Professional Documents
Culture Documents
Protective Factors Survey (Spanish)
Protective Factors Survey (Spanish)
FRIENDS National Resource Center for Community Based Child Abuse Prevention
A Service of the Childrens Bureau and a Member of the T/TA Network
FRIENDS National Resource Center for CommunityBased Child Abuse Prevention
Chapel Hill Training Outreach Project, Inc. 800 Eastowne Drive Suite 105 Chapel Hill, NC 27514 (919)
4905577 (919) 4904905 (fax) www.friendsnrc.org
ADMINSTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
March 2014
A guide to administering the Spanish adaptation
of the Protective Factors Survey
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Special Thanks
Our study to validate the Spanish Adaptation of the Protective Factors Survey (SPFS) would not
have been possible without the significant efforts of several individuals.
Achievement & Assessment Institute
Dr. Karin Chang, Dr. Jacqueline Counts, and Aislinn ConradHiebner deserve acknowledgement for
their leadership of this project. While Drs. Chang and Counts helped troubleshoot any challenges
and offered expertise regarding largescale studies and psychometrics, Ms. ConradHiebner
provided daytoday project management by recruiting and training test sites, preparing the study
materials, convening the bilingual advisory panel, collecting data, and disseminating the project
findings. In addition, Dr. Neal Kingston offered invaluable advice about constructing clear and
concise items and scales.
Regarding the Spanish translation, Adam Brazil and Alexandra Vuyk were responsible for
translating a majority of the SPFS, the study manual, and the training materials. They volunteered
many hours over the course of the last year. Alex HernandezCastro, Stacy Mendez, and Francie
Christopher also provided support in our initial translation efforts.
Friends National Resource Center
Friends National Resource Center deserves a special acknowledgement for supporting our project
by providing incentives for test sites, and ongoing, timeintensive technical assistance. We
especially want to thank Casandra Firman for tirelessly championing this project, recruiting panel
members and test sites, providing technical assistance for meetings and trainings, and
troubleshooting.
National Bilingual Advisory Panel
At the beginning of the study, we convened a panel of nine bilingual/bicultural early childhood
providers and parentconsumers. This panel was comprised of Lorena Melgar, Maritza Noriega,
Luisa Moreno, Ana Isabel Gallego, Elba Moreira, Celina Garza, Beatriz Mack, Deborah Weiss, and
Neireda Rodriguez. These individuals provided forward and backward translations and feedback
on our initial translations of the SPFS.
Validation Tools
We would like to thank Dr. Milner and the team at NCAST for generously offering us the Child
Abuse Potential Inventory and the revised Difficult Life Circumstances tool free of charge for the
purposes of instrument validation. Thank you also to Winterberry Press for allowing us to use the
Family Resource Scale as a validation instrument.
Test Sites
There would be no SPFS without the dedication and hard work from our seven test sites, which
include the following agencies: UmatillaMorrow Head Start, Inc. in Oregon, Neighborhood Centers
of Johnson County in Iowa, Renovacion Conyugal in Georgia, Yakima Valley Farm Workers Clinic in
Washington, Association to Benefit Children in New York, Leelanau Childrens Center in Michigan,
and The Family Service Association in Texas. Your foresight and belief in this survey is reflective of
your commitment to children and families.
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Table of Contents
Introduction ........................................................................................................................................... 6
Purpose and Use ...................................................................................................................................................... 6
Description ................................................................................................................................................................ 7
Considerations ......................................................................................................................................................... 7
Operational Definitions of Protective Factors Used in the Survey .................................................... 8
Section I: Instructions for Staff ........................................................................................................ 9
Preparing the Survey............................................................................................................................................. 10
Administering the Survey ................................................................................................................................... 10
Section II: Scripts and Clarifications .............................................................................................. 13
Survey Scripts ........................................................................................................................................................... 14
Introducing the Survey ......................................................................................................................................... 14
Reviewing Instructions with Participants ................................................................................................... 14
Section III: Survey Clarifications ..................................................................................................... 15
Clarifications on the Versin del Personal (For Staff Use Only Form) ..................................... 16
Paraphrasing Instructions for the Participant Form ............................................................................... 18
Paraphrasing Instructions for the Participant Form, SPFS, Page 1 Questions 111 ................ 20
Instrucciones de Parafraseo para la Versin del Participante, SPFS, Preguntas 1220 .......... 22
Section IV: Sample Informed Consent Statement,
Computing Subscale Scores, Frequently Asked Questions & Answers .............................. 25
Sample Informed Consent Statement ............................................................................................................ 26
Computing Subscale Scores ................................................................................................................................ 27
Protective Factors Survey Frequently Asked Questions & Answers ................................................ 28
The Spanish Protective Factors Survey ........................................................................................ 33
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Introduction
Purpose and
Use
Description
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Definition
Having adaptive skills and strategies to persevere in times of crisis.
