STOP Act Supplemen STOP Act Supplemental

Division of State Programs—Management Reporting Tool (DSP-MRT)

DSP MRT Attachment _5 STOPAct _NEW

OMB: 0930-0354

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Division of State Programs–Management Reporting Tool

(DSP-MRT)




DSP-MRT Supplement for STOP Act Grants

Public Burden Statement: 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 Office of Management and Budget (OMB) control number. The OMB control number for this project is XXXX-XXXX. Public reporting burden for this collection of information is estimated to average 3 hours per respondent, per year, 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 Substance Abuse and Mental Health Services Administration (SAMHSA) Reports Clearance Officer, 5600 Fishers Lane, Room 15E57A, Rockville, MD 20857.

Contents


Note: This document is intended as a supplement to the Division of State Programs– Management Reporting Tool (DSP-MRT) for the Sober Truth on Preventing Underage Drinking Act (STOP Act) grant programs. Please refer to the DSP-MRT document for progress report details.

Evidence-Based Practices, Policies, and Programs (EBPPPs)

Use this section to report Evidence-Based Practices, Policies, and Programs (EBPPPs) and the numbers served and reached through your prevention interventions. EBPPPs are interventions that come from a federal registry, were reported as being effective for your target substance in a published scientific journal article, were based on a documented theory of change, or were deemed effective by a panel of experts. A panel of experts may include qualified prevention researchers, local prevention practitioners, and key community leaders (e.g., law enforcement and education representatives, elders within indigenous cultures).





Data Item

Response Options

What are the Evidence-based Practices, Policies, or Programs (EBPPs) you intend to implement through this grant?

Free text

Who is the intended audience?

Free Text

What is the non-duplicated number of individuals you intend to serve each year of your grant?

  • Open ended numerical response

Did you or your subrecipients actively deliver any Prevention Interventions that are evidence-based programs, policies, or practices (EBPPP) during the last fiscal year?

  • Yes

  • No

If no, explain why?

Free text

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Grantee-Level Evidence-Based Practices, Policies, and Programs

Data Item

Response Options

Status of Intervention

  • Active

  • Inactive

Prevention Intervention Name

Drop-down menu with prevention intervention names

Was this EBPPP intervention actively implemented in this community prior to receiving funding for this grant?

  • Yes

  • No

Target of the Intervention

[Note: You should only report on EBPPPs that target substances appropriate for the grant program you are reporting on.]

  • Alcohol

  • Prescription Drug Misuse

  • Marijuana

  • Opioids

  • Other

Other (Please specify)

Free text


Data Item

Response Options

Number Served1

Open-ended numerical response

Number Reached2

Open-ended numerical response


REMINDER: After completing the required information, select “Add EBPPP” to add the entry to your list, then select “Save.” After you add the EBPPP, it will appear on the EBPPP main screen. If you need to edit your entry, click on the “edit” button.




































1 Number Served: Refers to individual-based prevention strategies or services directly delivered to individuals, either on a one- on-one basis or in a group format. Typically, the service provider and the participant are at the same location during the service encounter. Because providers have direct interaction with these individuals, they are able to keep accurate counts and in many cases, to collect data about the characteristics and outcomes of these participants through attendance lists and pre-post surveys. Examples include training sessions and educational classes.

2 Number Reached: Refers to population-based prevention strategies aimed at impacting an entire population. Because there is no direct interaction with the populations affected by the services, counts of people reached are typically estimates obtained from sources such as the census (the population of the targeted community) or media outlets (estimated readership or audience size).

Community Outcomes

Grantees will use this section to enter community outcome data. Once you add records, you will be able to view previously added records.

Community outcomes data include survey and administrative data:


  • Survey data are data collected from individuals, usually a sample of the population, by asking questions either in person, on paper, by phone, or online. Examples of survey data include the National Survey of Drug Use and Health (NSDUH), Youth Risk Behavior Survey (YRBS), and Behavioral Risk Factor Surveillance System (BRFSS).

  • Administrative data refers to information collected primarily for administrative— not research—purposes. Government departments and other organizations often collect this type of data for the purposes of registration, transaction, and record keeping, and often the data include program outcome indicators. Examples of administrative data include educational records, client information from financial institutions, and hospital records of patient visits and health outcomes.

Note: STOP Act 2019 and later grantees will need to obtain approval before entering and submitting Community Outcomes data. Use the Data Request workplan to submit a request for review and approval.

When you navigate to the Community-Level Outcome Data page, you will see an Export Data button. You can export your data by clicking on the Export Data button.



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Survey Data

Survey data are data collected from individuals by asking questions either in person, on paper, by phone, or online. Examples of survey data include NSDUH, YRBS, and BRFSS.

To enter Survey Data, select “Add Data Source,” enter the name of the survey, and select “Save.” The data source will then show up in the list of Survey Data sources. To add the remaining information on the outcome measure, select “Add Outcome Measure.”


