Module 5: Technical Assistance (TA) Summary Form

A Module Used in The Measurement Group's Cross-Cutting Evaluation of the HRSA HIV/AIDS Bureau's Special Projects of National Significance on Innovative Models of HIV/AIDS Care

Purpose

• Code major aspects of technical assistance.
• Code reason for technical assistance.
• Code type of audience for technical assistance.

• Code number of individuals of different demographic categories impacted.

Content Domain - Type of technical assistance, type of audience, number of males and females of different age groups, ethnic-racial backgrounds, and professional service groups for whom assistance was given.

Operational Data Items - Site, Sub-Provider, TA#, Date, Hour, Minutes, Staff Providing Services, Topics, Method, Materials Provided, TA Provided Directly to, Where Did the Request Come From, Purpose of Activity, Style of TA, What was requested and provided and actually needed now or in the future, Settings, Depth of TA, How TA Will Have Impact, Evaluation of TA, Appropriate Follow ups for the Current TA Effort, Travel Required for TA, Breadth of TA, Participants, Individuals Served, Contacted or Reached (age and ethnicity by gender), Actual or Estimated Counts.

Citation - Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1996). Module 5: Technical Assistance Summary Form. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.

Usage - Permission is granted for non-commercial use so long as form is not altered, the copyright is not removed, and a proper citation is made to the instrument. Non-commercial use is use by a not-for-profit organization in which the instrument is not sold. If you have questions about appropriate and proper uses, contact The Measurement Group.

Findings from Evaluating HIV/AIDS Programs

Reliability and Validity Studies