Form 0920- Instrument: Key Informant Interview – Coalition Project

Welcome to the Coalition Prevention Infrastructure Questionnaire

Please note that the term "Coalition" refers to your State Domestic Violence Coalition (SDVC). This survey
has been sent to you as the primary DELTA Impact contact at the Coalition. However, you may complete the
survey with any other Coalition staff that you feel would be appropriate. Please submit only ONE survey per
Coalition.

Primary Prevention refers to activities and strategies that keep intimate partner violence (IPV) or domestic
violence (DV) from first occurring.
Community and Societal Level IPV Prevention refers to prevention strategies that are designed to impact
characteristics of the settings (e.g., school, workplace, and neighborhood) in which social relationships occur,
or social and physical environment factors such as reducing social isolation, improving economic and housing
opportunities, and improving climate within school and workplace settings. This is different from individual
level strategies (usually designed to promote attitudes, beliefs, skills, and behaviors) and relationship level
strategies (focused on parenting, family, mentoring, or peers to reduce conflict, foster problem solving skills,
promote healthy relationships, and address factors related to the social circle, peers, partners, family
members and other adult allies who influence an individual behavior and experience).
Program staff refers to any staff at your coalition that work on any programs, practices or policy efforts of the
coalition including response. It would not include staff that are only involved in administrative or operational
tasks at the Coalition.
Protective factors are characteristics that decrease the likelihood of a person becoming a victim or
perpetrator of violence because they provide a buffer against risk. Factors associated with lower chances of
perpetrating or experiencing IPV include high empathy, good grades, high verbal IQ, a positive relationship
with one’s mother, and attachment to school. Community and societal factors such as lower alcohol density,
community norms that are intolerant of IPV, and increased economic opportunities may also be protective
against IPV.
Risk factor refers to a characteristic that increases the likelihood of a person becoming a victim or perpetrator
of violence. Factors that put individuals at risk for perpetrating IPV include (but are not limited to) demographic
factors such as age, low income, low educational attainment, and unemployment; childhood history factors
such as exposure to violence between parents, experiencing poor parenting, and experiencing child abuse
and neglect. Relationship level factors include hostility or conflict in the relationship, aversive family
communication and relationships, and having friends who perpetrate/experience IPV. Community and societal
level factors include poverty, low social capital, low collective efficacy in neighborhoods, and harmful gender
norms in societies.
It should take you no more than 60 minutes to complete this survey.

CDC estimates the average public reporting burden for this collection of information as 60 minutes per
response, including the time for reviewing instructions, searching existing data/information sources, gathering
and maintaining the data/information 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 burden to CDC/ATSDR
Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA
(#).
In what state is your SDVC?_________

Expertise and Knowledge

In general, how knowledgeable is Coalition program staff about preventing domestic violence from first
occurring (primary prevention)?
Not at all
A little
Moderately
Very

How well do Coalition program staff understand the difference between the primary prevention of IPV and
responding to IPV?
Not at All
A Little
Moderately
Very

In general, how knowledgeable is Coalition program staff about primary prevention at the community and
societal level?
Not at all
A little
Moderately
Very

How well do Coalition program staff understand the difference between primary prevention approaches at the
individual/relationship level and at the community/societal level?
Not at All
A Little
Moderately
Very

In general, how knowledgeable is program staff about the risk and protective factors that IPV shares with other
types of violence?
Not at all
A Little
Somewhat
Very much

What % of your program staff have previous experience planning and implementing community and societal
level primary prevention?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

What % of your program staff have previous experience evaluating community and societal level primary
prevention?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

What percentage of your program staff has expertise or knowledge in the area of social norms change (efforts
to change group-level beliefs and expectations for behavior)?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

What percentage of your program staff has expertise or knowledge in the area of environmental change (a
physical or material change to the social or physical environment)?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

What percentage of your program staff has expertise or knowledge around policy change related to IPV
prevention (this includes analyzing data to identify areas where policy change may be needed, analyzing and
understanding policy options, collaborating with stakeholders to educate about policy issues, providing
evidence and education to key stakeholders and policymakers, educating the public about existing policies, or
evaluating the impact of policy efforts or policies)?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

Is there anything else you would like us to know about the expertise of your Coalition staff as it relates to
Community and Societal Level Primary Prevention

