Instrument #6 - RF Study MIS

Parents and Children Together (PACT) Evaluation

PACT - ICR - Baseline+MIS - Instrument #3 Study MIS Text and Wireframes - 6-13-12

Instrument #6 - RF Study MIS

OMB: 0970-0403

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OMB No.: 0970-0403
Expiration Date: 04/30/2013

PACT
Study MIS
May 23, 2012

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PACT Study MIS

Mathematica Policy Research

Table 1 Study MIS: Item- by- Item Justification
Entry

Rationale

Intake for Random Assignment
Name
Date of birth

Required for checking that the applicant is not already a
sample member before conducting random assignment. Also
needed to obtain administrative data on sample member.

Social Security number
Gender (RF program only)
Presence of biological children

Whether the father lives with biological
children (RF program only)
Whether the couple has child together (HM
program only)

Required to screen applicants for study eligibility. In RF
programs, study applicants must be male and a parent. In HM
programs, at least one partner in the couple must have a
biological child under the age of 18 to be eligible for the
study.
Required for random assignment. In RF programs,
stratification will occur based on whether the father has
residential children. In HM programs, stratification will occur
based on whether the couple has a child together.

Referral source

Staff will identify how the applicant was referred to the
program for descriptive purposes and to predict program
participation for the estimation of the impact of the treatment
on the treated (see Section 16).

Likelihood of participation in each program
component

Staff will provide predictions of the likelihood of participation
in different types of program services. This will be used with
other baseline information about participants to estimate the
impact of treatment on the treated (see Section 16).

Service Receipt
Client Information
Name and nickname
Contact information (address, phone
numbers, email)

Client information will allow staff to track and manage clients
that are participating in the program. Enrollment date, end
date of program involvement, and reason for ending program
will be used to describe enrollment patterns.

Partner/spouse name
Enrollment date (default is random
assignment date)
End date of program involvement
Primary reason for ending program,
including whether participant
completed the program or ended
services prior to completion1
Group Services–Add or Revise a Workshop
Name of workshop
Description
Whether registration is required to attend
Total hours of workshop
Intended participants in workshop

RFHM programs will provide some of their services in group
settings. Group services, referred to as workshops in the study
MIS, will focus on specific topics and may use standard
curricula. Workshops will occur during one or more sessions
and will last for a varying number of hours. Adding or revising
workshops will allow staff to record information about these
workshops. This information will be provided once, though
staff may revise the information as needed. The information
will be used to describe the types of group workshops offered.

Category of workshop
Agency providing workshop
Workshop instructors

PACT Study MIS

Mathematica Policy Research

Entry
Group Services–Add or Revise a Group Within a
Workshop
Name of group
Agency providing group
Number of sessions

Rationale
RFHM programs may offer a workshop multiple times. Each
time a workshop is offered program staff will identify this as a
group in the study MIS. To manage the group, staff will enter
descriptive information at the start and may revise that
information as needed. Group information will be used to
describe the types of group workshops offered.

Maximum number of participants
Meeting day of week and time
Start date for group and nonsession dates
Location of group
Names of group instructors
Whether a group is cancelled and
cancellation reason, such as insufficient
participant enrollment or unable to
obtain space to hold the group
Group Services–Record Attendance
Location of session
Start and end time of instruction
Instructors for session
Name of clients attending session
Whether client attended session with
another individual (if expected in
workshop)
Service Contact
Date of contact
Length of contact
Whether client was present at contact
Service contact mode and location

Within a group, there are individual sessions for which staff
will document session length, instructors, and client
attendance. The study MIS will include multiple options for
recording attendance depending on whether a group has a set
of clients registered or is open to any client and whether the
group is supposed to be attended by only the client or by the
client and another member of his family, such as a partner or
child. Information on attendance will be used to describe the
types of services offered and participation patterns.

RFHM programs offer some services in one-on-one settings.
For each individual service, referred to as a service contact in
the study MIS, staff will record the contact date, length,
location, and content (for example, parenting, economic
stability, domestic violence, or emergency needs). This
information will be used to describe the types of services
offered and participation patterns.

Content of service contact
Person providing service contact
Was client referred to another agency
during service contact
Referrals
Date of referral
Whether referral was verbal or written
Name of agency to which client referred
Type of service for which client referred
1

RFHM programs provide clients with referrals to other
organizations that may be able to address specific client
needs. In the study MIS, staff will document when referrals are
provided by providing the date and type of referral and listing
the agency to which the client is referred and type of service
sought. Referral information will be used to describe the types
of services offered.

We will work with program staff to define program end.