Familys ability to openly share positive and negative experiences and
mobilize to accept, solve, and manage problems.
Perceived informal support (from family, friends, and neighbors) that
helps provide for emotional needs.
Perceived access to tangible goods and services to help families cope
with stress, particularly in times of crisis or intensified need.
Understanding and using effective child management techniques and
having ageappropriate expectations for childrens abilities.
The emotional tie along with a pattern of positive interaction between
the parent and child that develops over time.
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Section I
Instructions for Staff
Survey Preparation
Survey Administration
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Preparing the 1. Prepare the Informed Consent Statement. Staff will need to create
an Informed Consent Statement to fit the consent requirements of their
Surveys
organization. Most agencies will have a protocol or statement for
10
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
11
12
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Section II
Scripts and Clarifications
Sample Scripts
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
13
Survey Scripts
It is important to give clear instructions to participants before administering the survey. Some
participants may not understand the questions, especially if they have limited reading skills.
Administrators of the survey may need to explain the survey questions and answering procedures.
The following scripts will help the administrator introduce the survey and paraphrase questions
as needed.
Introducing I am going to ask you to complete a survey. This survey will help us better
understand the needs of the families we serve. We want to provide the best
the Survey
services that we can to all of our parents and families, and this is one way to
help us keep on track. The survey contains questions about your experiences as
a parent and your outlook on life in general.
You will not lose services or be penalized if you choose not to complete the
survey or to answer some of the questions.
We will keep any information you share confidential; you do not have to put
your name on the survey. The answers you provide on the survey will not affect
your services.
Do you have any questions? (Answer questions)
On the front page of the survey is an Informed Consent Form. This is a
document for our records that will be kept separate from the survey. This
document tells us whether or not you have agreed to participate in the survey.
You do not need to take this survey if you do not want to and the services you
receive will not be taken away or changed if you do not take the survey. Please
take a few minutes to read the first page of the survey. When you are finished,
please check off the appropriate box and sign the form. (make sure informed
consent forms are completed before proceeding)
Reviewing
Instructions
with
Participants
The next section of the survey asks for background information about you and
your family. You may have already given us some of this information. We thank
you for giving it to us again so that our survey information can be as complete
as possible.
The survey asks about your parenting experiences and your general outlook on
life. Please remember that this is not a test, so there is no right or wrong
answers. You should choose the best answer for you and your family.
Notice that some of the answer choices are on a number scale while other
questions ask for yes or no responses. Please respond by circling the number
that best describes your situation. If you do not find an answer that fits
perfectly, circle the one that comes closest.
When you are finished with the survey you can pass it back to me. Let me know
if you have questions or need anything at any time.
14
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Section III
Survey Clarifications
Clarifications on the For Staff Use Only Form
Paraphrasing Instructions
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
15
Clarifications on the Versin del Personal (For Staff Use Only Form)
ID de la Agencia
Es un Pretest o Posttest?
Please indicate whether the survey being administered is a pretest (given at the
initiation of services) or a posttest (given at the end of services).
1) Fecha en que fue completada la encuesta Provide the month, date and year that the survey was completed.
Please use the four-digit year (for example, 2007 instead of 07).
2) Cmo fue llenada la encuesta? Please check the most appropriate response:
Llenada en una entrevista cara a cara
(Select if you met individually with the participant and filled it out together.)
Llenada por el participante, con personal del programa disponible para explicar tems si fuera
necesario
(Select if the participant filled it out with help from staff.)
Llenada por el participante sin presencia de personal del programa
(Select if the participant had no staff assistance.)
