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				Organizational Context | 
				Role in organization | 
				How would you describe
				your role within your organization? 
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				Implementation of the YBCS Intervention | 
				Intervention
				Overview, History and Rationale | 
				Describe your
				organization’s YBCS intervention. | What
					are the key components of the YBCS intervention?Who
					is the target audience for the YBCS intervention?How
					have the key components of the YBCS intervention been tailored
					to meet the unique needs of the target audience?Was this YBCS
					intervention adapted from an already existing program or
					intervention?
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				Describe your
				organization’s goals and objectives for the YBCS
				intervention. 
				 
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				Describe your role in the
				YBCS intervention. |  | 
		
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				Intervention execution | 
				Describe how the YBCS
				intervention is implemented. | How
					often is each component of the YBCS intervention implemented?What
					is the duration of the YBCS intervention?Who
					is responsible for delivering key components of the YBCS
					intervention?How
					are YBCS intervention participants recruited?How
					has the delivery of the YBCS intervention been tailored to meet
					the unique needs of the target audience?How do you engage
					members of the target audience (e.g., YBCS, families/caregivers,
					health care providers) in the implementation of the YBCS
					intervention?
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				What
				communication strategies is your organization using to promote or
				implement the YBCS intervention? 
				 | How
					is mass media (e.g., radio, newspaper, Internet) being utilized
					to deliver or promote YBCS intervention components?How
					is small media (e.g., newsletter, email, brochures) being
					utilized to deliver or promote YBCS intervention components?How
					is social media (e.g., Facebook, Twitter) being utilized to
					deliver or promote YBCS intervention components?How
					is earned media (e.g., free or donated media) being utilized to
					deliver or promote YBCS intervention components?
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				What tools, guidelines
				and/or protocols are used to direct the implementation of the
				YBCS intervention? | What,
					if any, manuals have been created to support implementation of
					the YBCS intervention?Who
					created these guidelines?How are these used
					to implement the YBCS intervention?
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				What
				trainings are offered to staff to implement the YBCS
				intervention?  
				 | How
					are trainings identified?Who
					delivers these trainings?What
					is the duration of each of these trainings?How
					often are trainings offered to staff?Are there external
					trainings that your organization has participated in to support
					implementation of the YBCS intervention?
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				Implementation Fidelity | 
				To what extent has the
				YBCS intervention been implemented as planned? |  | 
		
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				How does implementation of
				the YBCS intervention vary across sites? | Are there
					differences in the way that the YBCS intervention is delivered
					across sites (e.g., setting, geographic location, target
					population)?  If so, how is implementation different?
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				Does your organization use
				any process improvement strategies to improve the delivery of the
				YBCS interventions? | 
				
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				Facilitators | 
				What factors, if any, have
				facilitated your organization’s implementation of the YBCS
				intervention? | What
					internal organizational factors (e.g., leadership, staff,
					resources, expertise) have helped your organization implement
					the YBCS intervention?What
					external factors (e.g., training, TA, partnerships) have helped
					your organization implement the YBCS intervention?
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				Barriers | 
				What factors, if any, have
				challenged your organization’s implementation of the YBCS
				intervention? | What
					internal organizational factors (e.g., leadership staff,
					resources, expertise) have challenged your organization’s
					implementation of the YBCS intervention?What
					external factors (e.g., training, TA, partnerships) have
					challenged your organization’s implementation of the YBCS
					intervention?
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				What
				strategies has your organization used to overcome barriers
				related to implementation of the YBCS intervention? | 
				
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				Evaluation | 
				Knowledge | 
				Describe your
				understanding of program monitoring and/or evaluation.
				
				 
 | Have
					you participated in any past evaluation efforts?  If so, please
					describe.Do you have
					experience creating program logic models?
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				Measurement 
 
 | 
				For what the YBCS
				intervention is trying to accomplish, how would you define
				success? 
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			| 
				Describe how your
				organization shares evaluation findings from the YBCS
				intervention. 
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				Facilitators | 
				What, if any, facilitators
				have helped your organization conduct program monitoring and
				evaluating for the YBCS intervention? | 
				
