IDI Guide for Program Partners (Private Sector)

DRAFT

Form Approved

OMB No.: 0920-13xx

Exp. Date: mm/dd/yyyy

Organizations that Receive CDC DP11-1111 Funding

In-depth Interview Guide for Program Partners

Public reporting burden of this collection of information is estimated to average 1 hour per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: OMB 0920-13xx

Evaluation Questions:

• What are the core components of the DP11-1111 cooperative agreement?

• What are the factors that affect the implementation of DP11-1111 programmatic activities?

• What support services and educational resources have organizations developed and/or implemented as a part of their intervention targeting young breast cancer survivors (YBCS)?

• What are the factors that affect the implementation of support services and educational resources?

• How have CDC’s technical assistance and support activities contributed to grantee capacity and sustainability efforts?

• How have organization’s interventions affected awareness for and access to support services and educational resources among YBCS, providers, and caregivers?

• How have DP11-1111 grantees’ interventions affected knowledge, attitudes and behaviors among YBCS, providers, and caregivers related to the risks of breast cancer in young women?

Domain	Subdomain
Organizational Context	Mission
	History
	Setting/Infrastructure
	Role in organization
Implementation of the Cooperative Agreement (CA)	Core components of the Cooperative Agreement
	Training/Technical Assistance
	Resources
	Facilitators
	Barriers
Implementation of the YBCS Intervention	Intervention Overview, History and Rationale
	Intervention execution
	Implementation Fidelity
	Resources
	Facilitators
	Barriers
Evaluation	Knowledge
	Measurement
	Facilitators
	Barriers
Partnerships	Contribution to the intervention
	Development and Engagement
Capacity and Sustainability	Capacity to meet the requirement of the CA
	Capacity to implement intervention
	Capacity to evaluate
	Sustainability of intervention
Perceptions	Awareness
	Access
	Utilization
	YBCS knowledge, attitudes, and beliefs (KAB)
	Value of the CA
	Value of the YBCS intervention
	Lessons learned
	Recommendations

Organizations that Receive CDC DP11-1111 Funding

In-depth Interview Guide for Program Partners

Domain	Subdomain	Questions	Probes
Organizational Context	History	Can you briefly describe your organization and how long it has been involved with [insert Grantee Organization name]?
Implementation of the YBCS Intervention	Intervention Overview, History and Rationale	Describe your organization’s role in the development of [insert Grantee Organization name]’s YBCS intervention.	How was your organization involved in planning the YBCS intervention?
		Describe your role in the YBCS intervention.	How long have you been involved with the YBCS intervention? Approximately how much time per week do you spend working on the organization’s YBCS intervention?
	Intervention execution	What is your organization's role in the implementation of the YBCS intervention?
		What trainings have you participated in to support your role within [insert Grantee Organization name]’s YBCS intervention?
	Implementation Fidelity	To what extent has the YBCS intervention been implemented as planned?	How has the YBCS intervention changed over time? What caused changes in the implementation the YBCS intervention?
	Resources	What funding, if any, has your organization received from [insert Grantee Organization name] to support your role in the implementation of the YBCS intervention?
		What resources, if any, has your organization provided to [insert Grantee Organization name] to support the implementation of the YBCS intervention?	Has your organization provided additional funding? If so, please describe. Has your organization provided nonmonetary resources (such as volunteers, time, expertise, in-kind media donations)? If so, please describe.
Evaluation	Knowledge	Describe your understanding of program monitoring and/or evaluation.	Have you participated in any past evaluation efforts? If so, please describe. Do you have experience creating program logic models?
	Measurement	For what the YBCS intervention is trying to accomplish, how would you define success?	How has the definition of success for this YBCS intervention changed over the time? How? Why?
		Describe your organization’s involvement, if any, in program monitoring and evaluation for [insert Grantee organization name]’s YBCS intervention.	Does your organization participate in any specific planning activities related to program monitoring and evaluation planning for the YBCS intervention? Does your organization participate in any data collection or analysis for the YBCS intervention?
		Describe how [insert Grantee program name] shares evaluation findings about the YBCS intervention with your organization.	Does [insert program name] share reports with your organization about YBCS intervention evaluation data? What have you learned from the information [insert organization name] has shared related to evaluation results?
Partnerships	Development and Engagement	How was your organization approached to support the implementation of [insert Grantee Organization name]’s YBCS intervention?	Did you organization have a previous relationship with the [insert program name]?
	Contribution to the intervention	Describe your organization's partnership with [insert Grantee Organization name] with respect to the YBCS intervention.	How does your organization interact with [insert Grantee/Nonfunded Organization name]? How does your organization communicate with [insert Grantee/Nonfunded Organization name]? How often does your organization communicate with [insert Grantee/Nonfunded Organization name]? How long has your organization worked [insert Grantee/Nonfunded Organization name]? What YBCS intervention components does your organization support?
		What benefits, if any, has your program seen from partnering with [insert Grantee Organization name]?
		What burdens, if any, has your program experienced from partnering with [insert Grantee Organization name]?
Perceptions	Awareness	How has [insert Grantee organization name]’s YBCS intervention affected awareness for the existence of support services and/or educational resources?	In your opinion, what aspect of the YBCS intervention has been the most effective in increasing awareness for support services and/or educational resources?
	Access	How has [insert Grantee organization name]’s YBCS intervention affected access to support services and/or educational resources?	In your opinion, what aspect of the YBCS intervention has been the most effective in increasing access to support services and/or educational resources?
	Utilization	How has [insert Grantee organization name]’s YBCS intervention affected utilization of support services and/or educational resources?	In your opinion, what aspect of the YBCS intervention has been the most effective in increasing utilization of support services and/or educational resources?
	Value of the YBCS intervention	What has been the value of [insert Grantee Organization name]’s YBCS intervention?	In your opinion, how did the YBCS intervention impact the target audience? In your opinion, how did the YBCS intervention contribute to the evidence base for promising strategies to reach YCBS, YBCS caregivers, and/or YBCS health care providers?

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