Columbia Montour Nurse-Family Partnership Instructional Design Project

Columbia Montour Home Health Services

Summer 2008

Team Members: Christine Davis, Michael Nichols, Alanna Ramin, Matthew Raup, and Krysten Slavick

Client Liaison: Loreen Comstock

Advanced Instructional Design

Professor: Dr. Timothy L. Phillips

Department of Instructional Technology

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Table of Contents Page Number

Needs Assessment 4Project Timeline 10Goal Statement 11Content Outline 11Task Analysis Diagram 13Assessment Item Specifications 16Assessment Instrument Blueprints 27IRB Approval (Human Subjects Approval) 29Instructional Strategies Rationale 43Media Selection Rationale 43Flowchart 46Storyboards 47Instructional Solution Instructor Guides 55One‐to‐One Procedures 57One‐to‐One Results 57Small Group Procedures 58Small Group Results 59Small Group Revisions plan 60Field Trials plan 60Summative Evaluation Plan 61

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Analysis Section

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Needs Analysis

Organizational Setting

Nurse‐Family Partnership is a program for women who are having their first baby. If enrolled, a specially

trained nurse will visit the women in their home throughout their pregnancy and continue to visit until their baby is 2

years old.

The Nurse‐Family Partnership is a free program, eligible for all women and was developed by Dr. David Olds.

The program currently serves approximately 13,000 families a day in more than 310 counties in 23 states across the

nation. The Nurse‐Family Partnership program produces the following outcomes:

• Improvements in prenatal health, birth outcomes, child development, school readiness, academic

achievement, and maternal employment

• Reductions in child abuse and neglect, early childhood injuries, mental health problems, and crime

The program produces statistically significant, positive program effects that are repeated and enduring for up

to 15 years following the child’s birth. Nurse‐Family Partnership is exclusively focused on first‐time, low‐income

mothers and their children because these mothers constitute 40% of the low‐income population giving birth in the

United States every year. If Nurse‐Family Partnership were made available to all first‐time, low‐income mothers in a

community, within a 10‐15 year period, all low‐income mothers would have benefited from its services. Given

limitations on public resources, Nurse‐Family Partnership chooses to target the highest‐risk populations, for whom

this intervention has been proven to produce the greatest functional and economic benefits.

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Target Population

The target population for this instructional unit is all participants interested in partaking in the Nurse‐Family

Partnership program. The women must be first‐time, low‐income mothers. The program currently serves

approximately 13,000 families a day in more than 310 counties in 23 states across the nation. The first‐time mother’s

ages range from the age of 14 to 42 and the average age is 19.

Introduction to the Problem

There is a need to improve the agency’s ability to reach potential clients (first‐time mothers, in some cases as

young as 14 years old) and referral sources to promote awareness of the many facets and benefits of the Nurse‐

Family Partnership program. The Nurse‐Family Partnership is a grant‐funded program designed to provide instruction,

guidance, and support to these young mothers. Through the program, a registered nurse is assigned to work closely

with each expectant mother throughout the pregnancy, until the child reaches the age of two.

The Nurse‐Family Partnership program offers a wonderful program for first time mothers, but is not reaching

all of the potential clients that they would like to, therefore the program feels that they are missing a golden

opportunity to help the mothers have a healthier pregnancy, healthier babies and helping the mothers to become

more self sufficient and successful.

Data Collection Analysis

Audience

The audience for this instructional unit is all participants interested in partaking in the Nurse‐Family

Partnership program. We have come to find this information through our Client Contact, Loreen Comstock and

through various Nurse‐Family Partnership resources she has given us. The women must be first‐time, low‐income

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mothers. The program currently serves approximately 13,000 families a day in more than 310 counties in 23 states

across the nation. The first‐time mother’s ages range from the age of 14 to 42 and the average age is 19.

Learning Task

Learners will be able to define the overview of the Nurse‐Family Partnership program, state the goal

of the program. They will also be able to define positive outcomes and describe how to contact Columbia Montour

Home Health Services.

This information was provided through surveys completed by current clients and nurses, and was also

provided by the supervisor of the program.

Instructional Context

The setting in which potential clients would learn about the Program is the following offices:

1. Columbia County Assistance Office – video would be shown on a TV / VCR in the lobby, or on a TV / DVD in a conference room.

2. Columbia Montour Family Health ‐ Video would be shown on a TV / VCR.

3. Montour County Probation – Video would be shown as a DVD on a computer with speakers.

4. Tapestry of Health – Video would be shown on a TV / VCR.

These offices can be busy and active at times, but are not so loud that a video would be inaudible. A nurse on duty

may have an opportunity to describe the benefits of the Program, but not always. This information was provided by

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phone or email by each of the offices listed above. This information was provided by phone or email by each of the

offices listed above.

Defining the Situation

Current Situation

Columbia Montour Home Health Services currently reaches out to clients through the use of referrals,

website, and informational materials in the form of pamphlets and brochures.

Desired Situation

All first time, at‐risk mothers who visit the offices listed above are able to describe the Nurse‐Family

Partnership Program and its benefits. They are able to contact the Program.

Gap

There is a need to improve the agency’s ability to reach potential clients (first‐time mothers) and referral

sources to promote awareness of the many facets and benefits of the Nurse‐Family Partnership program. The Nurse‐

Family Partnership program offers a wonderful program for first time mothers, but is not reaching all of the potential

clients that they would like to, therefore the program feels that they are missing a golden opportunity to help the

mothers have a healthier pregnancy, healthier babies and helping the mothers to become more self sufficient and

successful.

When a golden opportunity is missed, the potential clients will not learn about the positive outcomes of

participating in this program. The client will never understand the basics of the program or the idea behind the

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Nurse‐Family Partnership program. When participating in this program the first‐time mother is nurtured by her

assigned nurse. The nurse’s support provides a model for the new mother as she bonds with her infant and also

augments the mother’s sense of competence and self‐worth – a foundation for good parenting.

Intervention/Solution

Proposed Solution

Clients will be able to watch an eye catching, short, and comprehensive video presentation either at school,

probation offices, in the care facility office, or in the waiting room of the care facility or WIC in regards to the Nurse‐

Family Partnership program. First‐time mothers will be able to learn about the positive outcomes of participating in

this wonderful program and the effects it can have on their life.

Rationale

Reaching out to the hopeful participants of this program is essential to the welfare of the future children of

America. Many first‐time mothers have nowhere else to go and this program guides and reaches out to the mothers

with guidance of a nurse that is with them on an ongoing basis. Once the clients see the video presentation, the hope

is that they will want to participate in the program because of all the positive outcomes that come out of the

program.

Justification

Nurse home visitation programs promote the well‐being of mothers and their children. Trained registered

nurses visit pregnant women and children from early in the mother’s pregnancy through the child’s second birthday.

As one example of a nurse home visitation program, the Nurse‐Family Partnership model, low‐income, first‐time

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mothers receive a variety of services and counseling from a nurse. These services promote positive outcomes in the

health and well‐being of program’s participants.

