure birth control practices, a potential outcome of relationship education programming.
**NOTE: The specific wording of item D16 is not shown in the table because the item is adapted and reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc., 16204 North Florida Avenue, Lutz, Florida 33549, from the Parenting Alliance Measure by Richard Abidin, EdD and Timothy R Konold, PhD, Copyright 1999 by PAR, Inc. Further reproduction is prohibited without permission by PAR, Inc.
Section E. Employment and Finances
E1	Are you currently working for pay?		X	Source: National Child Support Noncustodial Parent Employment Demonstration (CSPED) Evaluation. Added to measure employment status, a potential outcome of relationship education programming.
E2	In the past month, have you or anyone in your household received any income from [LIST OF POTENTIAL SOURCES]	X		Question E1 from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project. Modified to remove some income sources.
E3	Since [RA DATE], did you do any of the following because you didn’t have enough money? [LIST OF MATERIAL HARDSHIPS.]	X		Question E22 from STREAMS first follow-up. Original source: CSPED Evaluation. Modified to remove some material hardships.
Section F. Well Being
F1	In general, how would you describe your health? Would you say it is excellent, very good, good, fair, or poor?	X		Question F1 from STREAMS first follow-up survey. Original source: FaMLE Cross-Site Project.
F2	Now, I’m going to read you a list of ways you might have felt in the past month about being a parent. During the past month, how often have you [LIST QUESTIONS] . Was it all of the time, most of the time, some of the time, or none of the time?		X	Added to measure parental stress and frustration, a potential outcome of relationship education programming. Source: BSF Evaluation.
F3	Over the last two weeks, how often have you been bothered by any of the following problems? Would you say that the problem happened not at all, several days, more than half the days, or nearly every day? [LIST OF PROBLEMS.[	X		Question F2 from STREAMS first follow-up survey. Original source: Patient Health Questionnaire (PHQ-8).
F4	In the past year, how many day have you had 4 or more drinks of alcohol in one day?		X	Added to measure alcohol consumption, a potential outcome of relationship education programming. Source: BSF Evaluation. Modified for STREAMS.

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