 
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			| 
				Barriers | 
				What, if any, barriers has
				your organization encountered in evaluating the YBCS
				intervention? | 
				
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			| 
				What
				strategies has your organization used to overcome barriers
				related to program monitoring and evaluation of the YBCS
				intervention? | 
				
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				Partnerships | 
				Contribution
				to the intervention 
 | 
				Describe
				how partners participate in the planning or implementation of the
				YBCS intervention. | How
					does your organization interact with partners?How
					does your organization communicate with partners?How
					often does your organization communicate with
					partners?How
					long has your organization worked partners?
					
					
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			| 
				What partnerships have
				been the most beneficial for your organization in the
				implementation of the YBCS intervention? |  | 
		
			| 
				What additional
				partnerships would [insert Nonfunded Organization name] benefit
				from to support the implementation of the YBCS intervention? | 
				
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				Perceptions | 
				Awareness | 
				How has the YBCS
				intervention affected awareness for the existence of support
				services and/or educational resources among the target audience? | In
					your opinion, what aspect of the YBCS intervention has been the
					most effective in increasing awareness for support
					services and/or educational resources?
					
					In
					your opinion, what communication strategies were the most
					effective in promoting and increasing awareness for the YBCS
					intervention?Does your
					organization have data to support the effectiveness of this?  If
					so, explain how this data is used. (Request to see or obtain
					copies of data, data collection tools, or reports pertaining to
					how a program has assessed awareness.)
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				Access | 
				How has the YBCS
				intervention affected access to support services and/or
				educational resources for the target audience? | In
					your opinion, what aspect of the YBCS intervention has been the
					most effective in increasing access to support
					services and/or educational resources?
					
					Does your
					organization have data to support the effectiveness of this?  If
					so, explain how this data is used. (Request to see or obtain
					copies of data, data collection tools, or reports pertaining to
					how a program has assessed access.)
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			| 
				Utilization | 
				How has the YBCS
				intervention affected utilization of support services and/or
				educational resources by the target audience? | In
					your opinion, what aspect of the YBCS intervention has been the
					most effective in increasing utilization of support
					services and/or educational resources?
					
					Does your
					organization have data to support the effectiveness of this?  If
					so, explain how this data is used. (Request to see or obtain
					copies of data, data collection tools, or reports pertaining to
					how a program has assessed utilization.)
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			| 
				YBCS
				knowledge, attitudes, and beliefs (KAB) | 
				What knowledge, attitudes,
				and beliefs does the YBCS intervention aim to affect? How has the
				YBCS intervention impacted those specific knowledge, attitudes,
				and/or beliefs among the target population? (Examples of KAB
				targets include: strategies for reducing
				the risk of recurrence and the development of new malignancies,
				chronic disease onset, and improving overall health and quality
				of life). | In
					your opinion, what aspect of the YBCS intervention has been the
					most effective in KAB among the target population?
					
					Does your
					organization have data to support the effectiveness of this?  If
					so, explain how this data is used. (Request to see or obtain
					copies of data, data collection tools, or reports pertaining to
					how a program has assessed KAB among target audience(s).)
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			| 
				Value of the YBCS intervention | 
				What has been the value of
				the YBCS intervention? | In
					your opinion, how did the YBCS intervention impact the target
					audience?In your opinion,
					how did the YBCS intervention contribute to the evidence base
					for promising strategies to reach YCBS, YBCS caregivers, and/or
					YBCS health care providers?
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				Lessons learned | 
				What have been some key
				lessons learned from your organization’s experience with
				the YBCS intervention? |  | 
		
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				Recommendations | 
				What ideas do you have for
				improving your organization’s YBCS intervention? | 
				
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