Better Choices, Better Health

1. Better Choices, Better Health Roles Overview • Participants • Group Leaders • Survey Coordinators • Regional • Evaluation Center • Texas A&M Health Science Center, School of Rural Public Health BlankForms BlankForms Data Participants Completed Forms Completed Forms Group Leaders Survey Coordinator Evaluation Center

2. Better Choices, Better Health • Participants = Workshop enrollees BlankForms Data* Completed Forms Group Leaders Participants • Provide demographic data about themselves. • Attend workshop sessions. • *Participant data will be entered into database by the TAMHSC Evaluation Center.

3. Better Choices, Better Health • Group Leaders = Trained volunteer or staff leaders of the CDSMP workshops. BlankForms BlankForms Data Completed Forms Completed Forms Participants Evaluation Center Group Leaders Survey Coordinator

4. Better Choices, Better Health • Group Leaders • Responsible for: • Having the forms in time for workshops. • Distributing forms to participants at the first session (or optional “Session 0”). • Explaining to participants why the data are collected; answering participants’ questions or concerns. • Recording attendance at each session. • Gathering forms, checking them over for completeness and clarity (clarifying with participants where necessary). • Returning completed forms to the Regional Survey Coordinator in a timely manner.

5. Better Choices, Better Health • Survey Coordinator = Individual responsible for coordinating the distribution and collection of data forms to class leaders/coaches, and for ensuring the forms reach the Evaluation Center as appropriate. BlankForms Data Group Leaders Completed Forms Completed Forms Evaluation Center Survey Coordinator

6. Better Choices, Better Health • Survey Coordinator • Responsible for: • Getting forms to Group Leaders, training them how to use the forms, defining forms-management guidelines. • Receiving completed forms from the Group Leaders. • Checking the returned forms for clarity and completeness, and following up with Group Leaders as needed. • Submitting forms to TAMHSC Evaluation Center in a timely manner for entry into national database.

7. Better Choices, Better Health • Evaluation Center • Responsible for: • Works closely with host organizations to ensure efficient data collection and reporting, and to ensure program fidelity. • Maintains website (www.programonhealthyaging.info) • Facilitates the analysis of project-wide data • Develops and updates Evaluation Manual to aid host sites in conducting data collection in an effective, accurate, and consistent manner. • Prepares reports and presentations for host organizations. • Organizes and leads evaluation trainings as needed.

8. Better Choices, Better Health Form Overview

9. Better Choices, Better Health Where to obtain forms? ALL FORMS can be downloaded from the Evaluation Website • Forms may be submitted: • Electronically (kellstedt@srph.tamhsc.edu) • By Mail • Deb Kellstedt • 1266 TAMU • College Station, TX 77843 • By Fax • (979) 862-8045 www.programonhealthaging.info

10. Welcome Letter • Note to participants, read before they complete Participant Information Survey. • Explains why the Survey is being collected, describes the confidentiality of their information. • Group Leaders may read note aloud to the group.

11. Workshop Information Cover Sheet (page1) • Instructions to Group Leaders • Implementation Site: Survey Coordinator many need to fill this out if Group Leader does not know information. • Site Name, Address • Use complete site name and address, in order to match existing records in the online tool, or to create new record.

12. Workshop Information Cover Sheet(page 1 continued) • Group Leaders’ full names, status, daytime phone. • Important to know who Group Leaders are, be able to contact them with questions about forms. • Staff = anyone who is compensated with payment or time for teaching class • Volunteer = no compensation for teaching class • Workshop Start and End Dates. • Start is date of Session 1; end is date of Session 6. • Did this workshop offered a “Session 0” (optional pre-workshop session)? • If the Group Leaders selects “Don’t know”, Survey Coordinator may be able to respond.

13. Workshop Information Cover Sheet(page 1 continued) • Type of CDSMP, select one. In Texas, we should only have the following: • English CDSMP • Tomando (Spanish CDSMP) • English DSMP Note: Items 1-5 (all of side 1) may be completed by Survey Coordinator and provided pre-filled to the Group Leaders if desired.

14. Workshop Information Cover Sheet (page 2) # of participants enrolled (attended at least one session, not including “Session 0”) • 7. # of completed Participant Information Surveys included in the returned packet. • Group Leaders/Survey Coordinators count the completed forms. If fewer forms than enrolled participants (as noted in #6), note reasons.