More potential program clients would benefit from knowing about this program and from being able to

contact it. A video is a way for CMHHS to communicate their message to these clients in an age‐appropriate manner,

drawing emphasis to the strong relationship between these trained nurses and the young mothers.

How & Where New Skill Will Be Used

Potential clients will be able to use the information gained from this inspiring video to determine the benefits

of the program and make the initial contact with the program.

The video may eventually lead them to the program which will lead to a healthier and more positive lifestyle,

but it is sort of out of our realm of goals.

Why target learners will be interested in mastering the skill

Nurse Family Partnership has a multitude of positive outcomes for the clients that participate in this program.

The program is free for first‐time, low‐income mothers and provides a self‐improvement emphasis for the client as

well as education in health maintenance, parenting skills, and developmental monitoring of the child. Prenatally,

nurses monitor blood pressure, assess general signs and symptoms of pregnancy, and teach on a variety of topics.

Infant and toddler visits focus on parent education in topics such as discipline, SIDS, anticipatory guidance, and

Partners in Parenting Education lessons.

Instructional Goal

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The potential clients of Columbia Montour Home Health Services will be able to describe the

program and how to contact the program, the goals, the interventions, and the positive outcomes of the

Nurse‐Family Partnership program.

Project Timeline

The following timeline was a working document that our group collaborated on in Google Docs. As projects were completed, their rows were changed to a yellow color to indicate completion. The original file can be viewed at http://docs.google.com/Doc?id=ddqtnx83_420c2vzkvfk

http://docs.google.com/Doc?id=ddqtnx83_420c2vzkvfk

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Goal Statement

Instructional Goal

The potential clients of Columbia Montour Home Health Services will be able to describe the

program and how to contact the program, the goals, the interventions, and the positive outcomes of the

Nurse‐Family Partnership program.

Content Outline – Columbia Montour Home Health and Hospice

The Nurse‐Family Partnership Program

Goal: The potential clients of Columbia Montour Home Health Services will be able to describe the program and how to contact the program, the goals, the interventions, and positive outcomes of the Nurse‐Family Partnership program.

1. Define the program. 1.1. Identify that the program creates a relationship between the first time mother and visiting nurse.

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1.1.1. Identify that the program relieves stress at home for the first time mother by having nurse visits. 1.1.2. Identify that the nurse’s support provides a model for the new mom as she bonds with her baby. 1.1.3. Identify that the program builds on mother’s sense of confidence.

1.2. State that the program is free for the mother and baby. 1.3. State the dynamic make‐up and frequency of meetings between mother and nurse.

1.3.1. Identify that the nurse will visit every week or two until the child reaches the age of 2. 1.3.2. State that other family members may take part in program; for example, the father, grandparents, and

other extended family members. 2. Identify goal of program.

2.1. Describe that the nurse will help the mother have a healthy pregnancy and baby through meetings. 2.1.1. State that the nurse will discuss with the mother how home, work, school, and community

environments relate to the health and safety of mother and baby. 2.2. Identify that program will allow the mother to become a better parent.

2.2.1. Identify that the nurses will teach the mother ways to interact with her child. 2.2.1.1. State that the nurses will promote child development by modeling how toys, books, activities,

and floor time. 2.3. Identify how the program will teach the mother how to get referrals for healthcare, jobs, childcare, and

other support services available in the surrounding community. 2.4. Identify that the program will provide opportunities for the mother to complete her education. 2.5. Identify that the program will allow the mother to set goals for self and family’s future.

3. Identify interventions. 3.1. Identify that program can give the mother the skills to better prepare her child for school. 3.2. Identify that program can lead to babies having better emotional and speech development. 3.3. Identify that program can lead to fewer childhood injuries.

4. Identify positive outcomes. 4.1. Listen and relate experiences to clients who have taken part in program.

4.2. State strengths of program.

5. State how to contact CMHHS by phone.

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Task Analysis Diagram

The potential clients of Columbia Montour Home Health Services will be able to describe the program and how to contact the program, the goals, the interventions, and positive outcomes of the Nurse-Family Partnership program.

1. Define the overview of the program.

1.1. Identify that the program creates a relationship between the first mother and the visiting nurse.

1.1.3. Identify that the program builds on mother’s sense of confidence.

1.1.2. Identify that the nurse’s support provides a model for the new mother as she bonds with the baby.

1.1.1. Identify that the program relieves stress at home for the first time mother by having nurse visits.

1.2. State that the program is free for the mother and baby.

1.3. State the dynamic make-up and frequency of meetings between the mother and nurse.

1.3.2. State that other family members may take part in the program; for example, father, grandparents, and other extended family members.

1.3.1. Identify the nurse will visit every week or two until the child reaches the age of 2.


2. Identify goal of program.

2.5. Identify that the program will provide ways to set goals for self and family’s future.

2.1.Describe that the nurse will help the mother have a healthy pregnancy and baby through meetings.

2.2. Identify that the program will allow the mother to become a better parent.

2.3. Identify that the program will allow nurses to teach the mother how to get referrals for healthcare, jobs, childcare, and other support services available in the surrounding community.

2.4. Identify that the program will provide opportunities for the mother to complete her education.

2.2.1. Identify that the program will allow nurses to teach the mother ways to interact with her child.

2.1.1. State that the nurses will discuss with the mother how home, work, school, and community environments relate to the health and safety of you and your baby.

2.2.1.1. State that the nurses will promote child development by modeling how to use toys, books, activities, and floor time.

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4. Identify positive outcomes.


4.1. Listen and relate experience to clients who have taken part in the program.

5. State how to contact CMHHS.3. Identify Interventions.

3.3. Identify that program can lead to fewer childhood injuries.

3.2. Identify that program can lead to babies having better emotional and speech development.

3.1. Identify that program can give the mother the skills to better prepare her child for school.

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Design Section

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Assessment Item Specification

Instructional Goal: The potential clients of Columbia Montour Home Health Services will be able to describe the program and how to contact the program, the goals, the interventions, and positive outcomes of the Nurse‐Family Partnership program.

Task # Task Learning/Performance Objectives

Assessment Item • Test Forms • Recognition/Recall • # of question

1 Define the program.

After watching the Nurse‐Family Partnership video, the potential client will be able to define the program with 100% accuracy.

Checklist

Out of the five statements, check the four statements that best define what the Nurse‐Family Partnership Program is about.

X The program will create a relationship between the nurse and you the mother.

X The program will help relieve stress at home for the mother by having nurse visits.

___ The program will allow the nurses to work with mothers until their child reaches the age 5.

X The nurse’s support provides a model for the new mom as she bonds with her baby.

X The program will help to build on the new mom’s self confidence as a mother.

Matching/Multiple Choice

Recognition – given alternatives and prompts

# of questions: 4

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1.1 Identify that the program creates a relationship between the first time mother and visiting nurse.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the program creates a relationship between the first time mother and visiting nurse with 100% accuracy.

See task 1 assessment item. Item is assessed above.


Recognition

# of questions: 1

1.1.1 Identify that the program relieves stress at home for the first time mother by having nurse visits.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the program relieves stress at home for the first time mother by having nurse visits with 100% accuracy.



