Guide for Discussion with Control Group

Evaluation of Pregnancy Prevention Approaches:Implementation Study Data Collection

0990-Guide for Discussion with Control Group Schools - PPA Implementation ICR

Guide for Discussion with Control Group

OMB: 0990-0375

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Form Approved

OMB No. 0990-xxxx

Exp. Date XX/XX/20XX





Topics for Discussions with Control Group Schools and Others About the Counterfactual


Schools attended by control group youths

  • School needs and values (levels of risky behaviors, attitudes toward teenage pregnancy prevention approaches)

  • Extent to which programming to prevent teenage pregnancy and HIV/STDs is a priority

  • School programs/courses currently targeting outcomes similar to the program being evaluated

    • Name and source of program/course curriculum

    • Goals of program/curriculum

    • Essential features

  • Youth-focused features (such as adult-led instruction, peer-led instruction, individual counseling/mentoring/tutoring, large group events, online resources and activities, direct health services, community service/experiences…)

  • Adult-focused features (such as parent involvement, parent training, train-the-trainer activities…)

  • Community-focused features (such as special events, media campaigns, websites…)

  • Target population and eligibility criteria

  • Intensity (number, frequency, and duration of sessions)

  • Types of activities, instructional strategies

  • Curriculum materials used

  • Key messages conveyed

  • Distinguishing features of each program



Other programs and services available to control group youths







According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-xxxx. The time required to complete this information collection is estimated to average one hour per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer





  • Sponsoring organization/program values

  • Extent to which programming and services to prevent teenage pregnancy and HIV/STDs is a priority in the organization

  • Programs and services currently targeting outcomes similar to the program being evaluated

    • Name and source of program/course curriculum

    • Goals of program/curriculum

    • Essential features

  • Youth-focused features (such as adult-led instruction, peer-led instruction, individual counseling/mentoring/tutoring, large group events, online resources and activities, direct health services, community service/experiences…)

  • Adult-focused features (such as parent involvement, parent training, train-the-trainer activities…)

  • Community-focused features (such as special events, media campaigns, websites…)

  • Target population and eligibility criteria

  • Intensity (number, frequency, and duration of sessions)

  • Types of activities, instructional strategies

  • Curriculum materials used

  • Key messages conveyed

  • Distinguishing features of each program

  • Previous programs and services targeting outcomes similar to the program being evaluated



Participation in other programs and services by control group youths

  • Number of control group youths participating in these programs or receiving these services



File Typeapplication/msword
File TitleForm Approved
AuthorAMargolis
Last Modified ByDHHS
File Modified2010-11-01
File Created2010-11-01

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