Personal Responsibility Education Program (PREP) Local Evaluation Support Instruments

Sample Progress Reporting Tool for Individual Assignment
The information collected in this form will be used for internal purposes to (1) assess sample enrollment and compare actual sample sizes to the target sample sizes on which power calculations were based, and (2) for randomized controlled trials (RCTs), assess the likelihood that the final analytic sample for key follow-up time periods might exceed the thresholds for overall or differential attrition specified by the Teen Pregnancy Prevention Evidence Review. This form is for INDIVIDUAL ASSIGNMENT. To complete this form, enter information into the YELLOW cells. For instructions on what to enter, click on a yellow cell and instructions will pop up. GREEN cells will automatically populate based on the information you enter in the yellow cells. (Note: for multi-arm studies, this form should be completed separately for each treatment/control pairing.) For additional support, please contact your LES liaison or PREPLES@abtglobal.com. A note on follow-up periods: The PREIS Notice of Funding Opportunity defines short-term follow-up as up to 6 months post intervention and long-term follow-up as 9 months or more post intervention. If you have more than one follow-up period during one of these timeframes, please work with your LES liaison to select the follow-up period that is most meaningful for your evaluation to include in this tool.							[Threaded comment] Your version of Excel allows you to read this threaded comment; however, any edits to it will get removed if the file is opened in a newer version of Excel. Learn more: https://go.microsoft.com/fwlink/?linkid=870924 Comment: clarify how post-test, 3M or 6M follow up should be documented vs 9M or 12M follow up. Reply: Added note to instructions box
Box 1
		Sample enrollment and data collection through this date:	7/10/2024	Please indicate the date through which sample enrollment and data collection are reflected in this form.
		Box 2
		# Youth enrolled in study to date
		n =	999	Please indicate the number of eligible youth for whom you have received consent/assent and who were assigned to the study treatment or control/comparison groups.
Box 3a				Box 3b
# Assigned to treatment				# Assigned to control/comparison
n =	500	Please indicate the number of youth assigned to the treatment group.		n =	499	Please indicate the number of youth assigned to the control/comparison group.
Box 4a				Box 4b
# Completed baseline survey				# Completed baseline survey
n =	455	Please indicate the number of enrolled youth in the treatment group who completed all or part of the baseline survey.		n =	460	Please indicate the number of enrolled youth in the control/comparison group who completed all or part of the baseline survey.
Box 5a				Box 5b
# For whom short-term follow up has closed				# For whom short-term follow up has closed
n =	420	Please indicate the number of youth in the treatment group for whom the short-term follow up survey window has closed (i.e., the number of youth who should have completed the short-term follow up survey) as of the date of this form.		n =	415	Please indicate the number of youth in the control/comparison group for whom the short-term follow up survey window has closed (i.e., the number of youth who should have completed the short-term follow up survey) as of the date of this form.
# Completed short-term follow up survey				# Completed short-term follow up survey
n =	380	Please indicate the number of youth from the treatment group that provided short-term follow up data in all short-term follow up windows that have closed as of the date of this form.		n =	360	Please indicate the number of youth from the control/comparison group that provided short-term follow up data in all short-term follow up windows that have closed as of the date of this form.
Retention rate (automatically calculated)				Retention rate (automatically calculated)
% =	90.5	This percentage is (# Completed short-term follow up survey) divided by (# For whom short-term follow up has closed) multiplied by 100. (If your study obtained consent after random assignment, please consult your LES liaison about calculating attrition.)		% =	86.7	This percentage is (# Completed short-term follow up survey) divided by (# For whom short-term follow up has closed) multiplied by 100. (If your study obtained consent after random assignment, please consult your LES liaison about calculating attrition.)
Box 6a				Box 6b
# For whom long-term follow up has closed				# For whom long-term follow up has closed
n =	335	Please indicate the number of youth in the treatment group for whom the long-term follow up survey window has closed (i.e., the number of youth who should have completed the long-term follow up survey) as of the date of this form.		n =	325	Please indicate the number of youth in the control/comparison group for whom the long-term follow up survey window has closed (i.e., the number of youth who should have completed the long-term follow up survey) as of the date of this form.
# Completed long-term follow up survey				# Completed long-term follow up survey
n =	301	Please indicate the number of youth from the treatment group that provided long-term follow up data in all long-term follow up windows that have closed as of the date of this form.		n =	261	Please indicate the number of youth from the control/comparison group that provided long-term follow up data in all long-term follow up windows that have closed as of the date of this form.
Retention rate (automatically calculated)				Retention rate (automatically calculated)
% =	89.9	This percentage is (# Completed long-term follow up survey) divided by (# For whom long-term follow up has closed) multiplied by 100. (If your study obtained consent after random assignment, please consult your LES liaison about calculating attrition.)		% =	80.3	This percentage is (# Completed long-term follow up survey) divided by (# For whom long-term follow up has closed) multiplied by 100. (If your study obtained consent after random assignment, please consult your LES liaison about calculating attrition.)
Progress Towards Goal - Box 7
Target # youth from evaluation plan		n =	1100	Please indicate the target number of youth needed for the evaluation (from your approved evaluation plan).
# Youth enrolled in study to date (from above)		n =	999	This is the same number you entered in Box 2 above.
# Needed to recruit (automatically calculated)		n =	101	This number is (# Target youth from evaluation plan) minus (# Youth enrolled in study to date), or zero if the target has been surpassed.
	The purpose of this information collection is to help PREIS grantees develop data analysis plans. Public reporting burden for this collection of information is estimated to average 12 hours per respondent, including the time for reviewing instructions, gathering, and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0531 and the expiration date is 9/30/2025. If you have any comments on this collection of information, please contact Selma Caal (Selma.Caal@acf.hhs.gov).