Fidelity Process Report Form for TPP Grantees

The purpose of the observation form is to assess staff training on fidelity and whether fidelity monitoring processes are being implemented as intended.  This observation form has been developed for grantees awarded funds from the Teen Pregnancy Prevention Program administered by the Office of Adolescent Health within the Office of the Assistant Secretary for Health. This tool can be administered yearly or twice per year, depending on how often the program is offered and how often staff trainings occur.

Tool

Population
Administration Method
Number of Questions
11
Creator(s) of Tool
This observation form has been developed for grantees awarded funds from the Teen Pregnancy Prevention Program administered by the Office of Adolescent Health within the Office of the Assistant Secretary for Health.

It can be accessed at http://www.hhs.gov/ash/oah/oah-initiatives/webinars/TPP_Fidelity_Process_Report_Form-July_2011.pdf
Scoring / Benchmarking
There are a total of 13 items in this scale.

Score 0 for each item you mark “not at all”, 1 for each item you score as “somewhat,” and 2 for each item you score as “completely.”

Your total score is what will be entered into the web-based performance measures reporting system. A total of 26 points are possible, if you score a 2 on every item.

There are no benchmarks available for this measure.
Background / Quality
n/a
Is there a cost associated with this tool?
No
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