Recognition

# of questions: 1

1.1.2 Identify that the nurse’s support provides a model for the new mom as she bonds with

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the nurse’s support provides a model



Recognition

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her baby.

for the new mom as she bonds with her baby with 100% accuracy.

# of questions: 1

1.1.3 Identify that the program builds on mother’s sense of confidence.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the program builds on mother’s sense of confidence with 100% accuracy.



Recognition

# of questions: 1

1.2 State that the program is free for the mother and baby.

After watching the Nurse‐Family Partnership video, the potential client will be able to state that the program is free for the mother and baby with 100% accuracy.

Fill in the Blank

Complete the sentence with the best word that will make the statement true.

If you wanted to take part in the Nurse‐Family Partnership program, the program would cost you ________.

Answer: Nothing/No money. The program is free for first‐time mothers who qualify for the program.

Short answer/MC

Recall – reproducing knowledge that was presented in instruction.

# of questions: 1

1.3 State the dynamic make‐up and frequency of meetings

After watching the Nurse‐Family Partnership video, the potential client will be able to state

Fill in the Blank

Complete the sentence with the best word that will make the statement true.

Short answer/MC

Recall

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between mother and nurse.

the dynamic make‐up and frequency of meetings between mother and nurse.

The nurse will visit you every _____ or two until the child reaches the age of 2.

Answer: week.

# of questions: 1

1.3.1 Identify that the nurse will visit every week or two until the child reaches the age of 2.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the nurse will visit every week or two until the child reaches the age of 2 with 100% accuracy.

True or False

Mark T or F in front of the statement. If the Statement is true write T, if the statement is not correct write F.

T The nurse will visit with the mother every week or two until the child reaches the age of 2.

MC/Matching

Recognition

# of questions: 1

1.3.2 State those other family members may take part in program; for example, the father, grandparents, and other extended family members.

After watching the Nurse‐Family Partnership video, the potential client will be able to state that other family members may take part in program; for example, the father, grandparents, and other extended family members with 100% accuracy.

Short Answer

List two other family members besides the mother and baby who may take part in the program.

Answer: Any extended family member is acceptable; examples may include: Father, grandmother, grandfather, Aunt, Uncle, etc.

Fill in the blank

Recall

# of questions: 1

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2 Identify the goal of program.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify the goal of program with 100% accuracy.

Checklist

Out of the six statements, check the five statements that best define the goals of the Nurse‐Family Partnership Program.

The nurse will act as a parent/guardian to you.

X The program will show you ways to have a healthy pregnancy and baby.

X The nurses will discuss ways that the environment relates to your safety, as well as to your baby’s safety.

X The program will encourage you to be the best mom you can be.

X The nurses will show you ways to play and interact with your baby and to show you ways that better prepare your child for school.

X The nurses will talk about ways you can continue your education and make goals for you and your family.



# of questions: 5

2.1 Describe that the nurse will help the mother have a healthy

After watching the Nurse‐Family Partnership video, the potential client will be able to

Fill in the Blank

Complete the sentence with the best word or phrase that will make the statement true.

Short answer/MC

Recall

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pregnancy and baby through meetings.

describe that the nurse will help the mother have a healthy pregnancy and baby through meetings with 100% accuracy.

Through meetings with the nurse, you will discuss way to have a _________ pregnancy and baby.

Answer: healthy/safe.

# of questions: 1

2.1.1 State that the nurse will discuss with the mother how home, work, school, and community environments relate to the health and safety of mother and baby.

After watching the Nurse‐Family Partnership video, the potential client will be able to state that the nurse will discuss with the mother how home, work, school, and community environments relate to the health and safety of mother and baby with 100% accuracy.

Fill in the Blank


The nurse will discuss how your _________ like work, home, school, and your community are related to the health and safety of you and your baby.

Answer: environment/setting.

Short answer/MC

Recall

# of questions: 1

2.2 Identify that the program will allow the mother to become a better parent.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the program will allow the mother to become a better parent with 100%

True or False


T The Nurse‐Family Partnership was created to allow you to become the best mother you

MC/Matching

Recognition

# of questions: 1

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accuracy.

can be.

2.2.1 Identify that the nurses will teach the mother ways to interact with her child.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the nurses will teach the mother ways to interact with her child with 100% accuracy.

True or False


T The Nurse‐Family Partnership will teach you some helpful ways you can interact with your child.

MC/Matching

Recognition

# of questions: 1

2.2.1.1 State that the nurses will promote child development by modeling how to use toys, books, activities, and floor time.

After watching the Nurse‐Family Partnership video, the potential client will be able to state that the nurses will promote child development by modeling how to use toys, books, activities, and floor time with 100% accuracy.

Short Answer

List at least two items or activities you can use or do that will promote you child’s development.

Answer: Answers can include reading books, playing with toys, other playtime activities or floor time activities.

Fill in the blank

Recall

# of questions: 1

2.3 Identify that the program will teach the mother how to get referrals for healthcare, jobs, childcare,

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the program will teach

True or False


MC/Matching

Recognition

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and other support services available in the surrounding community.

the mother how to get referrals for healthcare, jobs, childcare, and other support services available in the surrounding community with 100% accuracy.

F The Nurse‐Family Partnership will not show you how to get referrals for healthcare, jobs, childcare, and other support services in your community.

# of questions: 1

2.4 Identify that the program will provide opportunities for the mother to complete her education.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the program will provide opportunities for the mother to complete her education with 100% accuracy.

True or False


T The program will provide you with opportunities to complete your education.

MC/Matching

Recognition

# of questions: 1

2.5 Identify that the program will allow the mother to set goals for self and family’s future.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that the program will allow the mother to set goals for self and family’s future with 100% accuracy.

True or False


T The goal of this program is to allow you set goals for yourself and your baby.

MC/Matching

Recognition

# of questions: 1

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3 State interventions.

After watching the Nurse‐Family Partnership video, the potential client will be able to state interventions with 100% accuracy.

Checklist

Check all the statements that best define the interventions of the Nurse‐Family Partnership Program.

X The program better prepares your child for school.

X The program can lead to babies having better emotional and speech development.

X The program can lead to children having fewer childhood injuries.



# of questions: 3

3.1 Identify that program can give the mother the skills to better prepare her child for school.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that program can give the mother the skills to better prepare her child



Recognition

# of questions: 1

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Task # Task Learning/Performa Assessment Item • Test Forms • Recognition/Recall nce Objectives • # of question

for school with 100% accuracy.

3.2 Identify that program can lead to babies having better emotional and speech development.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that program can lead to babies having better emotional and speech development with 100% accuracy.



Recognition

# of questions: 1

3.3 Identify that program can lead to fewer childhood injuries.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify that program can lead to fewer childhood injuries with 100% accuracy.



Recognition

# of questions: 1

4 Identify positive outcomes.

After watching the Nurse‐Family Partnership video, the potential client will be able to identify positive

Multiple Choice

Circle the answer that is NOT a positive outcome of the program.

T/F or Matching

Recognition

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outcomes with 100% accuracy.

