Table 4.
Feedback from cognitive interviews.
| Theme | Change required | Module | Example issue | Example solution |
|---|---|---|---|---|
| Clarify messages in the facilitator's guide | No | Behavior change/goal setting | Participants found the idea of setting SMART goals difficult to understand | In response, we developed session content and a poster to highlight each of the elements of SMART goals |
| Requested information found in another session | No | Community building | Participants did not know how to “Work with others to set goals you can reach and find answers when problems occur” | No change occurred since this topic is found in a different session |
| Reduce sweeping generalizations that may negatively implicate behaviors | Yes | Community building | Participants stated that the phrase “Parents who are connected with others have less stress and are healthier” was too over-generalized | Added ‘tend to’ into the phase: “Parents who are connected with others tend to have less stress and are healthier” |
| Reduce language that seems to be overly forcing certain behaviors | Yes | Snacks and drinks | Participants felt the phrase “I will not offer juice at all to my child this week” was unrealistic | Changed phrase to: “I will offer my child one less serving of juice each day this week” |
| Clarify/remove unfamiliar terminology | Yes | Family physical activity | Participants felt that “weight-bearing activities” was not a commonly used phrase | Removed the phrase from the module |
| Reduce wordiness/be clear and concise | Yes | Community center | Participants felt the phrase “Families with a place for recreation tend to be more active. A local community center is a great option for your family's recreational home!” was too wordy | Changed phrase to: “A local community center is a great place to be active with your family!” which greatly reduced wordiness |
| Ensure tools included are practical | Yes | Goal setting | Participants felt that a large number of rows suggested they needed to develop a large number of goals | Reduced the number of rows on the goal tracking sheet |
| Add participant suggestions when relevant | Yes | Meal planning | A participant suggested adding an item regarding expiration date to a statement about stocking up on sale items | Added the statement into the module content |