ACF OPRE: Direct Provider of Care in Center Questionnaire

OMB No.: 0970-0143

Expiration Date: 10/31/01

Early Head Start
DIRECT PROVIDER OF CARE IN CENTER
QUESTIONNAIRE

Public reporting burden for this collection of information is estimated to average 15 minutes per response for the telephone interview and two hours for the observation, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to ACF Reports Clearance Officer, Paperwork Reduction Project (OMB# 0970-0143), Administration on Children, Youth, and Families, Office of Information Services, 370 L’Enfant Promenade, S.W., Washington, DC 20447. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. The OMB number for this project is 0970-0143.

MPR ID: \|___\|___\|___\|___\|___\|___\|___\|
PROVIDER ID: \|___\|___\|___\|___\|___\|___\|___\|
STAFF ID: \|___\|___\|
DATA COLLECTOR ID: \|___\|___\|___\|___\|
DATE:	\|___\|___\| Month	-	\|___\|___\| Day	-19	\|___\|___\| Year
START TIME: \|___\|___\| : \|___\|___\| AM/PM
END TIME: \|___\|___\| : \|___\|___\| AM/PM
MODE:	TELEPHONE . . . . . . . .01
	IN-PERSON . . . . . . . . .02

ROUND OF DATA COLLECTION:

14 MO. . . . . . . . . . . . . . . . . 01
24 MO. . . . . . . . . . . . . . . . . 02
36 MO. . . . . . . . . . . . . . . . . 03

Conducted for
Mathematica Policy Research, Inc.
P.O. Box 2393
Princeton, NJ 08543-2393
and
Administration on Children, Youth, and Families
U.S. Department of Health and Human Services

Items B5-2.A-O. STRS. Student-Teacher Relationship Scale. Pianta, R.C. 1992. Lutz, FL: Psychological Assessment Resources, Inc.

Items B5-3.A-L. CBC. Achenbach System of Empirically-Based Assessment, Child Behavior Checklist. Achenbach, Thomas M. and Leslie A. Rescorla. Manual for the ASEBA Preschool Forms and Profiles. Burlington, VT: University of Vermont Department of Psychiatry, 2000.

Items C2 A-M. PRS. Parent-Caregiver Relationship Scale. Copyright James Elicker, Illene C. Noppe, and Lloyd D. Noppe, 1996.

DIRECT PROVIDER OF CARE IN CENTER QUESTIONNAIRE

INTRODUCTION TO QUESTIONNAIRE

A1.

WAS AN OBSERVATION CONDUCTED?

YES	01
NO	00		GO TO B5-1

A2.

Thank you for letting me spend the time here.

We have talked with (CENTER DIRECTOR) who gave us permission to talk to you now about (CHILD) and some of the activities in your room.

The answers you give will be held confidential and will not be shared with any parents or other people in your community. Your participation in the study is voluntary and you may refuse to answer any questions you are not comfortable answering.

WRAP UP QUESTIONS FOR CHILD CARE PROVIDER:

B1.

Was this a typical day for (CHILD)?

YES	01		GO TO B3
NO	00

Why not?

PROBE: Any other reasons?

CIRCLE ALL THAT APPLY
CHILD WAS SICK OR TEETHING	01
CAREGIVER WAS SICK	02
CHILD OFF SCHEDULE	03
CHILD BEHAVIOR DIFFERENT IN OTHER WAY	04
FEWER CHILDREN THAN USUAL	05
MORE CHILDREN THAN USUAL	06
OTHER (SPECIFY) ________________________________ \|___\|___\|	07

How different was it? Was it . . .

Only slightly different,	01
Somewhat different, or	02
Really different?	03

B2.

How much did my presence disrupt the routine or affect your activities or (CHILD)’s? Would you say . . .

Only slightly,	01
Somewhat, or	02
A great deal?	03

B3.

Did you do anything differently because I was here?

YES	01
NO	00		GO TO B4

What did you do differently?

PROBE: Anything else?

CIRCLE ALL THAT APPLY
CHANGED ENVIRONMENT (CLEANED, MOVED FURNITURE, ETC.)	01
INTERACTED LESS WITH CHILDREN	02
INTERACTED MORE WITH CHILDREN	03
FELT UNCOMFORTABLE	04
CHANGED BABY’S SCHEDULE (KEPT AWAKE, DIDN’T FEED, ETC.)	05
OTHER (SPECIFY) ________________________________ \|___\|___\|	06

B4.

Did (CHILD) do anything differently because I was here?