A. The program relieves stress at home. B. The program is very similar to

Children Protection Services. C. The program will encourage you to

become the best mom you can be. D. The program will allow you to build a

strong relationship between you and your visiting nurse.

# of questions: 1

4.1. Listen and relate experiences to clients who have taken part in program.

After watching the Nurse‐Family Partnership video, the potential client will be able to listen and relate experiences to clients who have taken part in program with 100% accuracy.

Short Answer/Essay

In two or three sentences, describe how this program can relate to you.

Answer: When reading the client’s answer look for relationships between input from other mothers who went through the program and the positive outcomes of the program.

Item and format of question require short answer or essay format. This is because we would like to create a relationship between prior client and potential client.

Constructed Answer

# of questions: 1


After watching the Nurse‐Family Partnership video, the potential client will be able to state strengths of program with 100% accuracy.

Short Answer

List three strengths of the program.

Answer: The learner should be able to recall at least three goals or interventions of the program.

Fill in the Blank/Completion question

Recall

# of questions: 3

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5 State how to contact CMHHS by phone.

After watching the Nurse‐Family Partnership video, the potential client will be able to state how to contact CMHHS by phone with 100% accuracy.

Fill in the Blank


If you are interested in enrolling in the Nurse‐Family Partnership Program you can contact them by _________ at

(570) 784‐1723.

Answer: phone or telephone.

Short answer/Completion

Recall

# of questions: 1

Assessment Instrument Blue Print

Defining Passing/ Mastery Level for

Assessment

In order for the learners to pass the assessment, they will be required to correctly answer 90% of the assessment items. There are a total of 70 possible points available, of these 70 points the learner will be required to receive at least 63 total points in order to pass the assessment.

Rationale for Developing the Specified Score

In order for the training/DVD to be viewed as successful, the goal is to have the learners retain 90% of the information presented in the training/DVD. The learner must be able to recall the most important portions of the training/DVD so they may make an informed decision about joining the Nurse‐Family Partnership.

What is the weighted value of each

question? Why?

Attached below is a chart containing: the task number, the format of each question, the value of each correct answer, and the total number of points for each question.

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Task # Type of Question Point Value Per Correct Answer

Possible Points

1 Checklist 2 8

1.2 Fill in the blank 2 2


1.3.1 T/F 2 2

1.3.2 Short Answer 2 4

2 Checklist 2 10


2.1.1 Fill in the blank 2 2

2.2 T/F 2 2

2.2.1 T/F 2 2

2.2.1.1 Short Answer 2 4

2.3 T/F 2 2

2.4 T/F 2 2

2.5 T/F 2 2

3 Checklist 2 6

4 MC 4 4

4.1 Short Answer 6 6

4.2 Short Answer 2 6

5 Fill in the blank 2 2

Total Number of Possible Points = 70

All correct responses are worth 2 points. In many instances, the checklist questions (Task # 1, 2, 3) will have multiple correct answers; therefore, the point values for those questions are slightly higher than the T/F and fill in

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the blank questions.

Additionally, the value for short answer and essay questions (Task #1.3.2, 2.2.1.1, 4.1, 4.2) will have a higher value. A higher value of points has been assigned to these questions because the learner will have to recall more detail to correctly answer the questions correctly.

Finally, a higher number of points has been assigned to the MC question because the question itself has been created to focus on what the program differs from and also because the other selections in the question focus on the major benefits of the program.

What is the number of questions included in the assessment?

Rationale.

There will be 19 questions included in the assessment. All questions from the assessment specification chart will be included in assessment. All questions provided in the assessment focus on the key benefits of the Nurse‐Family Partnership.

IRB Approval

Human Subject Research COVER SHEET

Date: 7/17/08

Investigators Names and Status: (student, faculty, others)

The investigators will be: Christine Davis, Alanna Ramin, Krysten Slavik, Matthew Raup, and Michael Nichols. All investigators are students in the Advanced Instructional Design Class (Professor: Dr. Phillips)

Department(s):

Instructional Technology

Title of Project:

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Advanced Instructional Design: Columbia Montour Nurse‐Family Partnership Video

Funding Agency: (if any)

None

Category of Review (circle one): See pp. 4‐8

Exemption Requested Expedited Review Full Review

Beginning date July 25, 2008 and ending date August 15, 2008 of involvement of human subjects.

The investigator confirms that the project or activity described in the attached Form B is planned to adhere to University policies and, if applicable, to the institutional assurance with the U.S. Department of HHS regarding the use of human subjects. The investigator agrees that any additions and changes in procedures involving human subjects that occur after review of the application will be brought to the attention of the review committee by the investigator. In addition, the committee will be notified of any unanticipated events that do or could affect the safety and well being of subjects.

TYPED NAME CAMPUS ADDRES PHONE EMAIL ADDRESS Christine Davis Off‐Campus 570‐297‐4579 [email protected] (investigator) Investigator Signature ____________________________________________________

(Faculty Advisor(s) if applicable) Signature

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SECTION A

Check one response in each area. No Yes Does Not Apply

The IRB website has been reviewed for pertinent information.

1. This application involves human subjects participating in:

a. biomedical procedures X

b. procedures to elicit information (personality tests, questionnaires, inventories, surveys, observations, etc.)

X

c. procedures specifically designed to directly modify the knowledge, thinking, attitudes, feelings or other aspects of behavior of the subjects.

X

2. If biomedical procedures are involved:

X

a. are provisions for emergency medical care necessary?

b. has a qualified M.D. participated in planning the project?

c. will the study involve drugs or chemical agents (dosages), ionizing radiation (microwaves, lasers) or high intensity sound?

3. Does this study involve giving false or misleading information to subjects or withholding information from them such that their "informed consent" is in question?

X

4. Are the procedures to be used new or innovative (not established and accepted?) X

5. Will the procedures:

a. cause any degree of discomfort, harassment, invasion of privacy, risk of physical injury, or threat to the dignity of subjects, or be otherwise potentially harmful to subjects?

X

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Check one response in each area. No Yes Does

Not

b. If answer to 5 is YES, have specific provisions been made to correct any harmful or adverse conditions that may arise (Give details in Section B ‐ see p. 12)

X

6. Can the potential benefits from the conduct of this study be considered to outweigh the risks to the subject?

X

7. Will any type of electrical equipment be used that will be connected to subjects? (If YES, give, in Section B, the name and qualifications of individual who will check for electrical safety and attach a signed letter).

X

8. Will subjects receive any payment for participating (money, course credit, etc.)? If YES, give details in Section B.

X

9. Is the project specifically designed to involve subjects who are:

a. minors (less than 18 years of age)? X

b. pregnant women? X

c. prisoners? X

d. mentally retarded? X

e. mentally disabled (e.g. brain damaged, psychiatric patients)? X

f. physically handicapped (e.g. uses wheelchair, walker)? X

g. institutionalized? X

h. Bloomsburg University students? X

10. Do procedures include obtaining parent/guardian consent and/or institutional authorization for access to subjects if minor?

All attempts will be made to include participants 18 or older, if possible.