3) Ha estado el participante involucrado en Servicios Protectores del Nio (CPS)? Please check the most
appropriate response:
NO if you know the participant has had no involvement.
SI if you know the participant has had involvement.
NO ESTOY SEGURO if you do not know.
4A) Fecha en que el participante comenz el programa (complete for pretest)
Provide the month, date and year that the participant began receiving services from your program. Please use
the four-digit year (for example, 2013 instead of 13).
4B) Fecha en que el participante complet el programa (complete for post test)
Provide the month, date and year that the participant completed services from your program. Please use the
four-digit year (for example, 2013 instead of 13).
5) Tipo de Servicios
Identify all of the services that the participant is currently receiving. If you do not find one that matches your
programs services, select other and provide a two- to four-word description of the program.
6) Intensidad del Servicio
A. (COMPLETE AT PRETEST) Estimate the number of hours of service the participant will be offered during
the program. You should add up the hours across all services that the participant receives.
B. (COMPLETE AT POST TEST) Estimate the number of hours of service the participant has received since
he/she started the program. You should add up the hours across all services that the participant receives.
16
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
EncuestadeFactoresProtectoresenEspaol
Versindelparticipante
ID de la Agencia
Es esto un
ID # del Participante
Pretest?
Posttest?
SI
NO ESTOY SEGURO
5. Tipo de Servicios / Identify the type of program that most accurately describes the services the participant is
receiving. Check all that apply.
Educacin de Padres
Grupo de Apoyo para Padres
Interaccin Padres/Hijos
Apoyo (individual, comunitario)
Programa para Padres
Alvio Planeado o en Crisis
Sin hogar/Hogar transitorio
Recursos y Derivaciones
Otro / Other (If you are using a specific curriculum, please name it here)
6.) Asistencia del Participante (Estime si es necesario) / Participants Attendance: (Estimate if necessary)
A) Responda en el Pretest: Nmero de horas de servicio ofrecidas al consumidor:
Answer at Pretest: Number of hours of service offered to the consumer:
B) Responda en el Post-test: Nmero de horas de servicio recibidas por el consumidor:
Answer at Post-test: Number of hours of service received by the consumer:
_______
_______
_______
_______
Esta encuesta fue desarrollada por el Centro Nacional de Recursos para la Prevencin Comunitaria del Abuso Infantil FRIENDS en asociacin con
el Centro para Alianzas Pblicas e Investigacin de la Universidad de Kansas con fondos provistos por el Departamento de Salud y Servicios
Humanos de los EEUU.
17
ID del Participante
Write todays date. Please use the four-digit year (for example, 2007 instead of 07).
2) Sexo
Are you a male or a female? (this is for the adults sex, not the childs)
4) Raza/Etnia
Select the race/ethnicity that best describes you. If the categories do not describe your
race/ethnicity, select other and provide a description.
5) Estado civil
Select the box that best describes your current marital status.
6) Alojamiento de la
familia
Select the box the best describes what type of home your family current lives in.
Temporary means that you have places to stay, but that you do not have an on-going
residency in a household.
7) Ingreso familiar
The family income refers to the combined annual income of all family members in the
household and could include earned income, child support, and Social Security payments
among other sources.
8) Nivel educativo
ms alto
Select the box that best describes the highest level of education that you completed.
9) Cules de los
siguientes recibe
usted?
Select all categories of assistance that you or anyone in your household currently
receives.
List all of the children that are a part of your household. For each child, identify the childs
gender, date of birth, and your relationship to that child. If you have more than four
children, continue the list on the back of the sheet.
