Table 4.

Key Insights from Appreciative Inquiry Focus Groups and How They Were Used in Intervention Design

Key insights	IMPACT intervention design elements
Building healthy habits is a family affair	• All members of the family invited to all intervention sessions
	• Everyone in the family given an opportunity to try new activities (e.g., Salsa dancing, rock wall climbing)
	• Healthy cooking classes included information on how to cook together as a family
	• Family group social activities provided, such as bowling, Hip Hop, and roller skating
Providing opportunities for parents to “cheer” for their kids	• Rock wall climbing, bowling
	• Monthly Healthy Living Challenge contest
	• Training for We Run This City Youth Marathon
	• iPad Movie shows created by children
	• Graphs of weight loss over time
Keeping children's interest in the intervention is important	• Variety of iPad games included in the intervention to aid in learning new concepts
	• Use of warm-up games to start all sessions
	• Active sessions, such as African dancing
	• Each child created an iPad Healthy Living Movie
	• Each child used a camera to take pictures that represent what being healthy means to them (PhotoVoice)
Participating in community activities	• Healthy Choices Grocery Shopping Tour in participants' local neighborhood
	• Passport to a Healthier Family, a book of community activities for the family to record their participation in a weekly (contest)
	• Healthy Choices Fast Food Tour in participants' local neighborhood
	• Provision of a Community Resource Guide
Sustaining behavior change is a difficult process	• Use of yoga to help manage stress
	• Information on dealing with bullies
	• Discussion about emotions and eating
	• Between-session coaching calls
	• Use of raffles and small gifts as incentives
	• Managing “screen time”