X

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Check one response in each area. No Yes Does

Not

11. Are procedures for maintaining confidentiality of all subjects' data fully described?

X

12. Are procedures for obtaining informed consent fully described? X

13. Will a copy of the informed consent document and explanation of the study be provided to each subject?

X

14. Have copies of informed consent documentation been submitted ith this Section and Section B? w

X

Fill in the number of estimates:

1. Average amount of time required for subject's participation (hrs): 1 Hr.

2. Number of volunteers (subjects) to be involved in the study: 10

3. If questionnaire or tests are involved, the total number of items: 19

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SECTION B

For Exemption Requested and Expedited Reviews

Respond to each of the following items or questions in the order listed. Provide enough detail so the reviewers will be able to judge how well your study protects human subjects.

1. Provide a brief description of the proposed study (i.e. purpose, problem to be investigated ‐ about 100 words).

DESCRIPTION: The Columbia Montour Nurse‐Family Partnership Program is a free program that is available to young mothers in order to improve health during pregnancy, promote healthy child development and promote a positive maternal life course. A video has been developed to inform potential clients of this program, describe its benefits and to provide contact information. The video will eventually be viewed in health office waiting rooms. This study involves the watching of the video, then answering questions about the video.

2. What are the potential benefits to the individual subjects and/or society as a result of the proposed research?

BENEFITS: No potential risks are associated with this. We expect the project to benefit you by informing you of a valuable program. In addition, we expect this research to benefit the Nurse‐Family Partnership program by providing an interesting, high‐quality video that appeals to young mothers who could be a part of a program like this. More importantly, it will benefit the potential clients of this program by thoroughly explaining the program, its benefits and by providing contact information.

3. Describe the methodology of your study. Please include the setting, subjects and how they will be recruited, data collection methods, method of data analysis, and any other details that may have an effect on human subjects. Be as concise as possible. Attach a copy of any data instrument to be used (questionnaire, survey, interview questions, etc.)

METHODOLOGY OF STUDY: The setting of this study will be at the office of Columbia Montour Home Health Services and will consist of having participants watch the video and fill out a survey on paper. The subjects of the study will be former or current clients recruited by the program director. Once the survey is complete, a member of the Bloomsburg University student team will collect the papers personally. The results of the survey will be compiled and shared only with the Bloomsburg University student team, Columbia Montour Home Health Services, and Professor of the Advanced Instructional Design class.

The final page of this document is a copy of the questionnaire used in this study.

4. If deception must be employed, explain why it must be employed, how you will debrief the subjects, and the actual information which will be provided to the subject in the debriefing process.

N/A

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5. What are the potential risks to the subject? What is the likelihood and seriousness of these risks? Risks could be physical, psychological, social, legal, etc. and may result from your experimental procedures, or your method of obtaining, handling or reporting data). If your study uses electrical equipment connected to the subject, describe the qualifications of the individual who will be responsible for electrical safety and attach a signed letter.

POTENTIAL RISKS: No potential risks are associated with this.

6. As applicable, for each risk identified in 5, describe other methods that were considered that would reduce or eliminate these risks, and explain why they will not be used.

N/A

7. As applicable, describe how you will minimize or protect against potential risks to subjects throughout the study. (Describe emergency procedures, confidentiality safeguards, security measures for storing data, and how to obtain informed assent for minors or others who cannot give legal consent but can give assent.)

CONFIDENTIALITY: Your individual privacy will be maintained in all publications or presentations resulting form this participation. Your name, address, phones number will not be included on this document.

8. Identify all personnel involved in the study, their role, their qualifications and their access to data.

PERSONNEL INVOLVED IN STUDY: The following people may be involved in the study. If you have any questions or would like additional information about this research, please contact one of the members of the student team from Bloomsburg University: Columbia Montour Staff

Loreen Comstock, Program Director Various nurses under the supervision of Ms. Comstock

Bloomsburg Student Team

Christine Davis email: [email protected] or call 570‐297‐4579. Michael Nichols email: [email protected] Alanna Ramin email: [email protected] Matthew Raup email: [email protected] Krysten Slavik email: [email protected]

mailto:[email protected]





36

Informed Consent Form for Video Project Columbia Montour Nurse‐Family Partnership Program.

You are being asked to participate in a research project conducted by students in the Advanced Instructional Design class at Bloomsburg University in cooperation with the Columbia Montour Home Health Services. You are being asked because you are similar in age, background and experiences to potential clients of the Columbia Montour Home Health Services. DESCRIPTION: The Columbia Montour Nurse‐Family Partnership Program is a free program that is available to young mothers in order to improve health during pregnancy, promote healthy child development and promote a positive maternal life course. A video has been developed to inform potential clients of this program, describe its benefits and to provide contact information. The video will eventually be viewed in health office waiting rooms. This study involves the watching of the video, then answering questions about the video. PURPOSE: The purpose of this study is to determine the effectiveness of an informational video about the Nurse‐Family Partnership program. PARTICIPATION & PROCEDURE: You will be asked to watch a video, then complete a questionnaire and/or answer direct questions about the Nurse‐Family Partnership program described in the video. We expect your participation to take one half‐hour of your time. The approximate number of participants in this study is ten. Participation may be stopped by the investigator, without your consent under the following circumstances: termination of the program or lack of sincere participant effort. RISKS & BENEFITS: No potential risks are associated with this. We expect the project to benefit you by informing you of a valuable program. In addition, we expect this research to benefit the Nurse‐Family Partnership program by providing an interesting, high‐quality video that appeals to young mothers who could be a part of a program like this. More importantly, it will benefit the potential clients of this program by thoroughly explaining the program, its benefits and by providing contact information. METHODOLOGY OF STUDY: The setting of this study will be at the office of Columbia Montour Home Health Services and will consist of having participants watching the video and filling out a survey on paper. The subjects of the study will be former or current clients recruited by the program director. Once the survey is complete, a member of the Bloomsburg University student team will collect the papers personally. The results of the survey will be compiled and shared only with the Bloomsburg University student team and Professor of the Advanced Instructional Design class. COMPENSATION / COSTS: You will not receive compensation for participating in this project. On the same note, there will be no costs to you for participation. VOLUNTARY PARTICIPATION: Please understand that participation is completely voluntary. Your decision whether or not to participate will in no way affect your current or future relationship with Bloomsburg University or its faculty, students, or staff, nor will it affect your current or future relationship with Columbia Montour. You have the right to withdraw from the research at any time without penalty. You also have the right to refuse to answer any question(s) for any reason, without penalty. If, at any time you would like to withdrawal your participation, just let the program director (Loreen Comstock) know or contact a member of the Bloomsburg student team (contact info listed below). CONFIDENTIALITY: Your individual privacy will be maintained in all publications or presentations resulting form this participation. Your name, address, phones number will not be included on this document.