Training

To what extent is information or training about community and societal level primary prevention included in new
program staff orientation/onboarding?
Not included at all
We have started discussing this kind of change, but no formal changes to training yet
Community and societal level primary prevention is included in trainings, but not as much of a focus as other areas
of training
Community and societal level primary prevention is included above or at the same level as other areas of training
N/A - We do not have a new staff orientation or onboarding process

Is this information is included in new staff orientation or onboarding, is it only provided to program staff that will
be directly involved with Community or Societal Level Primary Prevention
It is provided only to staff who will be working directly on community or societal level primary prevention
It is provided to staff working on any kind of prevention
It is provided to all staff regardless of if they are working on prevention or response
N/A - Information is not included in new staff orientation or onboarding

To what extent is ongoing training or professional development related to community and societal level primary
prevention offered to coalition program staff?
Not offered at all
We have started discussions, but no formal training opportunities offered yet
Community and societal level primary prevention is included in trainings, but is not as much as other areas of
professional development/training
Community and societal level primary prevention is included above or at the same level as other areas of
professional development/training

Are these training opportunities only available to program staff that are directly involved with Community or
Societal Level Primary Prevention?
It is offered only to staff who are working directly on community or societal level primary prevention
It is offered to staff working on any kind of prevention
It is offered to all staff regardless of if they are working on prevention or response
N/A - Training opportunities are not offered

Is there anything else you would like us to know about training or professional development as it relates to
Community and Societal Level Primary Prevention at your Coalition?

Leadership and Prioritization

How much does leadership at the Coalition support IPV prevention efforts compared to other Coalition
priorities?
A lot lower

Somewhat higher

Somewhat lower

A lot higher

About equal

How much does leadership at the Coalition support IPV prevention at the community and societal levels
compared to other Coalition priorities?
A lot lower

Somewhat higher

Somewhat lower

A lot higher

About equal

Across all staff at your Coalition, approximately what percentage of program staff work on primary prevention
(versus response) at any level (individual, relationship, community or societal)?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

Across staff at your Coalition, approximately what percentage of program staff work on primary prevention at
the community and societal levels?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

What percentage of the total programs or policy efforts that the Coalition funds or implements focus on primary
prevention?
None

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

Of the primary prevention programs or policy efforts that the Coalition funds or implements, what percentage
focus on community and societal levels (versus individual/relationship level)?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

In your opinion, which two areas are most important for your Coalition to focus its prevention work on during
the next year? (Select Two)
Work internally: spend time defining primary prevention
and developing a common language and understanding
of community and societal level primary prevention
among staff and board members
Change Coalition organizational structures and
processes (such as mission statement, job
descriptions, meeting agendas and staff retreats) to
better support community and societal level primary
prevention

Improve Coalition partnering and coordination of statelevel IPV prevention resources and activities
Improve Coalition staffing to support community and
societal level primary prevention (such as staff training
and time devoted to prevention)

Work with Coalition leadership to improve their support
for IPV community and societal level primary prevention
Other (please specify)

Is there anything else you would like us to know about prioritization of Community and Societal Level Primary
Prevention at your Coalition?

Structures and Processes

What percentage of time does your prevention workgroup/team/committee focus on primary prevention at the
community and societal levels?
none

between 51%-75%

less than 25%

more than 75%

between 25% and 50%

Not Applicable

Does your state Coalition mission statement include primary prevention?
Yes
No

To what extent does your Coalition’s strategic plan (or equivalent document) include discussion of primary
prevention?
Not at all
We have started discussions, but no formal changes yet
Prevention is included, but is not as much of a focus as other work of our coalition
Prevention is included at the same level of focus as every other focus of our coalition
Prevention is included more than other focus areas of our coalition
Unsure

Does the strategic plan include specific goals or action steps related to primary prevention at the community
and societal level?
No
We have started discussions but no specific goals or action steps at this time
Yes
Unsure

To what degree is a shared risk and protective factor framework used when planning the Coalition’s work?
Not at all
A Little
A Moderate Amount
A Lot

To what extent is your Coalition’s strategic plan aligned with the state-level priorities identified in the State
Action Plan (SAP)?
No alignment
Our plan is aligned with a few of the SAP priorities
Our plan is aligned with many of the SAP priorities
Our plan is aligned with all of the SAP priorities
Unsure