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ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
EncuestadeFactoresProtectoresenEspaol
Versindelparticipante
ID de la agencia
4. Raza/etnia. (Por favor, escoja UNA opcin que mejor describa lo que usted se considera)
A Americano Nativo o Nativo de Alaska
B Asitico
C Africano Americano
D Nacionales Africanos / del Caribe
E Hispnico o Latino
F Del Medio Oriente
G Nativos de Hawaii o Islas del Pacfico
H Blanco (No Hispnico/Europeo Americano)
I. Multi-racial (especificar)
J Otro ___
5. Con qu pas de origen se identifica su familia? O Cul es el pas de origen de su familia?
A Mxico
B Colombia
C El Salvador
D Per
E Cuba
F Ecuador
G Guatemala
H Estados Unidos
I
Repblica Dominicana J Puerto Rico
K Honduras
L Otro _________
6. Estado Civil:
A Casado/a
B Concubinada/o
C Soltero/a
D Divorciada/o
E Viudo/a
F Separada/o
7. Vivienda Familiar:
A Propia
B Alquilada
C Hogar compartido con parientes/amigos
D Temporal (refugio, temporal con amigos/parientes) E Sin hogar /Homeless
8. Ingresos de la Familia / Estado de Empleo:
A $0-$15,000
B $15,001-$30,000
D $45,001-$60,000
E ms de $60,001
C
F
$30,001-$45,000
desempleado/a
Algo de secundaria
D
G
E
H
Algo de universidad
Maestra
F
I
Entrenamiento tcnico/vocacional
Licenciatura
10. Cul de los siguientes est recibiendo actualmente, si es que recibe alguno? (Marque todos los que
correspondan)
A Estampillas/ Cupones para Alimentos
B Medicaid (Seguro Mdico del Estado)
C Crdito de Impuestos por Ingresos Recibidos
D TANF
E Servicios de Head Start/Early Head Start
F Seguridad Social / SSI
11. Por favor cuntenos sobre los nios viviendo en su hogar.
Fecha de
Su relacin con el nio (marque uno)
Gnero
Nacimiento
A Padre/
B
FMadre de Padre/Madre
C
DE-Otro Padre/Madre
VarnMujer (MM/DD/AA) Nacimiento Adoptivo/a Abuela/o Hermano/a Pariente de Acogida Otro
Nio 1
Nio 2
Nio 3
Nio 4
Si tiene ms de 4 nios, por favor use el espacio provisto en la parte de atrs de esta hoja.
Esta encuesta fue desarrollada por el Centro Nacional de Recursos para la Prevencin Comunitaria del Abuso Infantil FRIENDS en asociacin con
el Centro para Alianzas Pblicas e Investigacin de la Universidad de Kansas con fondos provistos por el Departamento de Salud y Servicios
Humanos de los EEUU.
19
Paraphrasing Instructions for the Participant Form, S-PFS, page 1 Questions 1-11
Each question asks how often the statements are true about you. If a statement always true about you, select a 7. If it
is never true about you, select a 1. The numbers in-between should be used depending on how often the item is true
about you.
1) En mi familia, hablamos acerca de los problemas. / In my family, we talk about problems. When
your family has a problem, how often do you take the time talk about it? How often do you discuss problems that your
family is facing?
2) Cuando discutimos, mi familia escucha ambas partes de la historia. / When we argue, my family
listens to both sides of the story. When there are disagreements in your family, does each person get to share
their side in an argument? How often?
3) En mi familia, tomamos tiempo para escucharnos los unos a los otros. / In my family, we take
time to listen to each other. How often do members of your family take the time to listen to one another?
4) Mi familia se apoya en momentos de estrs. / My family pulls together when things are stressful.
When your family is facing a hard time, how often do you work together to get through the tough time?
5) Mi familia soluciona todos nuestros problemas. / My family is able to solve our problems. When
your family has a problem, how often are you able to come up with solutions to those problems?
6) Tengo personas que me escuchan cuando necesito hablar de mis problemas. / I have others
who will listen when I need to talk about my problems. How often do you have family, friends, neighbors or
professionals who you can tell your problems to?
7) Cuando me siento solo/a, tengo a varias personas con las que puedo hablar. / When I am lonely,
there are several people I can talk to. Do you have many friends, neighbors, or professionals you can talk to
when you are lonely? Do you often have people to talk to when you are lonely? If the answer is always, select a 7. If
never, select a 1. The numbers in-between should be used depending on how often the item is true about you.
9) Yo s a dnde (o con quin) ir para conseguir ayuda si tuviera dificultades financieras. / I know
where to go for help if I have trouble making ends meet. Is it true that you know where to get assistance if
you needed help paying your bills?