PACT Study MIS

Mathematica Policy Research

STUDY MIS WIREFRAMES
The study MIS wireframes depict the planned arrangement of the study MIS website’s content,
including data elements and navigation instructions. Each wireframe has a descriptive title and
represents a planned screen in the study MIS. There are wireframes for five sets of screens:
• Screens starting with “G” (G1 – G9) are general screens to assist system users with
navigating the study MIS and organizing the entry of information. The general screens
will be tailored to a specific user. A welcome screen (G1) will include a message board
listing announcements or reminders from program or evaluation contractor staff. Screen
G2 will allow users to search for and locate clients and screen; G3 will display results of
this client search. Screens G4 through G6 will depict a user’s personalized pages
providing access to upcoming appointments (G4), client information for the user’s
caseload (G5), and agency information for common referral organizations (G6). The top
of these pages will identify the user. Screen G7 will provide summary information on the
user, for example his or her phone number and email address, and can be updated by the
user, as needed. Screen G8 will allow users to add appointments, including their date and
time; information entered on screen G8 will appear on the appointment list on the user’s
page (G4). Screen G9 is for managing information on referral agencies.
• Screens starting with “RA” (RA1 – RA3) are for the intake and random assignment
process. Screen RA1 will include all information to be completed by the staff member
prior to random assignment. Screens RA2 and RA3 will display results of random
assignment: screen RA2 will depict what the staff member will view when a client is
successfully randomly assigned; screen RA3 will depict what the staff member will view
when a client submitted for random assignment is flagged as someone who has already
been randomly assigned.
• Screens starting with “C” (C1 – C7) are for documenting individual services provided to
a client. Information about the client’s activities is recorded on screens C1 through C4.
Screen C1 will provide recent activity for a client, including their current participation
status, upcoming appointments, and recent service contact history. Screen C2 will
provide a summary of all client contact information gathered by program staff and
screen C5 will allow users to enter or modify this information. Screen C3 will provide a
summary list of all referrals provided to the client. The “Workshop Activity” page (C4)
will provide a list of all current and past workshops for the client. Screen C6 will allow
staff to document each contact with or service provided to the client. For each contact
or service, the study MIS will capture the date, length, and location of the contact,
participants, content, and the staff member providing the service. If a referral is
provided, system users will enter information on the referral on screen C7.
• Screens starting with “W” (W1 – W9) are for tracking and managing workshops. The
study MIS defines a workshop as any group activity that is offered by the program and
may include classes or support groups. Workshops may require registration—with a
regular set of attendees—or be open to any client from the program. Many workshops
offered by RF programs have multiple sessions. For example, a workshop may be entitled
“How to Become a Great Dad” and include weekly one-hour sessions. Programs may
provide opportunities to attend the workshop at different times and days, with different
facilitators, and/or with different start dates. For example, “How to Become a Great
iii

PACT Study MIS

Mathematica Policy Research

Dad” may be offered on Tuesday evenings facilitated by Mr. Smith starting on April 6th
and on Saturday mornings facilitated by Mr. Jones starting on May 6th. For the purposes
of the study MIS, we define a group as a predefined complete set of sessions of a
workshop. In the example above, the workshop is “How to Become a Great Dad” and
the group is the six sessions on Tuesday evenings beginning on April 6th and facilitated
by Mr. Smith.
Screens W1 and W2 will provide a summary of all workshops and will allow users to
enter descriptive information for new workshops as well as update information for
existing workshops. When programs run a group of a workshop, program staff will enter
descriptive information about the group, such as the meeting days and time, the group
start date, the facilitator, and the total number of sessions on screen W3. To help
programs manage workshops, screen W4 will provide summary information about a
particular workshop and the groups that are associated with that workshop. If an existing
group needs to be canceled, program staff will use screen W5 for this action. Similarly,
screen W6 will be used for canceling or postponing specific sessions of a group. Program
staff will use screen W7 to assign clients to a group; the screen will allow programs to
manage the number of the clients in a group to ensure appropriate group size.
• Screens starting with “A” (A1 – A7) are for documenting attendance at group sessions.
The managing sessions screen (screen A1) will allow program staff to see which sessions
need attendance recorded and will allow staff to cancel or postpone upcoming group
sessions and to print rosters, which may be used by programs for recording attendance
during a session. Screen A2 will list all sessions with complete attendance data; from this
screen, program staff may review and revise session attendance information. On Screen
A3 program staff may view the status of postponed sessions and past sessions that were
canceled. Screens A4 through A7 are to record attendance for different types of groups:
screen A4 will be used to record attendance at workshops with registered clients; screen
A5 will be used to record attendance at open workshops for which client registration is
not required; and screens A6 and A7 are similar to screens A4 and A5, but allow
program staff to track attendance for additional workshop attendees when the workshop
is intended for the client and another individual, such as his partner or child.

OMB No.: 0970-0403
Expiration Date: 04/30/2013

04/06/2012

File Type	application/pdf
File Modified	2012-06-13
File Created	2012-06-13