Competitive Grant Program: Year 2 Meeting 2. SPECIAL DIABETES PROGRAM FOR INDIANS Competitive Grant...

Competitive Grant Program: Year 2 Meeting 2

SPECIAL DIABETES PROGRAM FOR INDIANS


HH Data Coordinator Training Session 3 – Next Forms

Jeanne M. AmosCC HH Data [email protected]

303.724.0423



Next Forms = All of the forms we didn’t cover

in the first 2 sessions(even though some of them you should already be filling out)



Download forms from the website EXCEPT questionnaires, which are

specially printed and mailed to grantees. Let us know when you

need more questionnaires.



Forms you should have started already(even though you don’t have to send them to

the CC until December):

Recruitment Team Meetings Form (R3, Step 1)

Recruitment Activities Annual Report (AD1, Step 6)

Case Management Team Meetings Form (I1, Step 3)



Recruitment Team Meetings Form (R3, Step 1)

http://www.uchsc.edu/ai/sdpi/common/forms/R3.H.03_HH_Recruitment_Team_Meetings_Form.doc

Purpose: Provides a record of recruitment team membership, dates of monthly recruitment team meetings, and topics covered during these meetings.

http://www.uchsc.edu/ai/sdpi/common/forms/R3.H.03_HH_Recruitment_Team_Meetings_Form.doc



Recruitment Activities Annual Report (AD1, Step 6)http://www.uchsc.edu/ai/sdpi/common/forms/AD1.H.03_HH_Recruitment_Activities_Annual_Report.doc

Purpose: To evaluate the types of recruitment activities implemented by grantee projects, the relative success of these activities, and their relationto successful project outcomes.

http://www.uchsc.edu/ai/sdpi/common/forms/AD1.H.03_HH_Recruitment_Activities_Annual_Report.doc



Case Management Team Meetings Form (I1, Step 3)

http://www.uchsc.edu/ai/sdpi/common/forms/I1.H.03_HH_Case_Management_Team_Meetings_Form.doc

Purpose: Provides a record of Case Management team membership, dates of the monthly team meetings, and topics covered during these meetings



Forms you should have started IF you have started enrolling participants:

Participation Record Form (R2, Step 1)(This form is NOT sent to the CC at all!)

Participant Attendance Form (I2, Step 3)Individual Retention Form (I3, Step 3)

(These forms are sent to the CC in December.)



Participation Record Form (R2, Step 1) (NOT sent to the CC)

http://www.uchsc.edu/ai/sdpi/common/forms/R2.H.03_HH_Participation_Record_Form.doc

Purpose: To assist project staff in keeping track of all of the participant’s forms and questionnaires required throughout the project. To document when each form or questionnaire is completed and submitted to the CC.



Participant Attendance Form (I2, Step 3)

http://www.uchsc.edu/ai/sdpi/common/forms/I2.H.03_HH_Participant_Attendance_Form.doc

Purpose: To track each participant’s attendance at Case Management visits and referrals made at Case Management visits.



Individual Retention Form (I3, Step 3)

http://www.uchsc.edu/ai/sdpi/common/forms/I3.H.03_HH_Individual_Retention_Form.doc

Purpose: To track a participant’s missed Case Management visits or Honoring the Gift of Heart Health classes, the barriers to participation, and efforts to retain the participant in the project.



Another form you may have started (if you’ve started Retention Activities):

Retention Activities Annual Report

(AD2, Step 6)(sent to the CC in December)



Retention Activities Annual Report (AD2, Step 6)

http://www.uchsc.edu/ai/sdpi/common/forms/AD2.H.03_HH_Retention_Activities_Annual_Report.doc

Purpose: To evaluate the types of retention activities implemented by grantee projects for ALL participants, the relative success of these activities, and their relation to successful project outcomes. (Retention efforts for an individual participant are recorded on the Individual Retention Form.)



Forms in the future:

Annual Assessment & QuestionnairesAnnual (December) Questionnaires



Annual Assessment/Questionnaires:

Participant Annual Assessment of Core Elements (A1) Participant Annual Questionnaire (A2)

Family Annual Questionnaire (A3)



Participant Annual Assessment of Core Elements (AACE) (A1, Step 5)

http://www.uchsc.edu/ai/sdpi/common/forms/A1.H.03_HH_Participant_Annual_Assessment_of_Core_Elements.doc

Purpose: To assess changes in clinical measures and health behaviors one year (and two years) after the participant’s first Case Management visit.



How is the Annual Assessment of Core Elements different from the Baseline Assessment?

Deleted Questions:FBG, OGTT, risk factors for diabetes

Added Questions:Questions about the participant’s intensive activities

Both Assessment forms are the same length.



Participant Annual Questionnaire (A2, Step 5)

http://www.uchsc.edu/ai/sdpi/common/forms/A2.H.03_HH_Participant_Annual_Questionnaire.doc

(For Reference Only; Use Scannable Form)

Purpose: To assess changes in attitudes and health behaviors one year (and two years) after the participant’s first Case Management visit, and to determine the participant’s experiences in and opinions about the project.



How is the Participant Annual Questionnaire different from the Participant Baseline Questionnaire?

Deleted Questions:Gender, age, tribal affiliation

Added Questions:Experiences in project and opinions about project

The Participant Annual Questionnaire is longer than the Baseline Questionnaire.



Family Annual Questionnaire (A3, Step 5)

http://www.uchsc.edu/ai/sdpi/common/forms/A3.H.03_HH_Family_Annual_Questionnaire.doc (For Reference Only; Use Scannable Form)

Purpose: To determine the family member’s impressions of the participant’s experiences in the project and the family member’s opinions about the project, one year (and two years) after the participant’s first Case Management visit.



How is the Family Annual Questionnaire different from the Family Baseline Questionnaire?

Added Questions:Participant’s experiences in the projectFamily’s reactions to the project

The Family Annual Questionnaire is slightly longer than the Baseline Questionnaire.

Both are 4 pages long.



Annual (December) Questionnaires:(We will send the scannable forms in October)

Provider Annual Questionnaire (AD3)Organization Annual Questionnaire (AD4)Community Annual Questionnaire (AD5)



Provider Annual Questionnaire (AD3, Step 6)

http://www.uchsc.edu/ai/sdpi/common/forms/AD3.H.03_HH_Provider_Annual_Questionnaire.doc (For Reference Only; Use Scannable Form)

Purpose: To determine the providers’ perspectives about the project. Providers include project staff and health/medical providers who implement the project activities and who interact with participants regularly.



Organization Annual Questionnaire (AD4, Step 6)http://www.uchsc.edu/ai/sdpi/common/forms/AD4.H.03_HH_Organization_Annual_Questionnaire.doc (For Reference Only; Use Scannable Form)

Purpose: To identify and describe key organizational factors, management practices and cultural values of grantee projects, and to explore whether these factors may influence project and participant outcomes.



Community Annual Questionnaire (AD5, Step 6)http://www.uchsc.edu/ai/sdpi/common/forms/AD5.H.03_HH_Community_Annual_Questionnaire.doc (For Reference Only; Use Scannable Form)

Purpose: To identify and describe the attitudes and perspectives of key community stakeholders about the project.



Next Forms:

Questions and Answers

Date post:	19-Dec-2015
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