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PERSONNEL INVOLVED IN STUDY: The following people may be involved in the study. If you have any questions or would like additional information about this research, please contact one of the members of the student team from Bloomsburg University: Columbia Montour Staff

Loreen Comstock, Program Director Various nurses under the supervision of Ms. Comstock

Bloomsburg Student Team

Christine Davis email: [email protected] or call 570‐297‐4579. Michael Nichols email: [email protected] Alanna Ramin email: [email protected] Matthew Raup email: [email protected] Krysten Slavik email: [email protected]

You can also contact our research collaborator/advisor at Bloomsburg University by emailing [email protected] A signed copy of this consent form will be given to you. If you are 18 years of age or older:

I understand the study described above and have been given a copy of the description. I am 18 years of age or older, and I agree to participate. Signature of Participant ________________________________ Date ____________________ Printed Name of Participant _____________________________

If you are under 18 years of age:

I understand what I am being asked to do in this test, and I want to take part. Signature of Participant ________________________________ Date ____________________ I understand the test described above and have been given a copy of the description. I am the parent or guardian of the above referenced minor and I agree to his/her participation in the study. Signature of Parent / Guardian ________________________________ Date ____________________







Signature of Investigator ________________________________ Date ____________________ Photo/Video/Audio Consent Form

I, the undersigned, do hereby consent to the use by Bloomsburg University students, on behalf of Columbia Montour Home Health Services, video, photograph, or audio recordings described below. In addition, I waive all claims to compensation or damages based on the use of my image or voice, or both in this project. I also waive any right to inspect or approve the finished photograph or video or audio recording. I agree that all such portraits, pictures, photographs, video and audio recordings and any reproductions thereof, shall remain the property of Bloomsburg University and Columbia Montour Home Health Services, unless otherwise noted. I understand that this consent is perpetual; that I may not revoke it, and that it is binding. I warrant that I am at least 18 years of age and that I am competent in my own name insofar as this consent is concerned. I further attest that I have read this consent form and fully understand its contents. Description of video, photograph, or audio tape: The video will be a promotional piece describing the Nurse‐Family Partnership Program, consisting of video or audio testimonials. Signature of participant: ______________________________________________________ Date: _______________________ Printed name of participant: ____________________________________________________________________________ Name and contact information of photographer/videographer: Matthew Raup email: [email protected]

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Assessment Questionnaire

Please complete the assessment items below.

1. Out of the five statements, check the four statements that best define what the Nurse‐Family Partnership Program is about.

__The program will create a relationship between the nurse and you the mother.

__The program will help relieve stress at home for the mother by having nurse visits.

__The program will allow the nurses to work with mothers until their child reaches the age 5.

__The nurse’s support provides a model for the new mom as she bonds with her baby.

__The program will help to build on the new mom’s self confidence as a mother.

2. Complete the sentence with the best word that will make the statement true.

If you wanted to take part in the Nurse‐Family Partnership program, the program would cost you ________.

3. Complete the sentence with the best word that will make the statement true.

The nurse will visit you every _____ or two until the child reaches the age of 2.

4. Mark T or F in front of the statement. If the Statement is true write T, if the statement is not correct write F.

___ The nurse will visit with the mother every week or two until the child reaches the age of 2.

5. List two other family members besides the mother and baby who may take part in the program.

__________________________________________________________________________________

__________________________________________________________________________________

6. Out of the six statements, check the five statements that best define the goals of the Nurse‐Family Partnership Program.

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The nurse will act as a parent/guardian to you.

The program will show you ways to have a healthy pregnancy and baby.

The nurses will discuss ways that the environment relates to your safety, as well as to your baby’s safety.

The program will encourage you to be the best mom you can be.

The nurses will show you ways to play and interact with your baby and to show you ways that better prepare your child for school.

The nurses will talk about ways you can continue your education and make goals for you and your family.

7. Complete the sentence with the best word or phrase that will make the statement true.

Through meetings with the nurse, you will discuss way to have a _________ pregnancy and baby.


The nurse will discuss how your _________ like work, home, school, and your community are related to the health and safety of you and your baby.


The Nurse‐Family Partnership was created to allow you to become the best mother you can be.


The Nurse‐Family Partnership will teach you some helpful ways you can interact with your child.

11. List at least two items or activities you can use or do that will promote you child’s development.

_________________________________________________________________________________ _________________________________________________________________________________


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The Nurse‐Family Partnership will not show you how to get referrals for healthcare, jobs, childcare, and other support services in your community.


The program will provide you with opportunities to complete your education.


The goal of this program is to allow you set goals for yourself and your baby.

15. Check all the statements that best define the interventions of the Nurse‐Family Partnership Program.

The program better prepares your child for school.

The program can lead to babies having better emotional and speech development.

The program can lead to children having fewer childhood injuries.

16. Circle the answer that is NOT a positive outcome of the program.

A. The program relieves stress at home. B. The program is very similar to Children Protection Services. C. The program will encourage you to become the best mom you can be. D. The program will allow you to build a strong relationship between you and your visiting nurse.

17. In two or three sentences, describe how this program can relate to you.

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18. List three strengths of the program.


If you are interested in enrolling in the Nurse‐Family Partnership Program you can contact them by _________ at (570) 784‐1723 or 1‐800‐349‐4702.

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Instructional Strategies

Learning Outcome Type Objectives Instructional Strategy

Declarative Knowledge

Shown the Columbia‐Montour Nurse Family Partnership video, potential participants will be able to describe the program including goals, interventions, and positive outcomes by completing a 19 question assessment with 90% accuracy

‐ The potential

participants will be shown the Columbia‐Montour Nurse Family Partnership.

‐ Next, potential

participants will take the assessment to demonstrate understanding.

Shown the Columbia‐Montour Nurse Family Partnership video, potential participants will be able to identify on how to contact Columbia Montour Nurse Family Partnership by completing a 19 question assessment with 90% accuracy.

‐ Assessment scores will indicate whether or not improvements to the instructional video and/or specific video segments are necessary.

Media Selection Rationale

Introduction

Columbia‐Montour Home Health Nurse Family Partnership Program strives to provide quality care and assistance to first time mothers during and after their pregnancies. As a voluntary program, it can be often difficult to advertise the benefits of being enrolled. In order to reach new, possible participants Columbia‐Montour is seeking the development of a brief and informative video that will pique the interests of first time mothers to enroll into the program.

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Medium of Choice

In order to effectively meet the specifications set by Columbia‐Montour, Group 1 has decided to choose to use a video format for the following reasons:

Versatility and Functionality

The use of video allows for a wide range of functionality and versatility in terms of areas of application, type of content delivery, and ease of use. In choosing the video format, Columbia‐Montour is given the opportunity to display their services in many different areas ranging from doctor’s offices, hospital waiting rooms, and other possible referral sites. In terms of delivery, the use of video allows Columbia‐Montour the ability to meet the technology specifications of each referral site through the use of different media types such as DVDs, VHS tapes, or computer video files.

Informative and Engaging

Video allows Columbia‐Montour to present the Nurse Family Partnership in an informative and engaging manner to potential participants. In using video, the content will be presented to both auditory and visual learners in an engaging manner. The video will allow Columbia‐Montour to maintain the attention of potential program participants while still presenting key information.

Rationale

The rationale behind using video in the instructional design project for the Columbia‐Montour Nurse Family Partnership is to effectively engage and inform potential participants into enrollment. The versatility and functionality of video allows Columbia‐Montour to maximize potential enrollment opportunities while providing an efficient and effective means to inform potential participants of benefits and goals of the program.

