Form Approved
OMB No. 0920-xxxx
Exp. Date xx/xx/xxxx
CDC Work@HealthTM Case Study Interviews with Selected Trainees
Public reporting of this collection of information is estimated to average one 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/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-XXXX).
Respondents/Sources |
Method |
Content |
Timing |
Respondents |
Time per respondent |
Training Program Participants -- case study worksites |
Case study interview (conducted by RTI) |
|
March – June 2015 |
30 |
1 hour |
Introduction
This interview will ask about your experience with the Work@HealthTM Program. This interview, which should take about one hour to complete, is funded by the Centers for Disease Control and Prevention and is being conducted by RTI International (RTI). RTI is an independent, non-profit organization headquartered in Research Triangle Park, NC.
Informed consent
Before you get started, we’d like need to give you some more information to help you decide whether or not you would like to participate.
This project is funded by the Centers for Disease Control and Prevention. Many parts of the project are being managed by Research Triangle Institute International (RTI). RTI is an independent, non-profit institute headquartered in Research Triangle Park, NC. RTI provides technical services to clients worldwide. They are helping CDC evaluate the Work@HealthTM program.
You were asked to complete the interview because of your role as a training participant in the program.
Your participation is voluntary. In the course of this discussion, you may refuse to answer specific questions. You may also choose to end the discussion at any time.
The discussion is designed to take about one hour.
All of the comments you provide will be maintained in a secure manner. We will not attribute your responses to your or your organization without your permission unless we are compelled by law.
There are no right or wrong answers or ideas—we want to hear about YOUR experiences and opinions.
CDC is authorized to collect information for this project under the Public Health Services Act.
There are no risks or benefits to you personally for participating in this discussion.
We are interested in your comments so that we can improve the Work@HealthTM program for future participants. Please feel free to contact Dr. Laurie Cluff at RTI. Her toll-free number is 1-800-334-8571 x 6514. You can also call RTI’s Office of Research Protection and Ethics toll-free at 1-866-214-2043.
CDC Work@HealthTM Case Study Interviews with Selected Trainees
|
|
Section |
Interview Guide Questions
|
Respondent Background |
|
Decision to Participate |
a. If so, who convinced you and what strategies/case did they use?
|
Readiness to Implement |
1-Not at all ready; 2- Not quite ready; 3-Somewhat ready; 4- Almost ready; 5- Completely ready a. What actions, behaviors, or statements led you to think this?
1-Not at all ready; 2-Not quite ready; 3- Somewhat ready; 4- Almost ready; 5- Completely ready a. What actions, behaviors, or statements led you to think this?
|
Expectations |
|
Program |
Strongly Disagree; Disagree; Neutral; Agree; or Strongly Agree
Strongly Disagree; Disagree; Neutral; Agree; or Strongly Agree
Strongly Disagree; Disagree; Neutral; Agree; or Strongly Agree |
Facilitators & Barriers to Implementation and Participation |
|
Outcomes |
|
Sustainability |
a. Have you set goals for the future of your health promotion efforts? If so, what are they?
a. What other supports do you think are necessary in order for your organization to sustain your health promotion efforts over the next few years?
5. How does your organization plan to maintain the program over the next few years?
|
Conclusion |
What did we leave off that you think is important to include or mention about your organization’s health promotion activities?
|
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Draft Interview Guide: Training Participant (Wellness Team Member) at Case Study Sites |
Author | Laurie Cluff |
File Modified | 0000-00-00 |
File Created | 2021-01-26 |