10) Si existe una crisis, tengo personas con quienes contar. / If there is a crisis, I have others I can
talk to. Is it true that when you are faced with an emergency or an urgent situation, you have others to talk with?
11) Yo s a dnde ir para recibir ayuda si necesito conseguir un trabajo. /If I need help finding a
job, I know where to go for help. Is it true that you know where to get help if you needed work?
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ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
EncuestadeFactoresProtectoresenEspaol
Versindelparticipante
Parte I: Por favor encierra en crculo el nmero que describa cun a menudo estas afirmaciones son verdaderas
para ti o para tu familia. Los nmeros representan una escala de 1 a 7 en la que cada uno de los nmeros
representa una cantidad de tiempo distinta. El nmero 4 significa que la afirmacin es verdadera ms o menos la
mitad del tiempo.
Nunca
Casi
Nunca
Pocas
Veces
A
Veces
Muchas
Veces
Casi
Siempre
Siempre
Esta encuesta fue desarrollada por el Centro Nacional de Recursos para la Prevencin Comunitaria del Abuso Infantil FRIENDS en asociacin con
el Centro para Alianzas Pblicas e Investigacin de la Universidad de Kansas con fondos provistos por el Departamento de Salud y Servicios
Humanos de los EEUU.
21
Edad o Fecha de Nacimiento del Nio / Childs Age or DOB. What is the age and date of birth of the child
you hope will benefit most from your involvement in our services?
13) S cmo ayudarle a mi hijo/a a aprender. / I know how to help my child learn. Do you know how
you can help your child learn?
14) Mi nio/a se porta mal slo para hacerme enojar. / My child misbehaves just to upset me. Does
your child frequently act up just to make you angry, sad, or some other negative feeling?
15) Yo elogio a mi nio/a cuando se porta bien. / I praise my child when he/she behaves well. Do you
praise your child for good behavior? If your child behaves well, do you tell him/her how happy you are?
16) Cuando disciplino a mi nio/a pierdo el control. / When I discipline my child, I lose control. Do
you have a hard time controlling your temper when you discipline your child?
17) Soy feliz cuando estoy con mi nio/a. / I am happy being with my child. How much of the time do
you enjoy being with your child?
18) Mi nio/a y yo estamos muy unidos. / My child and I are very close to each other. How much of the
time do you feel that your relationship with your child is strong?
19) Puedo tranquilizar a mi nio/a cuando est enojado/a. / I am able to soothe my child when
he/she is upset. How much of the time are you able to calm your child down when he or she is upset?
20) Yo paso tiempo con mi nio/a haciendo lo que le gusta. / I spend time with my child doing what
he/she likes to do. How often do you do activities with your child that he or she enjoys?
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ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
EncuestadeFactoresProtectoresenEspaol
Versindelparticipante
Por favor enfcate en el nio/a que esperas que ms se beneficie de tu participacin en nuestros servicios. Por favor
escribe la edad o fecha de nacimiento del nio/a y luego responde a las preguntas con este nio/a en mente.
Edad del Nio
o Fecha de Nacimiento
_/
Nunca
Casi
Nunca
Pocas
Veces
A
Veces
Muchas
Veces
Casi
Siempre
Siempre
Esta encuesta fue desarrollada por el Centro Nacional de Recursos para la Prevencin Comunitaria del Abuso Infantil FRIENDS en asociacin con
el Centro para Alianzas Pblicas e Investigacin de la Universidad de Kansas con fondos provistos por el Departamento de Salud y Servicios
Humanos de los EEUU.
23
24
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
Section IV
Sample Informed Consent Statement
Computing Subscale Scores
Frequently Asked Questions & Answers
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
25
__________________________________________
Participant Signature
__________________________________________
Date Program Staff Signature
Date
Date
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
27
Reliability Time 1
Reliability Time 2
Family Functioning/Resiliency
.88
.82
Social Support
.91
.81
Concrete Support
.85
.86
.79
.65
Why is there no subscale score for Knowledge of Parenting?
Knowledge of parenting is a complex construct with different components that do not necessarily
correlate. For example, knowledge of good disciplinary practices may not correlate with helping your
child learn, therefore there is no theoretical reason to expect them to conform to any particular
subscale structure. Calculation of a subscale score is not recommended. Means, standard deviations,
and percentages at the individual item level should be used to assess an agencys progress in this
area.
