Return to Previous page | Table of Contents | Next |
| PDF Version, B&W |  |
EARLY HEAD START
|
|||||||||||||||||||||||||||
| Public reporting burden for this collection of information is estimated to average 1 hour per response for the interview and assessments, 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# 0970-0169), Administration for Children 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 0970-0169. |
| MPR ID #: | |___|___|___|___|___|___|___| | ||||||
| DATA COLLECTOR ID #: | |___|___|___|___| | ||||||
| DATE: |
|
||||||
| TIME START: | |___|___| : |___|___| AM/PM | ||||||
| TIME END: | |___|___| : |___|___| AM/PM |
| ENTRY INTO SAMPLE: | |
| NATIONAL | 01 |
| NEWBORN A | 02 |
| NEWBORN B | 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
| COPYRIGHT INFORMATION FOR MEASURES INCLUDED IN THIS DOCUMENT |
| Items various, starting at 2.9. HOME. Caldwell,
Bettye M., and Robert H. Bradley. Items 2.14 A-M. RFQ. Role of the Father Questionnaire. Palkovitz, R. Developmental Psychology, vol. 20 (6), 1984, pp. 1054-1060, or University Microfilms order number 8105035. Items 3.1 A-H. KIDI. MacPhee, D. Manual: Knowledge of Infant Development. Unpublished manuscript. University of North Carolina, 1983. Items 3.2 A-F. PMS. Parental Modernity Scale. Schaefer,
Earl and Marianna Edgerton. “Parental and Child Correlates
of Parental Modernity.” In I. E. Sigel, Ed., Items 3.2.1 G-L. PIC. Parental Investment in Child. Bradley, R.H., L. Whiteside-Mansell, J.A. Brisby, and B.M. Caldwell. "Parent’s socioemotional investment in children." Journal of Marriage and the Family, vol. 59, 1997, pp. 77-90. Items 3.3 M-O. BRTR. Beliefs Regarding Talking and Reading. Luster, Tom, Kelly Rhoades, and Bruce Haas. “The Relation Between Parental Values and Parenting Behavior: A Test of the Kohn Hypothesis.” Journal of Marriage and the Family, vol. 51 (February 1989), pp. 139-147. Items 3.4 A-W and 3.5. PSI. Abidin, Richard R. Parenting Stress Index, Third Edition: Professional Manual. Odessa, FL: Psychological Assessment Resources, Inc., 1995. "Adapted and reproduced by special permission of the Publisher, Psychological Assessment Resources, Inc., Odessa, FL 33556, from the Parenting Stress Index by Richard R. Abidin, Ed.D., Copyright 1990 by PAR, Inc.. Further reproduction is prohibited without permission from PAR, Inc." Items 5.9B a-l and 5.19B a-l. PARQ. Parental Acceptance and Rejection Questionnaire Shortened Version. Rohner 1984, 1986; Sherman and Donovan 1991. Rohner, R. P. Handbook for the Study of Parental Acceptance and Rejection (Third Edition). Storrs, CT: Rohner Research Publications, 1990. Rohner Research, http://vm.uconn.edu/~rohner/. Items 7.18 a-h. QOL. Quality of Life Scale (8 item version). David H. Olson and Howard Barnes. Copyright, 2000, Life Innovations, Inc. For more information: Contact FIP@lifeinnovations.com. |
INTRODUCTION--OPTION 1
|
||||||||||||||
| Hello. Thank you for agreeing to talk with us. As I mentioned (on the phone/when we made the appointment), the entire visit will take about 1 hour. I will be asking you some questions about (CHILD), what you and (CHILD) do together, and about you. (Many of these questions are the same or similar to questions we asked (CHILD’s MOTHER).) We are interviewing lots of different men who are involved in the lives of young children, so every question may not apply exactly to you. Usually, I’ll skip questions like that, but if I don’t, just tell me and we’ll skip it. (If at any time you need to take a break to take care of (CHILD) (or your other children), please let me know.) All the information you give me is confidential. Neither your name nor (CHILD)’s will be attached to any of the information you give us. If there is ever anything you are not comfortable talking about or doing, please let me know and we will skip that part. Do you have any questions? |
||||||||||||||
| 1.0 | READ AGREEMENT TO PARTICIPATE IN EHS RESEARCH AND EVALUATION WITH FATHER/FATHER-FIGURE. BOTH OF YOU NEED TO SIGN THIS FORM. | |||||||||||||
| INTERVIEWER: | DO YOU KNOW FOR SURE THAT THE MAN YOU ARE INTERVIEWING IS THE CHILD’S FATHER/STEP-FATHER? |
|||||||||||||
| I.1 |
|
|||||||||||||
| I.2 | Before we start, I wanted to ask you what you would like me to call you throughout the interview. Some other men we’ve interviewed have chosen to be called a father-figure or an “important man in (CHILD’s) life”. What do you prefer? Record Response: _____________________________________________ |
|||||||||||||
| INTERVIEWER: | USE HIS RESPONSE INSTEAD OF FATHER THROUGHOUT THE INTERVIEW. | |||||||||||||
|
||||||||||||||
Hello. Thank you for agreeing to talk with us. As I mentioned (on the phone/when we made the appointment), the entire visit will take about 1½ hours. The visit has two parts. First, I will take out different toys for (CHILD) to play with while I videotape you and (him/her) together. While you, (CHILD) and I are working together on this first part, it would be best if we were not interrupted. Then, I will be asking you some questions about (CHILD), what you and (CHILD) do together, and about you. (Many of these questions are the same or similar to questions we asked (CHILD’s MOTHER).) We are interviewing lots of different men who are involved in the lives of young children, so every question may not apply exactly to you. Usually, I’ll skip questions like that, but if I don’t, just tell me and we’ll skip it. As we go along, I will be telling you what we need you to do. And please, if you have any questions, feel free to ask them! If at any time you need to take a break to take care of (CHILD) (or your other children), please let me know. All the information you give me is confidential. Neither your name nor (CHILD)’s will be attached to any of the information you give us. If there is ever anything you are not comfortable talking about or doing, please let me know and we will skip that part. |
||||||||||||||
| 1.0 | READ AGREEMENT TO PARTICIPATE IN EHS RESEARCH AND EVALUATION WITH FATHER/FATHER-FIGURE. BOTH OF YOU NEED TO SIGN THIS FORM. |
|||||||||||||
| INTERVIEWER: | DO YOU KNOW FOR SURE THAT THE MAN YOU ARE INTERVIEWING IS THE CHILD’S FATHER/STEP-FATHER? |
|||||||||||||
| I.1 |
|
|||||||||||||
| I.2 | Before we start, I wanted to ask you what you would like me to call you throughout the interview. Some other men we’ve interviewed have chosen to be called a father-figure or “an important man in (CHILD’S) life.” What do you prefer? Record Response: __________________________________________ |
|||||||||||||
| INTERVIEWER: | USE HIS RESPONSE INSTEAD OF FATHER THROUGHOUT THE INTERVIEW. |
|||||||||||||
| Is this a good time for (CHILD)? We can start with (his/her) activities or with the interview if you think (he/she) isn’t at (his/her) best right now. INTERVIEWER: IS THIS A GOOD TIME FOR CHILD? |
||||||||||||||
|
||||||||||||||
| Return to Previous page | Table of Contents | Next |