Competitive Grant Program Data Collection Process/Forms Participant and Family Baseline Questionnaires Healthy Heart Program

SCREENING, REGISTRY, RECRUITMENT Ongoing until recruitment goals met BASELINE ASSESSMENTS DP: Within month before beginning curriculum HH: Within month before beginning case management INTENSIVE ACTIVITIES HH: Case management and HGHH Curriculum DP: DPP Curriculum and Lifestyle Coaching FOLLOW-UP ASSESSMENTS (DP ONLY) Within a month of completion of DPP Curriculum ANNUAL AFTER INTENSIVE ACTIVITY HH: Anniversary of Baseline Assessment DP: Anniversary of Follow-up Assessment ANNUAL (DECEMBER) Annual reports and Questionnaires ONE TIME TELEPHONE INTERVIEW Selected providers interviewed by CC 1 STEP ACTIVITY FIGURE 2: OVERVIEW OF DATA COLLECTION

Step 2 Flow Diagram

SDPI HH Ratings of Participant Baseline Questionnaire Topics Topic Number Question Numbers Topic Number of Ratings Mean Rank of topics (positive-negative) Demographics Identity Discrimination Subjective health Health confidence Resilient coping Family support Social support Spirituality Current exercise levels Diet Alcohol Alcohol: stages of change Smoking Posttraumatic stress disorder Depression and anxiety Anger and hostility Pain Other physical health problems Menopause

SDPI HH Ratings of Participant Baseline Questionnaire Topics Topic Number Question Numbers Topic Number of Ratings Mean Rank of topics (positive-negative) Pregnancy Diabetes knowledge Knowledge about heart health Hypertension knowledge Health literacy Process evaluation questions Other activities Stages of change for diet, exercise, and health Anything else? = absolutely need; 2 = important; 3 = would be nice, but could cut; 4 = not needed 4 grantees did not return rating forms; 6 grantees returned rating forms, but provided only written comment

Participant Baseline Questionnaire Instructions Family Baseline Questionnaire Instructions