YES	01
NO	00		GO TO B5

What did (CHILD) do differently because I was here?

PROBE: Anything else?

CIRCLE ALL THAT APPLY
SHOWED OFF	01
WATCHED THE OBSERVER	02
WAS QUIET, LESS ACTIVE	03
CRIED MORE	04
OTHER (SPECIFY) ________________________________ \|___\|___\|	05

B5.

Was the daily routine different because I was here?

YES	01
NO	00		GO TO B5-1

What was different?

PROBE: Anything else?

CIRCLE ALL THAT APPLY
STAYED AT HOME OR INSIDE WHEN WOULD HAVE GONE OUT	01
DELAYED NAPS OR MEALS	02
OFFERED MORE ACTIVITIES FOR CHILD	03
POSTPONED MEETINGS, BREAKS, OR OTHER ACTIVITIES WITH OTHER CENTER STAFF	04
OTHER (SPECIFY) ________________________________ \|___\|___\|	05

B5-1.

IS THIS AN INTERVIEW WITH A PROVIDER FOR A CHILD IN THE 36-MONTH SAMPLE?

YES	01
NO	00		GO TO B6

B5-2.

ITEMS DELETED FROM THIS VERSION TO PROTECT AUTHOR/PUBLISHER COPYRIGHT. SEE PAGE ii FOR FULL CITATION.

B5-3.

ITEMS DELETED FROM THIS VERSION TO PROTECT AUTHOR/PUBLISHER COPYRIGHT. SEE PAGE ii FOR FULL CITATION.

B6.

REVIEW THE OBSERVATION SCALE AND THE DIRECTOR QUESTIONNAIRE. ASK ABOUT ANY ITEMS NOT OBSERVED. USE THE QUESTIONS IN THE ITERS AS A GUIDE. NOTE THAT THE DIRECTOR QUESTIONNAIRE CONTAINS SOME DATA ON THE PROGRAM--YOU DO NOT NEED TO REASK THOSE ITEMS.

YES, ALL ITEMS OBSERVED	01
NO, NEED TO OBSERVE/ASK QUESTIONS	00

THEN GO TO C2

RELATIONS WITH CHILD’S PARENTS

C1.

Since we have recently observed your room, I just need to ask you a few questions about (FOCUS CHILD)’s parents.

CONTINUE WITH C2

C2.

(Finally) I’d like to know a bit about the relationship you have with this child’s parents. Please answer the following questions based on your knowledge of the parent with whom you have had the most contact. Again, let me remind you that the answers you give will be kept confidential.

For each statement, please tell me if you strongly disagree, mildly disagree, mildly agree, or strongly agree?

(READ ITEM). Do you strongly disagree, mildly disagree, mildly agree, or strongly agree?

CODE ONLY ONE RESPONSE FOR EACH STATEMENT.

		Strongly Agree	Mildly Disagree	DON'T READ NOT SURE	Mildly Agree	Strongly Agree
A.	(CHILD’s) parent is someone you can rely on	01	02	03	04	05
B.	You have a great deal of personal respect for this parent	01	02	03	04	05
C.	This parent has the knowledge and skills needed to be a good parent	01	02	03	04	05
D.	This parent and you really seem to value your relationship with each other	01	02	03	04	05
E.	You know that (CHILD) truly enjoys being with (his/her) parent	01	02	03	04	05
F.	You always trust (CHILD’s) parent to give (him/her) good, consistent care at home	01	02	03	04	05
G.	When you need help, you feel that this parent will go out of (his/her) way for you	01	02	03	04	05
H.	This parent gives you valuable suggestions about working with (CHILD)	01	02	03	04	05
I.	You really like this parent as a person and enjoy being in (his/her) presence	01	02	03	04	05
J.	You admire the way this parent works with (his/her) child	01	02	03	04	05
K.	You view (CHILD’s) parent as an excellent parent all around	01	02	03	04	05
L.	The overall approach to raising children expressed by (CHILD’s) parent closely matches your own	01	02	03	04	05
M.	When the parent and you disagree about how to take care of the child, it is easy for you to work through your differences	01	02	03	04	05

ENDING

Thank you very much for your help. We may need to revisit your classroom in a few months and appreciate your help.

C3.

INTERVIEW CONDUCTED IN:

ENGLISH	01
SPANISH	02
OTHER (SPECIFY) ________________________________ \|___\|___\|	03

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Early Head Start DIRECT PROVIDER OF CARE IN CENTER QUESTIONNAIRE

Early Head Start
DIRECT PROVIDER OF CARE IN CENTER
QUESTIONNAIRE