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pdfAppendix F
Think Cultural Health (TCH) Key Informant Interview Protocol
Form Approved
OMB No. 0990-0407
Exp. Date XX/XX/20XX
6 Month Follow-Up Telephone Interview of Users Who Complete At Least One Unit
Good (morning/afternoon),
! Thank you for your availability and willingness to participate
in this interview. The United States Department of Health and Human Services, Office of Minority Health
is interested in learning about the experience of users who have completed Promoting Healthy Choices
and Community Changes on the Think Cultural Health website. You have been selected because you
have expressed interest in being contacted about your experience using this e-learning program.
My name again is
_. I work with SRA International, and we are completing these interviews on
behalf of the Office of Minority Health. My partner
will be taking notes from our discussion. We
would also like to audio record this interview to ensure that we obtain all the information as accurately
as possible, and capture any important information that we might miss in our notes. May we have your
permission to audio record this interview? The information we collect from you today will only be
accessible to the HHS Office of Minority Health, and any information that is shared will be reported as a
summary without your identifying information included. Do you have any questions?
Great! Let’s begin the interview!
1.
2.
3.
4.
5.
6.
7.
8.
9.
How have you applied the information in Unit _ to the work that you do?
What additional information would make Unit _ more applicable to the work you do?
How has your attitude about {Unit topic*} changed because you completed Unit _?
How has completing Unit _ changed the way you {Unit skill**}?
In the past six months, what information in Unit _ have you looked at again to help you in your
daily work?
How was the information provided in Unit _ relevant to your culture?
What was it like taking a training on {Unit topic*} online?
What types promotores de salud do you think would benefit from Unit _?
What additional comments do you have about Unit _?
*Unit Topics:
Unit A: “understanding healthy choices”
Unit B: “helping people make healthy choices”
Unit C: “understanding community change”
Unit D: “helping people make community changes”
**Unit Skills:
Unit A: “talk with someone about healthy choices”
Unit B: “teach people in your community to take action toward health”
Unit C: “make community changes”
According to the Paperwork Reduction Act of 1995, no persons are 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 0990-0407. The time required to complete this information collection is estimated to average 60
minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information
collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health
& Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer
Appendix F
Think Cultural Health (TCH) Key Informant Interview Protocol
Unit D: “empower people to make community changes”
Appendix F
Think Cultural Health (TCH) Key Informant Interview Protocol
We appreciate you sharing your experience with Promoting Healthy Choices and Community Changes on
Think Cultural Health. Your feedback will help us in understanding how the content of this e-learning
program is used. Thank you again for your participation and please do not hesitate to contact us with
any further comments or questions you may have.
File Type | application/pdf |
Author | Crystal L. Barksdale |
File Modified | 2015-12-02 |
File Created | 2015-12-02 |