Leader Portal > Workshop Leader Self-Evaluation Workshop Leader Self-Evaluation BCBH Workshop Leader Self-Evaluation Fidelity Tool Program fidelity refers to the how closely we follow the program design. Self-evaluation and regular de-briefing between co-leaders are important to make sure the workshop experience is the highest quality. The areas below are intended to serve as a guide for de-briefing with your co-leader as well as a self-evaluation. Name*First & Last Phone*Email* Workshop LocationCity* State* Facility Name* Co-Leader* Workshop Type*Select Workshop TypeCDSMPwCDSMPDSMPCPSMPCSTWWE Face-to-FaceWWE Self-Enhanced (1-2x/week)F&S 8-weekF&S 12-weekPlease provide at least 1 comment for each of the 4 sections GeneralDebriefing with each other is necessary after each workshop session (or between sessions) to plan for the next session and address any issues. What things did you and your co-leader work on?Were there any problems/difficult situations that occurred during the workshop? (with participants, the site, etc.) Yes No If Yes, explain:What would be helpful to you before you lead your next workshop? Do you think you would want a refresher course before you lead your next workshop? Yes No If Yes, explain:FidelityDid you have any specific concerns with maintaining program fidelity before, during, or after the workshop sessions? Yes No If Yes, explain:Was there a minimum of 8 participants to start the workshop? Yes No If No, explain:Did the number of participants stay consistent throughout the workshop series? Yes No If No, explain:Were there any concerns regarding the site that prevented participants from attending? Yes No If Yes, explain:Timeline/agenda were followed for: start time, end time, breaks, followed activities and session time limits. Yes No If No, explain:Were there any concerns about privacy and confidentiality? Yes No If Yes, explain:Confirm: I did not add content not included in the manual and did not skip or leave out material from the manual. Yes No If No, explain:FacilitationI was respectful and non-judgmental to participants. Yes No If No, explain:I provided information, rather than told what to do. Yes No If No, explain:I kept participants on topic. Yes No If No, explain:I gently encouraged, rather than forced participation. Yes No If No, explain:I managed group dynamics calmly and effectively. Yes No If No, explain:I modeled Introductions, Action Planning, Feedback, and Problem Solving as indicated in the manual. Yes No If No, explain:I followed Brainstorming Guidelines as instructed in the manual. Yes No If No, explain:I followed the Leader Workbook and educational sessions as laid out by the developers of the program. Yes No If No, explain:ModelingI maintained good eye contact with the group. Yes No If No, explain:I spoke loud enough for all to hear. Yes No If No, explain:My body language demonstrated I was present and engaged. Yes No If No, explain:My co-leader and I worked well together, assisting each other as needed. Yes No If No, explain:Workshop FeedbackOn a scale of 0-10, with 10 being most satisfied, how satisfied were you with how the workshop went overall?(Ex. participant engagement/discussion, participant attendance, your performance as a facilitator, room feel) 0 1 2 3 4 5 6 7 8 9 10 What challenges or barriers did you experience? How did you manage them?Please share any participant or leader experiences, stories, or testimonials from this workshop that could be used to inspire others to participate (attend a workshop, become a leader, as a host site, etc.).Other thoughts:HiddenPlease share what you deem to be the most significant barriers to attendance.Please describe the level of engagement of most participants in the group you lead.Please share how participants describe the program's impact on their life.What percentage of participants, do you believe, increased their knowledge about the benefits of arthritis self-management?Other thoughts:HiddenCAPTCHAEmailThis field is for validation purposes and should be left unchanged. 94235
