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OVC Wellbeing Tool. Shannon Senefeld Susan Strasser James Campbell. International AIDS Conference, Mexico 2008. OVC Wellbeing Tool (OWT). Background Methodology Results Next Steps. Background. HIV Global Technical Team Meeting November 2006
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OVC Wellbeing Tool Shannon Senefeld Susan Strasser James Campbell International AIDS Conference, Mexico 2008
OVC Wellbeing Tool (OWT) • Background • Methodology • Results • Next Steps
Background • HIV Global Technical Team Meeting November 2006 • Recognized the need for a comprehensive measure of OVC wellbeing • Goal: create an instrument which can be used internationally to represent holistic OVC programming that is valid, reliable and practical to administer.
Methodology • Literature Review • Expert Statements • Judging • Draft tool created
The Tool • Originally 48 Questions • Self-Report Measure • Likert Scale • Used for Children Aged 13-18 • 10 Domains of Wellbeing • Nutrition and food security • Shelter and environment • Protection • Family • Health • Spirituality • Mental health • Education • Economic • Community cohesion
Piloting the OWT • 5 country evaluation: • Rwanda • Kenya • Zambia • Haiti • Tanzania
Analysis Plan • Data from 890 OVC from the 5 countries • Compare the OWT data to larger evaluation data • Validate OWT against Hope Scale • Statistical Analysis: • Cronbach’s Alpha • Confirmatory Factor Analysis
Results • Cronbach’s Alpha • Confirmatory Factor Analysis • Reduced number of items in the scale • 48 to 36
Larger Survey • Based on domains of traditional OVC intervention • Similar across all five countries, corresponding to OVC sectoral foci • Generally strong correlation between larger survey and OWT scores
The Children’s Hope Scale1 • Stable tool shown to have internal consistency, convergent, discriminant and incremental validity • Children’s hope conceptualized as positive expectations; agency and pathways • Consistent with various definitions of resilience • 6 point Likert scale • Premise • Children are goal directed • Higher “hope” →Increasing levels of agency and pathways thinking • Validated against Children’s Hope Scale, the OWT showed a Spearman’s Rho of p<.01 for both the original long version and the shortened version. 1Snyder et al (1997). The Development and Validation of the Children’s Hope Scale. Journal of Pediatric Psychiatry 22(3), 399-421.
Challenges • Hope Scale Validation • Translation • Data scoring in the field • Health domain revisited • Future challenge: managing the immense amount of data
Conclusions • OWT now finalized • Reduced number of items in the tool, now 36 items • Requires approximately 20 minutes to complete • End Result: A valid, practical tool to measure OVC wellbeing now exists.
Next Steps • Finish the User’s Guide • Roll out in other countries (underway) • Continue data analysis to determine predictive value of OWT • Ideally, develop a similar tool for younger age groups
Thankyou! Download the tool and supporting documents: www.crs.org/publications/ovc-wellbeing-tool