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Just in Time Parenting Program's: Guide to Evaluation

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TOOLBOX OF ADDITIONAL MEASURES ORGANIZED BY DOMAIN<br />

In addition <strong>to</strong> the questions <strong>in</strong>cluded <strong>in</strong> the on-l<strong>in</strong>e evaluation, the JITP evaluation team identified additional items and standardized<br />

measures that may be of <strong>in</strong>terest for researchers and others us<strong>in</strong>g JITP. While not selected for use <strong>in</strong> the on-l<strong>in</strong>e evaluation, the<br />

follow<strong>in</strong>g items and standardized measures provide additional depth <strong>to</strong> the core data that can be obta<strong>in</strong>ed us<strong>in</strong>g the on-l<strong>in</strong>e evaluation.<br />

With the exception of the standardized measures, these items are all under development and can be altered or changed as necessary for<br />

use. They are organized by doma<strong>in</strong> and may provide ideas for those <strong>in</strong>terested <strong>in</strong> conduct<strong>in</strong>g more <strong>in</strong>-depth evaluation studies.<br />

Doma<strong>in</strong>: Demographic Information<br />

Approximately how much did this child weigh at birth? pounds<br />

Does your baby have a disability or developmental delay?<br />

Yes No<br />

<br />

If you answered “Yes” <strong>to</strong> the question above, what is the disability or developmental delay?<br />

Did JITP <strong>in</strong>formation help you discover your child’s developmental delay?<br />

Liv<strong>in</strong>g <strong>in</strong> my home, I have:<br />

No children<br />

1 child<br />

2 children<br />

3 children<br />

4 children<br />

5 or more children<br />

Yes No<br />

<br />

What is the present liv<strong>in</strong>g arrangement for you and your children?<br />

These children’s ages are: (check all that apply)<br />

Less than 1 year old<br />

1 <strong>to</strong> 3 years old<br />

4 <strong>to</strong> 6 years old<br />

7 <strong>to</strong> 9 years old<br />

11 <strong>to</strong> 12 years old<br />

13 <strong>to</strong> 15 years old<br />

16 years or older<br />

Live alone Live with my own parents<br />

Live with another relative Other (Please describe): ____________________________<br />

Live with my spouse or partner Live with friend(s)<br />

What is the <strong>to</strong>tal annual <strong>in</strong>come of your household before taxes?<br />

Under $11,999<br />

$12,000 <strong>to</strong> $39,999<br />

$40,000 <strong>to</strong> 59,999<br />

Over $60,000<br />

1/14/2008 Page 25 of 51

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