Question-by-Question Justification Form 1344 – Revised 2022
This attachment provides an overview of the structured interview items to be used in this study and their relationship to the study goals to include case studies of effective countermeasures to include in the Countermeasures At Work (CMAW) document.
Item Number |
Question |
Relevance Application |
Identification Information
|
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D1 |
Interview with (Name/Title) |
Basic information to capture respondent and program information. |
D2 |
Program (Name/Location) |
|
D3 |
Date |
|
Program History
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||
1 |
When was the program first developed?
|
Questions 1-3 are designed to learn about the history and development of the program. |
2 |
Please describe how the program was developed. (Who, what, where.)
|
|
3 |
What types of challenges were experienced when the program was first implemented? |
|
Program Scope
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4 |
What is the current scope of the program (statewide, county, region, etc.)? |
Questions 4-8 are designed to learn about the coverage, key partners, and cost of the program. |
5 |
What agency leads the program? |
|
6 |
Who are key partners or stakeholders involved with the program? |
|
7 |
What is the funding source(s) for the program? |
|
8 |
What is the annual cost to maintain the program? |
|
Program Content & Delivery
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9 |
What specific behavior change is the program designed to address? |
Questions 9-12 are designed to learn about how the program is implemented, challenges experienced, and key factors in the program’s success. |
10 |
How does the program achieve this behavior change? |
|
11 |
What types of challenges has the program experienced? How were those challenges overcome? |
|
12 |
What factors have been key to the program’s success? |
|
Program Fidelity
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13 |
Who oversees the program to make sure it’s being delivered as intended? |
Questions 13-15 are designed to learn about factors influencing the fidelity of the program. |
14 |
[If relevant:] How are new people or agencies trained in delivering the program? |
|
15 |
What challenges have been experienced in maintaining the program? |
|
Program Evaluation
|
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16 |
Have you tried to figure out what effect the program has had or how well it’s working? |
Questions 16-18 are designed to learn about whether the program has been evaluated and the results of that evaluation. |
17 |
[If yes:] What were the evaluation results? |
|
18 |
Are you aware of any reports or other documents describing findings from the evaluation? |
|
Program Contact |
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19 |
Is there anyone else we should contact to learn more about the program? (Name, phone, email, and role)
|
Question 19 is designed to learn if there are other individuals we should contact to gather more information about the program. |
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Question-by-Question Justification Form 1344 – Revised 2022 |
Author | randolph.atkins |
File Modified | 0000-00-00 |
File Created | 2022-07-12 |