Just in Time Parenting Program's: Guide to Evaluation

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Please list all questionnaires, surveys, and/or assessment instruments/measures used in the project. Please submit copies of all instruments/measures. Checklist for the Informed Consent Form (cover letter, email, etc): Basic information that must be included Project Description Is the project title identified? Is it stated that the study involves research? Purpose of the research? How long will it take to participate? Why participant was selected? Is the age of participant stated (under 19 needs parental consent)? Are procedures described? Where will it take place? Are experimental procedures identified? (include if applicable) Risks, Benefits, and Alternatives Are risks and discomforts to participants explained? If no risks, does it say no known risks? If there are risks, what will be done to minimize the risks? Referrals? Are benefits to participants and to others that might be expected from the research explained? Are alternative procedures or course of treatment that might be advantageous to the participant identified? If the study offers course credit, are alternative ways to earn the credit explained? Confidentiality Will confidentiality of records identifying participant be maintained? How will data be reported: scientific journal, professional meeting, aggregated data? Compensation Is compensation offered? Are medical treatments available if injury occurs? Who will pay for treatments (participant or department)? What conditions would exclude participant from participating? Right to Ask Questions Is it stated that participants have a right to ask questions and to have those questions answered? Are the names & phone numbers of persons to contact for answers to questions about the research provided? Does it state who to contact concerning questions about research participants’ rights, “Sometimes study participants have questions or concerns about their rights. In that case you should call the University of Nebraska-Lincoln Institutional Review Board at (402) 472-6965.” Freedom to Withdraw Does it state, “You are free to decide not to participate in this study. You can also withdraw at any time without harming your relationship with the researchers or the University of Nebraska-Lincoln.” Does it state participation is voluntary? UNL IRB 06/30/2006 Page 46 of 51
University of Nebraska Project Approval UNL IRB 06/30/2006 Page 47 of 51
Page 1 and 2: Just in Time Parenting Just in Time
Page 3 and 4: JITP GUIDE TO EVALUATION: INTRODUCT
Page 5 and 6: Online 12-month Evaluation Question
Page 7 and 8: ABOUT JITP JITP is an Outgrowth of
Page 9 and 10: TO DO ADDITIONAL ANALYSES We believ
Page 11 and 12: APPENDIX A: ONLINE 12-MONTH QUESTIO
Page 13 and 14: 6. On average, how many of the Just
Page 15 and 16: 10. Please tell us what information
Page 17 and 18: 19. Are you: (check all that apply)
Page 19 and 20: APPENDIX B: PROPOSED RESEARCH WORKS
Page 21 and 22: PAPER AND PENCIL 12-MONTH QUESTIONN
Page 23 and 24: 9. Was any of the information diffe
Page 25 and 26: TOOLBOX OF ADDITIONAL MEASURES ORGA
Page 27 and 28: Did you read the JITP issue when yo
Page 29 and 30: Balancing Needs How easy is it for
Page 31 and 32: Domain: Impact on Parent Practices
Page 33 and 34: e When things are going badly betwe
Page 35 and 36: x Most premature babies end up bein
Page 37 and 38: ADDITIONAL INFORMATION ABOUT STANDA
Page 39 and 40: Parent Sense of Competence (PSOC) S
Page 41 and 42: Principal Investigator is: X Facult
Page 43 and 44: *Faculty, Staff, Graduate Student,
Page 45: **Please attach copies of informed
Page 49 and 50: APPROVED CONSENT FORMS Note: This c
Page 51: Note: This Consent Form is designed

Just in Time Parenting Program's: Guide to Evaluation

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