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Development Section

45

Flowcharts and Storyboards

Flow Chart Page 1 – Columbia Montour

Columbia Montour, Group 1 50

Flow Chart Page 2 – Columbia Montour


46

MM Hook Duration = :10

Media Description

Photo: N/AProgram Director, Loreen Comstock will begin by asking a few thought‐provoking questions:

• Are you pregnant for your first baby?• Do you feel alone and wish you had help?

Video: Loreen Comstock

Sound: "In the Arms of the Angel" by Sarah McLachlan playing softly in the background.

People Needed: Loreen Comstock Location: CMHHS Office

52Columbia Montour, Group 1

Storyboard – Columbia Montour

1 Program Overview Duration = :30

Media Description

Photo: N/A After the questions, Loreen will

‐introduce herself‐explain, without going into detail, that the program is free, provides a supportive relationship with a nurse through frequent visits to help a young mother through pregnancy and beyond for the first two years of their child’s life.

Video: Loreen Comstock


People Needed: Loreen Comstock Location: CMHHS Office



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1.11.1.11.1.21.1.3

Nurse / Mother RelationshipTo Reduce StressTo Model MotherhoodTo Build Self‐Esteem

Duration = :10

Media Description

Photos: provided by CMHHS, showing nurse with a young mother. PowerPoint Slide

‐Still image ‐Following text:

Your relationship with the nurse will:‐help in reduce your stress‐provide you with a motherhood model‐help to build your confidence

Video: N/A


People Needed: N/A Location: N/A



2 Program Goals Duration = :25

Media Description

Photos: provided by CMHHS showing mothers, nurses, children.

5 PowerPoint slides, consisting of still images and text, will illustrate the main goals of the program including:

‐Improving baby’s health‐Providing parenting skills‐Helping mothers acquire support services‐Helping mothers complete their education‐Helping mothers set goals

See 2.1 – 2.5 for specific information.

Video: N/A





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2.12.1.1

Baby’s HealthRole of Environments Duration = :05

Media Description

Photo: Dr. with pregnant mother or baby.

PowerPoint Slide‐Still image ‐Voice Narration

Voice Narration: The nurse will talk to you about how home, work, school, and the community in which you live play a role in your health and the health of your baby.

Video: N/A


Voice Narration

People Needed: Loreen (voice) Location: N/A



2.3 Acquiring Support Services Duration = :05

Media Description

Photo: nurse with mother. PowerPoint Slide‐Still image ‐Following text

Text: We can help you get referrals for healthcare, jobs, and childcare.

Video: N/A





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2.4 Completing Mother’s Education Duration = :05

Media Description

Photo: mother with diploma. PowerPoint Slide‐Still image ‐Voice Narration

Voice Narration: We can help you finish your education for a better future.

Video: N/A


Voice Narration




2.5 Goal Setting Duration = :05

Media Description

Photo: nurse with mother & baby. PowerPoint Slide‐Still image ‐Following text

Text: We can help you set goals for yourself and your family’s future.

Video: N/A





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3 Identify Interventions Duration = :15

Media Description

Photos: provided by CMHHS, showing interventions listed in the description. (See 3.1, 3.2, 3.3) 3 PowerPoint slides, consisting of still images

and text or voice narration, identify the ways in which the Program intervenes in the lives of the mother and child. The interventions will be identified and illustrated on 3 consecutive PowerPoint slides.

See 3.1 – 3.3 for specific information.

Video: N/A





3.1 Prepare Child for School Duration = :05

Media Description

Photo: child reading or writing.PowerPoint Slide‐Still image ‐Following text

Text: We can help you prepare your child for school.

Video: N/A





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3.2 Emotional / Speech Development Duration = :05

Media Description

Photo: Happy toddler or young child talking. PowerPoint Slide

‐Still image ‐Following text

Text: We can help your child have better speech and emotional development.

Video: N/A





3.3 Fewer Childhood Injuries Duration = :05

Media Description

Photo: Child playing.

PowerPoint Slide‐Still image ‐Voice Narration

Text: We can help you avoid injuries and keep your child safe.

Video: N/A


Voice Narration




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4 Positive Outcomes of Program Duration = 2:00

Elements Description

Photo: N/A

A video piece consisting of a nurse and former client will explain the positive outcomes of the program, helping them to relate to past clients and reinforcing the strength of the program.

Video: Nurse and client together.


People Needed: Nurse & Former Client Location: Apartments



4.1 Positive Outcomes of Program Duration = 1:00


Photo: N/A In the video, the nurse will begin by reiterating that the strengths of the program are the relationships and interactions between the nurse and mother.

In her own words, based on her own experiences, she will emphasize the bond between the two and the support provided.






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4.1 Relate to Former Clients Duration = 1:00


Photo: N/A

In her own words, the former client will talk about her experiences with the program, focusing on what she thought were strengths and positive outcomes. How has her life changed?






5 Program Contact Duration = :30


Photo: N/A

Loreen Comstock will conclude the video by providing directions of how to contact the program.

Video: Loreen Comstock.


People Needed: Nurse & Former Client Location: CMHHS Office



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Timeline / Shot List


Medium Description Done?

Video Loreen’s Hook

Video Loreen’s Overview

Video Nurse – Strengths

Video Former Client – Experiences

Video Loreen’s Contact Info & Conclusion

Narration Role of environment…

Narration Complete your education…

Narration Fewer injuries…

Medium Description Done?

2 Photos Nurse w/Mom

Photo Nurse or Child with Dr.

2 Photos Nurse w/Mom and Child Interacting

Photo Mom w/ Diploma

Photo Child reading or writing

Photo Happy child

Photo Child Playing

VIDEO SHOTSPHOTO SHOTS

Instructional Manual Rationale

An instructional manual designed for the Columbia‐Montour Nurse Family Partnership project is

not necessary because the training is entirely video‐based and self‐directed. The use of the video allows

for a wide range of functionality and versatility to maximize potential enrollment opportunities while

providing an efficient and effective means to inform potential participants of benefits and goals of the

program. The video was chosen to display their services in different areas ranging from hospital waiting

rooms to WIC offices to allow for potential clients to view the Nurse‐Family Partnership program during

their waiting time. The video is presented in an informative and engaging manner and is presented to

both auditory and visual learners. The video will allow Columbia‐Montour to maintain the attention of

potential program participants while still presenting key information.

.

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Evaluation Section

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One‐to‐One Data Evaluation

Procedure: Two participants took part in the out one‐to‐one evaluation. Each evaluation lasted twenty minutes in length. Each participant was placed in front of a video screen where they sat down with the designer and discussed clarity and other technical aspects of the video. slight grammatical changes, changes in volume of music during speaking parts, addition of pictures with children, and displaying text on screen longer.

Comment Revision Consider Revision No Revision

Change the word “your” to “you.”

Grammatical change will be made.

Change the word “mom” to “mothers.”

Grammatical change will be made.

Lower music when speaking is involved.

Changes will be made in order to improve hearing.

Keep text on screens longer.

