Appendix E. Group activity observation guide
OMB No. 0584-[NEW]
Survey of Supplemental Nutrition Assistance Program (SNAP) Employment and Training (E&T) Case Management
Project Officer: Kristen Corey
Office of Policy Support
Food and Nutrition Service
U.S. Department of Agriculture
1320 Braddock Place
Alexandria, VA 22314
Use this form when you are observing group activities. Use a different form for each group activity observation you are conducting.
[Note to site visitor – At the beginning of the group activity, introduce yourself to the group, explain the purpose of the observation, and obtain verbal consent:]
My name is [NAME] and I am from a company called [Mathematica/SPR], which is a [describe organization]. We were hired by the Food and Nutrition Service at the U.S. Department of Agriculture to help conduct a study on SNAP E&T case management. With your verbal consent, we would like to observe this activity in order to create research findings that can help improve the program for future participants. We are not evaluating this activity, just observing it to learn more about available program services. We will not collect your name or any personal information about you during the observation. No information will be reported in any way that can identify you, except as otherwise required by law. Do you have any questions?
[Respond to any questions from the group.]
Do you consent to have me observe your meeting?
[If any group member says no:] Okay, thank you for your consideration. [Site visitor should leave the activity space.]
[If yes:] Great, thank you!
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-xxxx.
The time required to complete this information collection is
estimated to average 60 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. Send comments regarding this burden
estimate or any other aspect of this collection of information,
including suggestions for reducing this burden, to the following
address: U.S. Department of Agriculture, Food and Nutrition
Services, Office of Policy Support, 1320 Braddock Place, Alexandria,
VA 22314, ATTN: PRA (0584-xxxx). Do not return the completed form
to this address.
Date: _______________ Site visitor: __________________________________________
Start time: _________ End time: ____________ Full activity observed: Y/N
Site Name: _________________________________________________________________
Purpose of activity:
SNAP E&T
Orientation. Specify: ______________________________________________
Assessment. Specify: ________________________________________________________
General career counseling/job search assistance (not specifically training related). Specify: ___________________________________________________________________________
Work placement assistance (e.g., internship, community service). Specify:
___________________________________________________________________________
Training. Specify:
____________________________________________________________________________
Other. Specify:
____________________________________________________________________________
Physical setting for the activity (type of space, privacy, comfort, how the staff and participants are positioned in the room):
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Is the setting appropriate for
the nature of the activity (e.g., sufficient privacy, enough space,
etc.)? Y/N
Why/why not?
_________________________________________________________________
Were there distractions during the activity (e.g., office noises, children present)? Y/N
Notes during the activity
How many participants are present? ___________________________________________
Describe the participants (e.g., approximate ages, ethnicities, and gender) [Note: Do not include participant names.] ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Describe the number and type of staff present (e.g., titles/roles)? ____________________________________________________________________________________________________________________________________________________
Do the staff appear diverse and/or representative of the participant group? Y/N Describe:_______________________________________________________________________________________________________________________________________________________________________________________________________________________
Describe the focus and content of the activity:
What is the goal of the activity?
What are participants and staff doing?
What topics are discussed?
What forms or tools are used? How?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Describe the structure of the activity.
Are staff presenting materials?
Are staff and participants interacting?
Is the activity self-initiated or guided?
Do participants work alone or in groups?
Did the activity start and stop on time?
Was there sufficient equipment or materials for the activity?
Was attendance taken?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Describe the interactions between participants and staff.
How engaged are participants with the staff?
Do staff appear competent, caring, positive, and respectful in their interactions with participants?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Describe the interactions of participants with each other.
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How engaged do participants appear with the activity (e.g., are they focused on the tasks or talking amongst themselves, are they asking questions)? _________________________________________________________________________________________________________________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________________________________
Summarize the strengths and weaknesses of the activity you observed.
Is the activity well-structured and defined?
Do participants appear to understand the purpose of the activity?
How satisfied with the activity do participants appear?
Is time allotted for questions and answers?
Is time allotted for small group work or individualization of tasks?
Are staff respectful of participants?
Do staff make it clear what the next steps are for participants (if applicable)?
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
After the activity
If possible, have a short debrief with the staff after the activity. Ask the staff about anything that happened during the activity that you did not completely understand (e.g. unfamiliar acronyms, unclear procedures that were discussed). Then ask:
Were all the participants SNAP recipients or SNAP E&T participants? If not, who were the other participants?
Was this how the activity typically occurs? If not, what was different?
Was participation tracked or logged or was any additional information documented about participants who attended the activity?
How were participant reimbursements handled for attending this activity (if applicable)?
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Mathematica Standard Report Template |
Author | Kristen Joyce |
File Modified | 0000-00-00 |
File Created | 2021-11-12 |