28
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
29
If the agency has the time, they can look at each participant's pretest and posttest data to ensure that
the target child is the same (and retain only the responses for which the target child is the same).
This will strengthen the rigor of the survey findings. However, our validity studies suggest it is
appropriate to analyze the data without taking this variable into consideration.
How are the questions answered if the child does not live with the respondent?
The survey is intended to be given to caregivers. Some of the parents involved in parenting services
have had their children removed from their care (either through CPS intervention or a
divorce/custody situation). If it is probable that they will care for their children sometime in the
futureeven if they never actually reside with that caregiverand they are involved in prevention
services, it is appropriate to give them the survey.
Is the SPFS an appropriate tool for parents of teenagers?
The SPFS appears to be an appropriate tool for use with parents of teenagers. The Nurturing and
Attachment subscale and individual Knowledge of Parenting and Child Development items (with the
exception of Item 13, "I know how to help my child learn") appear to be the most impacted by the age
of the identified child (located between Items 11 and 12). In general, caregivers of younger children
tend to respond higher on all subscales/items of the SPFS than do caregivers of older children.
A possible explanation for these differences might be that the challenges of having an older child
slightly lower the Nurturing and Attachment subscale and Knowledge of Parenting and Child
Development items; alternatively, it might be that caregivers with older children have more
parenting experience (and are older in age) and better recognize their areas for growth as caregivers
and are more willing to report those. Agencies might keep these differences in mind when collapsing
scores across identified children from birth to age 18.
Some items refer to family. Is there a rule about the definition of family? Who constitutes a
family?
Respondents are encouraged to construct their own definition of family. If they want to include
children living in the household that are not directly related to them, or close relatives that may or
may not live with them, that is fine.
Are there cutoff scores identified in the technical material?
No, there are no cutoff scores for the SPFS.
Could this survey be used along with other parenting surveys effectively as a type of check &
balance tool?
Yes. The SPFS can be used with other measures to validate other instruments and/or increase the
validity of the evaluation findings.
Is there a retrospective version of the SPFS?
A retrospective version of the tool has not been tested sufficiently to be officially released by
FRIENDS.
30
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
31
What were the demographics of the population used in the SPFS validation studies?
Sex
Female
Male
Race/Ethnicity
African American
Hispanic/Latino
White, not Hispanic
Multiracial
Country of Origin
Mexico
United States
Puerto Rico
El Salvador
Other
Income
<$15,000
$15,00030,000
$30,001+
Relationship Status
Partnered*
Single or Separated**
Education
Elementary or junior high school
Some high school
High school diploma or GED
Trade/vocation school or higher
Age
<35 years
Involved with Child Protective Services
No
Yes
Not sure
Hours of Services Received
Type of Government Assistance
Food stamps
Medicaid
Head Start/Early Head Start
N
133
115
18
140
1
129
9
1
138
104
8
5
4
17
133
44
48
35
137
97
40
131
37
32
30
32
133
75
121
11
4
49
139
65
74
27
86.5
10.8
0.7
92.1
6.4
0.7
75.4
5.8
3.6
2.9
12.3
33.1
36.1
26.4
70.8
29.2
28.2
24.4
22.9
24.5
62.0
33.0
89.0
8.1
2.9
30.6
46.8
53.2
16.3
Note: *Partnered indicates participants who are married and/or living together. **Single or Separated indicates
participants who are single, divorced, widowed, and separated.
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ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
The Spanish Protective Factors Survey
ADMINISTERINGTHESPANISHPROTECTIVEFACTORSSURVEY
33
EncuestadeFactoresProtectoresenEspaol
Versindelparticipante
ID de la Agencia
Es esto un
Pretest?
Post test?
SI
NO ESTOY SEGURO
5. Tipo de Servicios / Identifique el tipo de programa que describa de manera ms adecuada los servicios que el
participante est recibiendo. Marque todos los que correspondan.