Please mark whether your state domestic violence coalition has done any of the following IN THE PAST YEAR:
(check all that apply)
Included primary prevention messages in promotion
materials (e.g., newsletter, web site)

Implemented or coordinated a statewide or regional
primary prevention campaign

Made primary prevention resources available (e.g.,
curricula or materials in resource library, web site)

Implemented or coordinated regional trainings specific
to the primary prevention of IPV

Distributed written materials specific to primary
prevention to your membership agencies

Initiated and/or participated in a campaign to secure
more state resources or influence statewide policies to
promote primary prevention of IPV

Trained local programs (e.g., victim service providers)
on primary prevention
Provided technical assistance to local programs related
to primary prevention
Implemented or coordinated online trainings specific to
primary prevention of IPV (e.g. webinars, web
conferences)

Served as IPV prevention representative/expert on
state task forces or committee
Added questions concerning IPV risk and protective
factors to statewide health survey

To what extent does your Coalition use data (such as publicly available data, surveys, interviews, reports, focus
groups) in planning prevention efforts?
Not at all
A Little
A Moderate Amount
Very much

To what extent does your Coalition track risk and protective factors related to IPV at the state and/or local level?
Not at all
A Little
A Moderate Amount
Very much

To what extent does your Coalition collect information about the outcomes of the primary prevention programs
or activities it implements?
Not at all
A Little
Somewhat
Very much

To what extent do you feel that the Coalition staff have adequate access to data needed for planning community
and societal level IPV primary prevention activities?
Not at all
A Little
Somewhat
Very much

Is there anything else you would like us to know about the structure and processes related to primary
prevention at your Coalition?

Partnerships

How much interaction, specifically related to primary prevention, has your Coalition had with the following statelevel organizations or entities in the past year?
Yes
Governor’s Office
Legislators and
Politicians
Child Welfare Agencies
Civic/Volunteer
Organizations
Cooperative Extension of
a University
Racial/Ethnic
Organization or Group
Specific Population
Focused Organizations
or Groups (e.g.,
Gay/Lesbian, Disability)
Victims Service
Providers/Advocates
Domestic Violence
Survivors
State Public Health
Agency
Department of Education
Health Services
(including Mental Health)
College/University/Highe
r Education
Justice Systems/Courts
Law Enforcement
Local or Regional
Government
Military
Religious/Faith-Based
Organization
Media

No

Don't Know

Yes

No

Don't Know

Youth-Focused
Organizations or Groups
Business Leaders
Community Leaders
State Coalitions
Other (please specify)

Is there anything else you would like us to know about the partnerships related to primary prevention at your
Coalition?

Local Coalitions

In general, how knowledgeable are the local IPV community coalitions and providers that you work with about
preventing intimate partner violence from first occurring (primary prevention)?
Not at all

Very much

A Little

Don’t know

Somewhat

In general, how knowledgeable are the local IPV community coalitions and providers that you work with, about
community and societal level primary prevention?
Not at all

Very much

A Little

Don’t know

Somewhat

In general, how would you rate the willingness or openness of the IPV community coalitions and providers that
you work with, to implement community and societal level primary prevention?
Not at all

Very much

A Little

Don’t know

Somewhat

In general, how would you rate the capacity of the IPV community coalitions and providers that you work with, to
implement community and societal level primary prevention?
Not at all

Very much

A Little

Don’t know

Somewhat

In general, how would you rate the capacity of the IPV community coalitions and providers that you work with, to
evaluate community and societal level primary prevention?
Not at all

Very much

A Little

Don’t know

Somewhat

How much do local IPV community coalitions and providers support primary prevention efforts at the individual
or relationship levels compared to other priorities?
A lot lower

Somewhat higher

Somewhat lower

A lot higher

About equal

Don’t know

How much do local IPV community coalitions and providers support community and societal level primary
prevention efforts compared to other priorities?
A lot lower

Somewhat higher

Somewhat lower

A lot higher

About equal

Don’t know

Is there anything else you would like us to know related to primary prevention at local coalitions?

Summary

What do you see as the major barriers or challenges to increasing capacity, resources and prioritization of
community and societal level primary prevention of IPV?

How can CDC best support you in increasing the resources, capacity and prioritization of community and
societal level primary prevention of IPV?

Is there anything else you would like to share with us?

Thank you for taking the time to complete this questionnaire! Please let us know if you have any questions!