Changes will be made in order for learners to read all of text on the screens.

Provide more pictures with children.

Pictures can only be added if nurse staff members provide us with pictures.

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Small Group Evaluation

Procedure

Group 1

A questionnaire was prepared based on the assessment blueprint and four‐column chart. The setting of this small group evaluation was the Degenstein Library in Sunbury, PA, in the CERC conference room. Three participants arrived for this small group evaluation. These were all young mothers who are similar to the target audience of this training. Two of the mothers brought their child with them. Two nurses from Columbia Montour also attended. The nurses watched the children while the mothers participated in the evaluation. The participants sat at a table with a seat between each participant. The evaluator introduced herself and provided an explanation of the purpose of this evaluation. Next, participants watched a 4‐minute video. They then were each given a copy of the questionnaire and instructions to answer the questions without speaking to one another or the nurses. They were told that they could ask for clarification on any of the questions but if they were unable to answer them, they should just leave them blank. It took the participants about 20 minutes to answer the questions. Upon each participant's completion, the evaluator collected their papers. Once all three participants were done, and all papers were collected, the evaluator thanked the participants for their help. The participants asked if they could now watch the video again. The nurses and children were invited to the table and all watched the video together. At this point comments were shared as there was discussion about the video and some revisions were suggested.

Group 2

Three participants were involved with group 2’s small group evaluation at a different location than group 1. One participant brought her child that the nurse watched for her while she completed the assessment.

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The participants viewed the video together and made comments about the children and pictures shown on the video. No comments were made about the instruction of the video. After the video, the participants filled out the sheets and gave them to Matt. The participants watched the video again and continued to talk about the pictures and asked if they provided Matt pictures, if he could place them in the video as well.

Data Analysis Chart

Assessment

Objective 1 1.2 1.3 1.3.1 1.3.2 2 2.1 2.1.1 2.2 2.2.1 2.2.1.1 2.3 2.4 2.5 3 4 4.1 4.2 5

Stud

ents

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19

A 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

B 0 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1

C 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1

D 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1

E 1 1 1 1 0 1 1 1 1 1 1 1 1 1 0 1 1 1 1

F 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1

Percentage achieving each objective

83 100 100 100 50 100 100 50 100 100 100 100 100 100 83 100 100 100 100

Results According to the answers given on the evaluation instrument, the instructional video appears to successfully define the Nurse‐Family Partnership Program, identify the goals and interventions of the program. The one objective that appears not to have been met by the video at this point is the last one, which was to provide contact information in the form of phone numbers potential clients could call. Some of the answers regarding how the program can relate to them personally did not match the

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information provided in the text of the video. Although their answers did make sense, the participants stated that they did not have time to read the text as it appeared on‐screen, it changed too quickly.

Other revisions that should be made regarding the video pertain to other family members that are allowed to take part in the program, other than the mother and baby. The second group of small group evaluations felt that the video only talked about the father taking part in the program, but the first group of small group evaluations knew that other family members were allowed to take part in the program.

Another question that gave many of the participant’s faulty answers was question 8 that asked the participants to fill in the blank regarding how the environment relates to the health and safety of the mother and baby. Many participants did not find that the answer was supposed to be, environment, therefore many of the participants did not answer the question correctly. Revisions The phone numbers for Columbia Montour must be added to the end of the video. These numbers are: (570) 759‐3970 or 1‐800‐349‐4702. Slides with text will be edited so that they appear on‐screen longer to allow for easier reading. Another revision is to increase the length of time in which the text appears on screen.

Field Trial Plan

In the Columbia Montour Nurse‐Family Partnership Video project, in order to accurately field test the video, the following procedures would be followed.

Learners

Potential clients who are not yet associated with the Nurse Family Partnership would be included in this evaluation. Since these potential clients are not always at the doctor’s office at the same time, on the same day, this evaluation would span a period of 2‐3 months time.

Sites

Field trials would begin in three different doctor’s offices that often refer young mothers to Columbia Montour. The potential clients would watch the video while in the waiting room. There may be other people in the room, as in an everyday situation.

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Conducting Training

Since the training is in the form of an instructional video, it is self‐directed and it is not necessary for a trainer to facilitate. However, after watching the video, interested individuals would then contact the Nurse‐Family Partnership about finding out more information. During this initial contact, the Nurse‐Family Partnership would ask the potential clients if they had seen the video. If so, they would keep a record of all the clients who had watched the video prior to becoming a client. Once ten individuals have become Nurse Family Partnership clients, a member of the design team would interview them, assess the effectiveness of the video.

Observation of On‐Site Trainers

Being self‐directed, it is not necessary to observe trainers. It would be beneficial, however, for a member of the design team to observe the video being watched by potential clients in the actual setting. Due to the sensitive nature of pregnancy and young mothers and HIPPA privacy laws, it would be unethical to interview or question all individuals doctor offices feel would benefit from the program. The most logical way would be to get feedback from them once they become in contact with the program.

Evaluation of Instructors Manual

This instructional video is self‐directed; therefore there is no need for an evaluation of the instructor’s manual.

Data Analyzation

The data will be analyzed by comparing the number of clients who had joined the program while the video was in use to the number of clients who had joined prior to the video in the same length of time since the goal of the video is to increase client numbers. A member of the design team will use instruments similar to the ones used in the small‐group evaluations.

Summative Evaluation Plan

How long after implementation will summative assessment be conducted?

Columbia Montour plans to distribute copies of this video to various offices with a high volume of traffic. The video will be viewed by many potential clients each week. Given this expected schedule of use, summative evaluation should take place after six months. This allows enough time for Columbia Montour’s referral offices to show the video multiple times, and for potential clients to use the information provided in the video.

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What approach will be used to conduct the summative evaluation?

A blended approach to summative evaluation should be used in this project. A majority of the evaluation should be objective, based on the goals of the project. A smaller part should be subjective, based on findings of an expert, in this case the Program Director and referral office staff, regarding the effectiveness of the instructional video.

The objective portion of the summative evaluation should consist of a questionnaire, similar to the one used in the formative evaluation, generated based on the four‐column chart and assessment instrument blueprint. Participants should watch the video, then answer the questions on this questionnaire. The results should then be tabulated and analyzed.

The subjective part of the evaluation involves having the Nurse‐Family Partnership Program Director answer a series of questions regarding the effectiveness of the program. These questions would include, but not be limited to:

Has there been an increase in the number of referrals from the offices playing the video in the last six months?

Have new clients stated that they learned about the program through the video?

Have the referral offices noticed potential clients showing interest in the program after watching the video?

Who should conduct the summative evaluation?

A member of the design team could conduct the objective portion of the evaluation because bias would not be an issue. The questionnaires filled out by participants would show the effectiveness of the video. The subjective portion could be completed by the Program Director, guided by questions posed by the design team as listed above. The first two questions above are more concrete, so bias is not an issue, the other question is subjective, based on the judgment of staff at the referral offices. The staff at these offices do not gain in any way by being biased so truthful answers are anticipated.

Date post:	23-Mar-2016
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Columbia Montour Nurse-Family Partnership Instructional Design Project

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