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Sample Performance Measurement Tools
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Systems Change Outcome #1 Tracking Form
Increase in Caregiver Access to Respite (1)
Increase in Caregiver Access to Respite (2)
MOU Fulfillment of Agreement Matrix
Coordination_Collaboration Tracking Form
AL HEARTS Pre and Post Respite Evaluation
DE Lifespan Respite Network Financial Assistance Evaluation Form
DE Lifespan Respite Network Respite Care Information and Referral Service Evaluation Form
NC Post-Respite Survey
NC Pre-Respite Survey
NC Setting Goals to Maximize Your Respite Time
2017 NE Lifespan Respite Family Caregiver Survey with supplemental questions
NE Family Caregiver Depression Screen
NV Rx Pre-Respite Survey
NV Rx Post-Respite Survey
TN Respite Coalition Caregiver Survey
VA Lifespan Respite Voucher Program Satisfaction Survey
Assessing Caregiver Stress, Burden and Coping (APA)- overviewBrown University Toolkit of Intstruments to Measure End-of-Life Care
Caregiver Wellbing - Kingston University Toolkit of Instuments to Measure End-of-Lifecare
Satisfaction with Caregiving Scale (p. 6) and Spanish Version (p. 6)
Modified Caregiver Burden Inventory (p. 4) andModified Caregiver Strain Index - Hartford Institute for Geriatric Nursing, NYU
Measures for Assessing Caregiving Coping (APA):
Care Receiver Assessment Tools (APA):
Parent Caregiver Tools (APA):
American Psychological Association, Public Interest Directorate. Caregiver Assessment Tools. http://www.apa.org/pi/about/publications/caregivers/practice-settings/assessment/tools/
Family Caregiver Alliance and Benjamin Rose Institute on Aging (2012; 2nd Edition). Selected Caregiver Assessment Measures: A Resource Inventory for Practitioners http://caregiver.org/sites/fca.huang.radicaldesigns.org/files/pdfs/SelCGAssmtMeas_ResInv_FINAL_12.10.12.pdf
Friends National Resource Center for Community-based Child Abuse Prevention. Compendium of Annotated Tools. http://friendsnrc.org/evaluation-toolkit/compendium-of-annotated-tools
Lund, D; Wright, SD; Caserta, M; Utz, R; Lindfelt, C; Montoro-Rodriguez, J; and Shon, H (2014). Time for Living and Caring, Making Respite Services Work for You.
US Administration on Aging. Performance Measurement Outcome Project (POMP).