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Instruments
Developed by The Measurement Group
These modules were used in the Cross-Cutting Evaluation of HRSA HIV/AIDS Bureau's Special Projects of National Significance Cooperative Agreements on Innovative Models of HIV/AIDS Care. To find a specific module, see the Table of Evaluation Modules Summaries.
| Module 1: Demographics-Contact | ||
| Form | Instructions | Context |
| Module 2: Intervention | ||
| Form A | Instructions | Context |
| Form As | Instructions | Context |
| Form B | Instructions | Context |
| Form Bs | Instructions | Context |
| Form C | Instructions | Context |
| Module 3: Presentations-Training | ||
| Form | Instructions | Context |
| Module 4: Services Needed/Received and Barriers/Facilitators | ||
| Form A | Instructions | Context |
| Form B | Instructions | Context |
| Form B-Spanish | Instructions | Context |
| Module 5: Technical Assistance (TA) Summary | ||
| Form A | Instructions | Context |
| Form B | Instructions | Context |
| Module 6: Technical Assistance Evaluation | ||
| Form | Instructions | Context |
| Module 7: Agency Capacity Interview | ||
| Form | Instructions | Context |
| Module 8: Agency Infrastructure-Attitudes | ||
Instructions |
||
| Module 9: Agency Cohesiveness Rating | ||
| Form | Instructions | Context |
| Module 10: HIV Testing History | ||
| Form | Instructions | Context |
| Module 11: Client Satisfaction Survey | ||
| Form (General) | Instructions | Context |
| Form (Capitated Care) | Instructions | Context |
| Form (Spanish) | Instructions | Context |
| Module 12: Satisfaction with Services: Youth | ||
| Form | Instructions | Context |
| Module 13: Satisfaction with Services: Older Adult | ||
| Form | Instructions | Context |
| Module 14: Satisfaction with Services: Women | ||
| Form | Instructions | Context |
| Module 15: Satisfaction with Services: Minorities | ||
| Form | Instructions | Context |
| Module 16: Standard Focus Group Characteristics | ||
| Form | Instructions | Context |
| Module 17: Brief Health and Functioning Questionnaire | ||
| Form | Instructions | Context |
| Module 18: Abbreviated HIV/AIDS Health | ||
| Form | Instructions | Context |
| Module 19: HIV/AIDS Health: Women | ||
| Form | Instructions | Context |
| Module 20: HIV/AIDS Risk Behaviors | ||
| Form | Instructions | Context |
| Module 21: Weekly Program Census | ||
| Form | Instructions | Context |
| Module 22: Quality of Life | ||
| Form | Instructions | Context |
| Module 23: Follow-up Quality of Life | ||
| Form | Instructions | Context |
| Module 24: Substance Abuse History | ||
| Form | Instructions | Context |
| Module 25: Activities of Daily Living | ||
| Form | Instructions | Context |
| Module 26: Current Psychological Distress | ||
| Form A | Instructions | Context |
| Form A-Spanish | Instructions | Context |
| Form B | Instructions | Context |
| Form C | Instructions | Context |
| Module 27: Residential Services Daily Summary | ||
| Form | Instructions | Context |
| Module 28: Outpatient Services Daily Summary | ||
| Form | Instructions | Context |
| Module 29: Standardized Focus Group Instructions | ||
| Form | Instructions | Context |
| Module 30: Standardized Instructions for Case Studies | ||
| Form | Instructions | Context |
| Module 31: Sexual Behaviors | ||
| Form | Instructions | Context |
| Module 32: Abuse History | ||
| Form A (General - Either Gender) | Instructions | Context |
| Form B (Expanded Form for Women) | Instructions | Context |
| Module 33: Self Esteem | ||
| Form | Instructions | Context |
| Module 34: Partner Disclosure Risk | ||
| Form | Instructions | Context |
| Module 35: Homelessness Index | ||
| Form | Instructions | Context |
| Module 36: Family Composition | ||
| Form | Instructions | Context |
| Module 37: Personality Test Battery | ||
| Form | Instructions | Context |
| Module 38: Suicide Probability | ||
| Form | Instructions | Context |
| Module 39: Emotional Functioning Battery | ||
| Form | Instructions | Context |
| Module 40: Cognitive/Neurological Test Battery | ||
| Form | Instructions | Context |