Educacin de Padres
Grupo de Apoyo para Padres
Interaccin Padres/Hijos
Apoyo (individual, comunitario)
Programa para Padres
Alivio Planeado o en Crisis
Sin hogar / Hogar transitorio
Recursos y Derivaciones
_______
_______
Esta encuesta fue desarrollada por el Centro Nacional de Recursos para la Prevencin Comunitaria del Abuso Infantil FRIENDS en asociacin con
el Centro para Alianzas Pblicas e Investigacin de la Universidad de Kansas con fondos provistos por el Departamento de Salud y Servicios
Humanos de los EEUU.
EncuestadeFactoresProtectoresenEspaol
Versindelparticipante
ID de la agencia
C Soltero/a
D Divorciada/o
E Viudo/a
F Separada/o
7. Vivienda Familiar:
A Propia
B Alquilada
C Hogar compartido con parientes/amigos
D Temporal (refugio, temporal con amigos/parientes) E Sin hogar /Homeless
8. Ingresos de la Familia / Estado de Empleo:
A $0-$15,000
B $15,001-$30,000
D $45,001-$60,000
E ms de $60,001
9. Nivel Educativo ms Alto:
A Escuela primaria o media
D Entrenamiento tcnico/vocacional
G Licenciatura
B
E
H
C
F
Algo de secundaria
Algo de universidad
Maestra
$30,001-$45,000
desempleado/a
C
F
I
10. Cul de los siguientes est recibiendo actualmente, si es que recibe alguno? (Marque todos los que
correspondan)
A Estampillas/ Cupones para Alimentos
B Medicaid (Seguro Mdico del Estado)
C Crdito de Impuestos por Ingresos Recibidos
D TANF
E Servicios de Head Start/Early Head Start
F Seguridad Social / SSI
11. Por favor cuntenos sobre los nios viviendo en su hogar.
Su relacin con el nio (marque uno)
A
B
C
D
E
F
G
Fecha de Padre/Madre
Nacimiento
de
Padre/Madre Abuela/o Hermano/a
Otro Padre/Madre Otro
Adoptivo/a
Pariente de Acogida
Varn Mujer (MM/DD/AA) Nacimiento
Gnero
Nio
1
Nio
2
Nio
3
Nio
4
Esta encuesta fue desarrollada por el Centro Nacional de Recursos para la Prevencin Comunitaria del Abuso Infantil FRIENDS en asociacin con
el Centro para Alianzas Pblicas e Investigacin de la Universidad de Kansas con fondos provistos por el Departamento de Salud y Servicios
Humanos de los EEUU.
EncuestadeFactoresProtectoresenEspaol
Versindelparticipante
Parte I: Por favor encierra en crculo el nmero que describa cun a menudo estas afirmaciones son verdaderas
para ti o para tu familia. Los nmeros representan una escala de 1 a 7 en la que cada uno de los nmeros
representa una cantidad de tiempo distinta. El nmero 4 significa que la afirmacin es verdadera ms o menos la
mitad del tiempo.
Nunca
Casi
Nunca
Pocas
Veces
A
Veces
Muchas
Veces
Casi
Siempre
Siempre
Esta encuesta fue desarrollada por el Centro Nacional de Recursos para la Prevencin Comunitaria del Abuso Infantil FRIENDS en asociacin con
el Centro para Alianzas Pblicas e Investigacin de la Universidad de Kansas con fondos provistos por el Departamento de Salud y Servicios
Humanos de los EEUU.
EncuestadeFactoresProtectoresenEspaol
Versindelparticipante
Parte II. Esta parte de la encuesta pregunta sobre crianza y tu relacionamiento con tu nio/a. en esta seccin,
por favor enfcate en el nio/a que esperas que ms se beneficie de tu participacin en nuestros servicios. Por
favor escribe la edad o fecha de nacimiento del nio/a y luego responde a las preguntas con este nio/a en
mente.
Edad del Nio
Fecha de Nacimiento
_/
Nunca
Casi
Nunca
Pocas
Veces
A
Veces
Muchas
Veces
Casi
Siempre
Siempre
Gracias!!
Esta encuesta fue desarrollada por el Centro Nacional de Recursos para la Prevencin Comunitaria del Abuso Infantil FRIENDS en asociacin con
el Centro para Alianzas Pblicas e Investigacin de la Universidad de Kansas con fondos provistos por el Departamento de Salud y Servicios
Humanos de los EEUU.