15. Workshop Information Cover Sheet (page 2 continued) Wrap-up instructions and a forms check-list for Group Leaders’ reference as they prepare their return packet. Please remember to provide Survey Coordinator contact information.

16. Participant Information Survey(page 1) Instructions: Participants are advised to use a pen and mark within the boxes with an “X”. (Using pencil, marking boxes in other manners are fine, as long as it is readable.)

17. Participant Information Survey(page 1 continued) • Your First Name & Last Initial: Used only to facilitate matching between the demographics and attendance. • Name is NOT entered into database. • Name can be a nickname, first name/last initial, or a code name. • Only requirements are: • It must be legible. • It must be identical to the name used on Attendance Log for the same participant. • It must be unique within the workshop.

18. Participant Information Survey(page 1 continued) • Year of Birth • This will determine whether this program reaching participants in target group of 60+ year olds. • 2. Gender • Is program reaching males as well as females?

19. Participant Information Survey(page 1 continued) • 3. Ethnicity • Is program reaching older adults of Hispanic, Latino or Spanish origin? • 4. Race (Mark all that apply) • Is program reaching individuals from diverse and minority communities, including underserved communities? • Is program reaching a racial breakdown proportionate to that of the geographic region where the program is offered?

20. Participant Information Survey(page 2) • 6. Chronic Conditions (select all that apply) • Which of the most common chronic conditions are represented among participants? • How many conditions do participants have? • 7. Why is participant taking workshop? • We added this question to address those that may not be over 60 years old and/or those who check “none” in on the above chronic condition question

21. Participant Information Survey(page 2 continued) • 8. Zip code & address or cross-streets of primary residence • 5 digits code, streets, city • Do participants live in rural, urban, or suburban communities? • What counties are being served? • How far do participants travel from their homes to an implementation site? • 9. Household Size (total # in household) • How many participants live alone (representing a higher-risk group)?

22. Attendance Log Instructions to Group Leader Workshop Information: Match site name and dates provided on Workshop Information Cover Sheet. Group Leader writes in participant names (identical to the Participant Information Surveys) • Attendance is recorded by session • Not counting attendance at • “Session 0” • Leave cell blank if participant did • not attend a session.

23. Attendance Log Note: Group Leaders may take attendance themselves (recommended), or they may have participants mark themselves present. If participants mark themselves present, Group Leaders must check that participants are marking the correct cell. Group Leader Attendance. Write leaders’ names and leader (or substitute) should initial each session. Please note if sub is utilized. This is to help track program fidelity.

24. Client Satisfaction Survey This form should be administered at the end of Session 6 to gage overall satisfaction with the class.

25. Better Choices, Better Health Administering FormsBefore 6-week Workshop “How To” Survey Coordinator Forms and Training Group Leaders

26. Better Choices, Better Health Administering FormsBefore First Workshop Group Leaders Participants

27. Administering FormsAfter First Workshop Better Choices, Better Health Group Leaders Survey Coordinator

28. Administering FormsSessions 2 through 6 Better Choices, Better Health Group Leaders Participants

29. Administering FormsAfter Session Six Better Choices, Better Health Group Leaders Survey Coordinator

30. Forms Management Better Choices, Better Health • Issues to consider: • How will forms get out to Group Leaders? • How will Group Leaders return forms to the Survey Coordinator? • Mailed • Faxed • Emailed • How will forms get to TAMHSC SRPH Evaluation Center? • Mailed • Faxed • Emailed • How and where are original and copies maintained? • How will confidentiality be ensured?

31. Other Data & Evaluation Items Better Choices, Better Health • Testimonials • One per quarter • Attempt to get photos and videos (photo release form) • Templates (soon available on website) • Participant Attendance Issues • Phone calls • Non-attendance form

32. Contacts • Deb Kellstedt, Evaluation Coordinator • kellstedt@srph.tamhsc.edu • 979.845.1620 • Cindy Quinn, Program Coordinator • quinn@srph.tamhsc.edu • 979.862.8045 • Rachel Foster, Program Assistant • rfoster@srph.tamhsc.edu • 979.458.4269 • Marcia Ory, Principal Investigator • mory@srph.tamhsc.edu • 979.458.1373