Outcome Measure

Data Item

Response Options

Data Source Name

  • Free text

Specified Substance

  • Alcohol

  • Prescription drugs

  • Other

Other (If “Other” is selected for Specified Substance)

Free text

Outcome Measure

Alcohol Outcome Measure Response Options

  • 30-day use

  • Perception of parental disapproval/attitude

  • Perception of peer disapproval/attitude

  • Perceived risk/harm of use

  • Substance-related car crashes and injuries

  • Substance-related crime

  • Family communication

  • Substance-related emergency room visits

  • Other


Prescription Drug Outcome Measure Response Options

  • 30-day use

  • Past 12-month use

  • Perception of parental disapproval/attitude

  • Perception of peer disapproval/attitude

  • Perceived risk/harm of use

  • Substance-related car crashes and injuries

  • Substance-related crime

  • Family communication

  • Substance-related emergency room visits

  • Other


Data Item

Response Options


Other Substance Outcome Measure Response Options

  • 30-day use

  • Perception of parental disapproval/attitude

  • Perception of peer disapproval/attitude

  • Perceived risk/harm of use

  • Substance-related car crashes and injuries

  • Substance-related crime

  • Family communication

  • Substance-related emergency room visits

  • Other

Other Outcome Measure

Free text

Survey Item

Free text

Response Option(s)

Free text

Reported Outcome Description

Free text


  • To add a baseline record, select “Add Baseline Response Data.”

  • Click on “Add Follow-up Data” to add follow-up data for a previously entered baseline record.

  • To edit existing records, click “Edit” next to the Survey Item name.

Response Data

Data Item

Response Options

Data Collection Date

Date Field

Population Parameters

  • Age range

  • Grades

Age Range Minimum (If “Enter age range” is selected for Population Parameters)

Numerical

Age Range Maximum (If “Enter age range” is selected for Population Parameters)

Numerical

Grades (If “Enter grade[s]” is selected for Population Parameters)

(Check all that apply)

  • K

  • 1

  • 2

  • 3

  • 4

  • 5

  • 6

  • 7

  • 8

  • 9

  • 10

  • 11

  • 12

  • College


Data Item

Response Options

Other Sample Descriptors

Free Text

Description of Sampling Design

  • Census

  • Convenience sample

  • Random sample

  • Stratified random sample

Multiple-Year Pooled Estimate

  • Yes

  • No

Multiple Year Estimate Description: (If “Yes” is selected)

Free Text

Value Type

  • Percentage

  • Mean

  • Other

Other (Please specify)

Free Text

Calculated Value

Numerical

Standard Error

Numerical

Standard Deviation

Numerical

Survey Item Valid N

Numerical

Comments

Free Text


Administrative Data

Administrative data is data collected for the purposes of registration, transaction, and record keeping, but often also includes indicators of program outcomes. Examples of administrative data include educational records, client information from financial institutions, and hospital records of patient visits and health outcomes.

To enter Administrative Data, select “Add Data Source,” enter the name of the new data source, and select “Save.” The data source will then show up in the list of Administrative Data sources. To add the remaining information on the outcome measure, select “Add Outcome Measure.”


Outcome Measure

Data Item

Response Options

Data Source Name

Free Text

Specified Substance

  • Alcohol

  • Prescription drugs

  • Other

Other Substance (If “Other” is selected)

Free text


Data Item

Response Options

Outcome Measure

Alcohol Outcome Measure Response Options

  • 30-day use

  • Binge drinking

  • Perception of parental disapproval/attitude

  • Perception of peer disapproval/attitude

  • Perceived risk/harm of use

  • Substance-related car crashes and injuries

  • Substance-related crime

  • Family communication

  • Substance-related emergency room visits

  • Other

Prescription Drug Outcome Measure Response Options

  • 30-day use

  • Past 12-month use

  • Perception of parental disapproval/attitude

  • Perception of peer disapproval/attitude

  • Perceived risk/harm of use

  • Substance-related car crashes and injuries

  • Substance-related crime

  • Family communication

  • Substance-related emergency room visits

  • Other

Other Substance Outcome Measure Response Options

  • 30-day use

  • Perception of parental disapproval/attitude

  • Perception of peer disapproval/attitude

  • Perceived risk/harm of use

  • Substance-related car crashes and injuries

  • Substance-related crime

  • Family communication

  • Substance-related emergency room visits

  • Other

Other Outcome Measure

Free text

Reported Outcome/Measure Calculation Description

Free text


  • To add a baseline record, select “Add Baseline Response Data.”

  • Click on “Add Follow-up Data” to add follow-up data for a previously entered baseline record.

  • To edit existing records, click “Edit.”


