End of Wave 2 Interview

End of Wave 2 Interview Questions – I Can Do It, You Can Do It!

Introductory Script

Thank you for your involvement with the I Can Do It, You Can Do It! Program. These questions are part of the process evaluation we are conducting as part of the overall evaluation of the ICDI model. The information gathered today will provide us with information that will be used to improve our programs in the future. Your feedback from this interview will be kept private to the extent permitted by law. I am required to inform you that 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 30 minutes per response. 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.

Part I – Administrative/Confirmatory Information

1. Interview date:

2. Person conducting the interview:

3. Please confirm the following:

   1. Organization Represented:

   2. Interviewee's Name and Title:
      Email Address:

   3. Phone Number:

4. What was the start and end date of this most recent program wave? (confirm the number of weeks)

Start Date: End Date: Number of Weeks:

Part II –Wave 2 Specific Information

Section I: Participants

5. Was the population your ICDI program served this wave different from wave 1? If so, please describe

1. How many mentees participated in the full 8-week program during Wave 2?

2. How many mentors participated in the full 8-week program during Wave 2?

3. What sort of experience did you have related to mentor/mentee dropout this wave?

4. Did your organization use the PALA+ Goal Resources and Awards during this wave?

   1. If yes, how many PALA+ Awards did your mentees earn during Wave 2?

   2. If no, why did you choose not to use the PALA+ Goal Resources and Awards?

Section II: Recruitment

5. How was recruitment in Wave 2 different from your recruitment in Wave 1?

Section III: Wave 2 Program Activities and Location

6. Please describe your program during Wave 2, in detail.

   1. What kinds of physical activities were included in your sessions?

   2. What type of facilities did you use during the wave?

   3. What type of healthy eating activities or lessons did you include in Wave 2 compared to those that were offered in Wave 1?

7. Was your Wave 2 program different from Wave 1? Did you serve a different population, incorporate new activities, or use a new location?

Section IV: Partners

8. Did you add any new partner organizations in this second wave? Who? Why?

9. Did any of your previous partners back out? Who? Why?

10. What are your strategies for securing funding for the sustainability of the program following this incentivized year?

Section VI: Outcomes

11. What were the greatest challenges you encountered during this wave of the program?

12. What is the best outcome / highlight of Wave 2 of your ICDI program?

13. What was the biggest difference between waves?

14. Having completed two waves, is there anything you wish you had known earlier in the process?

15. What type of technical assistance do you think will be helpful following the end of Wave 2?

Section VII: Costs and Time Use

16. You received $X,000 to implement an ICDI program at your site and support evaluation of ICDI overall. How much of the incentive did you use for the following? Please be as precise as possible.

Spending Category	Amount (in dollars)
Salaries and Staffing
Equipment
Facilities
Additional Training
Transportation
Outside Activities
Other

17. Did you receive any in-kind support to implement ICDI during this program wave (e.g. space, labor, etc.)?

    1. If Yes: What type of in-kind support did you receive during this program wave? What was the value in dollars of the support?

Spending Category	Amount (in dollars)
Salaries and Staffing
Equipment
Facilities
Additional Training
Transportation
Outside Activities
Other

18. Do you feel the amount you received was appropriate to support the implementation of ICDI at your site during each program wave?

    1. If not, what dollar amount would have been appropriate? Why?