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TITLE OF PAPER
First & Last Name
Health Science Department, CSU Long Beach
HSC 405: Name of Course
Dr. Lyzette Blanco
Date of submission
Table of Contents
1. Specific Aims . . . . . . . . . XX
1. Methods . . . . . . . . XX
1. Evaluation . . . . . . . . . XX
1. Reference List . . . . . . . . . XX
1. Appendix . . . . . . . . . XX
Signature Assignment for HSC 405
The purpose of this project is to provide students with an experience in planning and developing an evaluation test. The program should be one in existence that has a clear mission, goals and objectives. The topic may concern any physical or mental health problem, school-based or community-based intervention, genetic defect, learning disability or health screening.
The length of the grant proposal must be approximately 20 pages using double spacing with a font size of 12, one inch margins, and pagination. There must be at least 15 references using APA style for bibliographic citations. Ten of these references must come from peer-reviewed journals.
The research project MUST include the following sections and sub-sections:
Table of Contents
1) Specific Aims (3 pages) -> *consider this section a long abstract*
a. brief description of goal(s) of program
b. Description of your desired outcomes of the evaluation
c. Identification of population, sampling, and experimental design selection
2) Methods (10 pages) ->
a) Description of population and method of sample selection (1.5 pages)
· 3 paragraphs
· 1st paragraph:
· Define/Describe your POPULATION (these are the people you want to generalize your results)
· Include demographics (i.e. race/ethnicity, culture, language, age, gender, SES, Education, geographic location, immigration status etc.)
· Any clinical eligibility criteria to enter the program (i.e. BMI > 25, HgA1c > 7, etc.)
· Other eligibility criteria (i.e. eligible for Medicare, MediCAL etc.)
· Remember, the more defined your population, the easier it is to select a representative sample
· 2nd paragraph:
· Describe how you will select a representative sample
· Most likely you use
· Cluster sample (if no population list available)
· Describe what will be the clusters along with justification for your selection
· How will you recruit people from these clusters
OR
· Stratified random sample (if population list available)
· Describe by what characteristic(s) you will stratify along with justification for your selection
· How will you select participants from the strata
· 3rd paragraph:
· Calculate sample size
· You do not need to define Type 1 and Type 2 error or effect size
· State the Type 1 and Type 2 error
· Last sentence should include n= _________ (your sample size)
b) Design of experimental methodology ( 2 - 2.5 pages )
· Explain the specifics of your evaluation design including your approaches to address threats to internal validity
· State which design you choose along with a justification (why is your choice the best possible design in your specific situation)
· Most likely you use
· Non-equivalent comparison group (in case you do not have randomization)
· Indicate location of Experimental and Comparison Group
· Describe how you made the two groups as equivalent as possible
· Describe what you will do to address the threats to internal validity that the design cannot control
· You do not need to define the threats
OR
· Classical Experimental Design (in case you have randomization)
· Indicate location of Experimental and Control Group
· Describe how you made the two groups as equivalent as possible (refer briefly to your stratification method)
· Describe what you will do to address the threats to internal validity that the design cannot control
· You do not need to define the threats
c) Operationalization of Concepts ( 1.5 pages )
· Describe your data collection method
· face-to-face interview, observation, self administered questionnaire, telephone interview, clinical measurements etc.
· Justify your choice of data collection method
· why is your approach the best with regard to
· the capabilities of your population
· i.e. Kindergarteners completing a self-administered questionnaire
· setting restrictions
· i.e. your ability to get Triglyceride test result information
· Describe your Pre/Post test (if applicable)
· If you adopted from existing instrument provide any validity and reliability information that might be given (i.e. Cronbach’s alpha etc.)
· What types of questions do you ask?
· Remember your questions /measurements need to address all three of your impact objectives
· Demographics (your Pre/Post test MUST include demographics
· Which demographics
· What level of measurement (nominal. ordinal, interval)
· Knowledge questions (If increase in Knowledge is part of your objectives)
· Type of knowledge
· Type of question (i.e. True/False, Multiple Choice etc.)
· Level of Measurement (nominal. ordinal, interval)
· Needs to include at least 10 - 15 questions measuring the same concept
· Attitudinal questions (If change of Attitude is part of your objectives)
· Type of Attitude
· Type of question (i.e. x-point Likert scale, other type of scale, etc.)
· Level of Measurement (nominal. ordinal, interval)
· Needs to include at least 10 - 15 questions measuring the same concept
· Behavioral questions/Clinical measurements (If change in behavior or anthropometrics is part of your objectives)
· Type of behavior
· Level of measurement (nominal. ordinal, interval)
· For information that needs to be calculated (i.e. BMI) state formula used to calculate
d) Formative Evaluation Methods – Pilot Testing Procedures ( 1 page )
· Describe methods you used to Pilot test your program
· Remember: You want to get feedback from community and experts in the field
· Experts in the field
· Qualifications for experts in the field for your program
· Content experts
· Population experts
· Setting Experts
· How will you elicit information?
· What type of information would you like to know from them?
· Community input
· How will you elicit information?
· What type of information would you like to know from them?
e) Process Evaluation – Monitoring of Program Implementation ( 1 page )
· For each of your program components indicate how you will monitor
· If program is reaching the target population
· Are they attending each program component on a regular basis?)
· If each component of the program is being implemented as outlined
· Budget
f) Rationale for Choice of Statistical Techniques
· 1st section Title: “Descriptive Statistics - Univariate Analysis”
· Describe how you will report your variables by level of measurement
· i.e. “Frequencies and percentages will be reported for nominal data. This will include frequency tables, pie charts, bar graphs. In addition, the mode will be reported”
· 2nd section Title: “Inferential Statistics – Bivariate Analysis”
· Restate Objective #1 (copy and paste from Background and Significance part d)
· Identify
· Dependent Variable (along with its level of measurement)
· Independent Variable (along with its level of measurement)
· If necessary create a summative index
· State whether Chi-square or t-test will be performed along with Significance level
· Repeat procedure with each objective
3) Appendix –
a) Test Blue Print
b) Sample Questionnaire.