| Module 41: Standardized Nutrition Schedule | ||
| Form A | Instructions | Context |
| Form B | Instructions | Context |
| Module 42: Psychosocial Observations | ||
| Form | Instructions | Context |
| Module 43: Clinical Observations | ||
| Form | Instructions | Context |
| Module 44: Progress Ratings | ||
| Form | Instructions | Context |
| Module 45: Life Stressors | ||
| Form | Instructions | Context |
| Module 46: Social Supports | ||
| Form | Instructions | Context |
| Module 47: Coping | ||
| Form | Instructions | Context |
| Module 48: Resources to Deal with HIV Disease | ||
| Form | Instructions | Context |
| Module 49: Staff Characteristics | ||
| Form | Instructions | Context |
| Module 50: Future Plans | ||
| Form | Instructions | Context |
| Module 51: Referral | ||
| Form | Instructions | Context |
| Module 52: Cost Effectiveness Guidelines | ||
| Form | Instructions | Context |
| Module 53: Trainee Characteristics | ||
| Form | Instructions | Context |
| Module 54: Trainee Reactions to Training | ||
| Form | Instructions | Context |
| Module 55: Trainee Reactions to Training Follow-up | ||
| Form | Instructions | Context |
| Module 56: Trainer Characteristics | ||
| Form | Instructions | Context |
| Module 57: Training Evaluation: Skills, Attitudes, Comfort | ||
| Form | Instructions | Context |
| Module 58: Training Evaluation: Skills, Attitudes, Comfort Follow Up | ||
| Form | Instructions | Context |
| Module 59: Training Evaluation: Standardized Scenarios for HIV/AIDS Training | ||
| Form | Instructions | Context |
| Module 60: Training Evaluation: Standardized Scenarios for HIV/AIDS Training Follow Up | ||
| Form | Instructions | Context |
| Module 61: Hotline Client Background and Referral Tracking | ||
| Form | Instructions | Context |
| Module 62: Chart Review Standards | ||
| Form | Instructions | Context |
| Module 63: HIV Status Report | ||
| Form | Instructions | Context |
| Module 64: Self Efficacy Scale | ||
| Form | Instructions | Context |
| Module 65: Acceptance of Disease Scale | ||
| Form | Instructions | Context |
| Module 66: Training Evaluation: Characterization of Training | ||
| Form | Instructions | Context |
| Module 67: General Well Being Scale | ||
| Form | Instructions | Context |
| Module 68: Program Discharge | ||
| Form | Instructions | Context |
| Module 68A: Legal Outcomes | ||
| Form | Instructions | Context |
| Module 69: Suggested Standards for Ethnographic Research | ||
| Form | Instructions | Context |
| Module 70: Short Health Rating | ||
| Form | Instructions | Context |
| Module 71: Medical Health | ||
| Form | Instructions | Context |
| Module 72: Missed Visit/Appointment | ||
| Form | Instructions | Context |
| Module 73: Karnofsky and Disease Stage Scale | ||
| Form | Instructions | Context |
| Form A | Instructions | Context |
| Module 74: Urinalysis Report | ||
| Form | Instructions | Context |
| Module 75: Disclosure Questionnaire | ||
| Form | Instructions | Context |
| Module 76: Service Use by Family Interview | ||
| Form | Instructions | Context |
| Module 77: Transportation Services | ||
| Form | Instructions | Context |
| Module 78: Social Provisions Scales | ||
| Form | Instructions | Context |
| Module 79: Training Comfort Follow-up | ||
| Form | Instructions | Context |
| Module 80: Collaborative Agencies Evaluation | ||
| Form | Instructions | Context |
| Module 81: Nutrition Clinic Evaluation | ||
| Form | Instructions | Context |
| Module 82: Training Impact Follow-up Interviews | ||
| Form | Instructions | Context |
| Module 83: Training Evaluation for National AIDS Update Conference | ||
| Form | Instructions | Context |
| Module 84: Key Informant Interviews, Comprehensive Healthcare Projects | ||
| Form | Instructions | Context |
| Module P1: Adherence to Protease Inhibitor Therapy | ||
| Form | Instructions | Context |
| Module P2: Baseline Medical Health | ||
| Form | Instructions | Context |
Related Information:
Table of Evaluation
Modules Summaries
The
Measurement Group Evaluation & Research Tools
© Copyright 1996-2005 by The Measurement Group LLC. All rights reserved.