Response Data

Data Item

Response Options

Data Source Time Frame Begin Date

Date Field


Data Item

Response Options

Data Source Time Frame End Date

Date Field

Population Parameters

  • Age Range

  • Grade(s)

Age Range Minimum (If “Enter age range” is selected for Population Parameters)

Numerical

Age Range Maximum (If “Enter age range” is selected for Population Parameters)

Numerical

Grades (If “Enter grade[s]” is selected for Population Parameters)

  • K

  • 1

(Check all that apply)

  • 2


  • 3


  • 4


  • 5


  • 6


  • 7


  • 8


  • 9


  • 10


  • 11


  • 12


  • College

Other Sample Descriptors

Free Text

Number of Events

Numerical

Denominator Definition

Free Text

Denominator Value

Numerical

Value Type

  • Percentage

  • Rate per 1,000

  • Rate per 10,000

  • Rate per 100,000

  • Other

Other Value Type* (If “Other” is selected)

Free Text

Calculated Value

Numerical

Comments

Free Text

Data Request

STOP Act grantees should use this section to get approval for all four of the required outcome measures. Note: SAMHSA requires grantees to submit a data request for measures that they are using to meet outcome measure requirements (see SAMHSA's Performance Accountability and Reporting System (SPARS) Question by Question (QxQ) guide for details on the requirement). You do not need to submit a data request for any other/additional measures you plan to submit.

To begin the data request approval process:


  1. Decide whether SAMHSA is likely to approve your proposed outcome measure. If you believe they will, gather the required documentation and follow the steps below to submit a data request.

STOP Act does not have a list of pre-approved measures.


  1. To submit a Data Request through SPARS, go to your SPARS Dashboard and select the plus sign (+) next to Data Request in the Work Plans section, then select “View” to open the section.


Data Request Detail

When you navigate to the Data Request page, you will see an Export Data button. You can export your data by clicking on the Export Data button.

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To submit a Data Request for Survey Data, select the arrow next to Survey Data and then select “Add Data Source.” To submit a request for Administrative Data, select the arrow next to Administrative Data and then select “Add Data Source.”


Data Item

Response Options

Label of the Outcome Measure(s) indicator for which a STOP Act grantee is requesting approval

Survey Data Response Options

  • 30-day alcohol use

  • 30-day prescription drug misuse

  • Past-year prescription drug misuse

  • Binge drinking

  • Perception of parental or peer disapproval/attitude

  • Perception of peer disapproval/attitude

  • Perceived risk/harm of use

  • Family communication around drug use

  • Other


Administrative Data Response Options

  • School attendance and enrollment

  • Alcohol- and/or drug-related car crashes and injuries

  • Alcohol- and drug-related crime

  • Alcohol- and prescription drug-related emergency room visits

Data source name

Free text

Exact wording of the item and response options

Free text

Exact wording of the outcome that will be reported to SAMHSA/CSAP

Free text

Formulas for calculating or deriving the prevalence estimate (reported outcomes)

Free text

Agency/organization responsible for data collection

Free text

Were there validity and reliability tests of the survey items constituting the substitute measure?

  • Yes

  • No

Description of the reliability/validity study(ies): (If Yes is chosen)

Free text

Are there any published validity/reliability studies for this instrument?

  • Yes

  • No

Bibliographic Information (If Yes is chosen)

Free text

Data Source Request Supporting Document

Upload feature


  • Select “Save” to add your data source. Your outcome measure will then appear in the list of data sources.

  • Select “Add Response Data Collection Detail” to complete additional items for the Data Request.

Response Data Collection Detail

Data Item

Response Options

Do the data approximate the community (e.g., county, city, town, school) where interventions are delivered?

  • Yes

  • No

If no, indicate how they differ (If “No” is selected)

Free Text

Most recent month and year for which data are available?

Date Field

Is there a data point collected at least 6 months prior to the implementation of grant-funded interventions in the community? (i.e., a baseline prevalence estimate)

  • Yes

  • No

Is the data collection repeated every year?

  • Yes

  • No

Frequency of data collection (If “No” is selected)

Free Text

Are trend data available?

  • Yes

  • No

Start year of trend data (If “Yes” is selected)

Date Field


Additional Fields for Survey Data Sources Only

Data Item

Response Options

Date of Data Collection

Date Field

Sample Size

Numerical

Sampling Ratio

Free Text

What type of sampling strategy was used to select respondents?

  • Census

  • Convenience sample

  • Random sample

  • Stratified random sample

If “Random sample” or “Stratified random sample” is selected:


Stratified Sampling–Identify each stratum

Free Text

Cluster Sampling–Identify the clustering unit

Free Text

Multistage design–Identify the unit sampled at each stage

Free Text

Potential sources of bias in the sample design

Free Text


Data Item

Response Options

Method of Administration

  • Mail-in

  • Telephone

  • Face-to-Face

  • Self-administered: school-based

  • Self-administered: survey site other than school

  • Other

Other Method (Specify) (If “Other” is selected)

Free text

Was this a computer-assisted interview?

  • Yes

  • No

What was the survey response rate?

Free text



Once your Data Request data entry is complete, return to your Dashboard in SPARS, select the gear icon under “Actions” next to Data Request, and select “Submit to Project Officer.” Enter your information in the submission form that appears and select “Submit.”

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleDSP-MRT Supplement for STOP Act Grants
SubjectDSP-MRT community outcomes tool for STOP Act grantees
AuthorSubstance Abuse and Mental Health Services Administration (SAMHS
File Modified0000-00-00
File Created2021-11-01

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