Table 2. Interview Domains for Parents of Positive Outliers^a and Representative Quotes, Connect for Health Randomized Controlled Trial of Childhood Obesity, Eastern Massachusetts, 2014–2016.

Domain	Quote
Family-level factors	Budget constraints for physical activity resources
	•I think more things that are free, because me being a single mother is like I’m always looking for something. If it costs too much you can’t go. •I think — activities that are free — or reduced cost, you know, affordable I should say. Not necessarily free, but affordable.
	Budget constraints for healthy food
	•Because if you think about it, when you go to the grocery store, they have Little Debbie cakes for $1.19. If you want to buy something healthy, it’s almost $5.00. •It’s healthy food, but it’s expensive.
	Health education is important
	•The first thing you have to do is educate the parents to get the healthy food for their family. •To tell you the truth, I really do not know if it will be helpful (referring to the community resource map), because to me, is to educate first. To inform — that helps.
	Time constraints
	•That’s where he’s been struggling because we haven’t been able go to gyms because of the school, the time we go to church. We go to church three times a week, so when he comes from school, we do his homework and then around 6:30 pm, 7:00 pm, we go to church. The dates that we don’t have church, we just stay home. •It’s been difficult to get them to go, because by the time they get home from school, and they did their homework and stuff, and they’re ready to go, everybody’s exhausted. “Oh, mommy, it’s time to cook dinner, and then let’s go to bed.”
School environment (can be both beneficial and harmful)	•Of course, at school, the meal is balanced at school, so we do it at home, but at school also. It was a big help all together. •When they are in the house, you know what they’re doing, but once they go out — she eats in the school at times. We say to her, “You know, you can eat, but watch what you’re eating.” At times the kids will have some ice creams, candies. That’s where, you know? At times it becomes really tough to control them. •The cafeteria at school, I don’t think they really give the best option for food for kids. I think the best thing to do sometimes, is to bring your own lunch, instead of having what they offer at school.
Neighborhood-level factors	Access to healthy food
	•Even where we live, they have a farmers market on Thursdays, and everybody sees it there because it is right there. •It’s hard sometimes, but I’m always looking for the specials and going to different places, because you see the different prices. Even if you have to waste a little bit of gas, you might as well go the extra mile and say, “Let me buy the oranges and fruits and vegetables right here, because it’s much cheaper.” You waste your gasoline, but — it’s better, at the end, because you save some money.
	Access to unhealthy food
	•At the beginning it was not easy ‘cause we have this McDonald’s close, and then the other [children] wanted to go eat there. •You have to be careful because we have a lot of supermarkets around. It’s up to you what you want to buy. I know people, they just buy the greasy food. •Fast food, ‘cause it’s everywhere. It’s like, “Oh, I’m hungry. I just left school. I wanna eat.”
	Access to outdoor space
	•When the spring comes up, yeah, they'll go to the park, play soccer, or they'll do Frisbee — her and her sister. . . . We have a park right across the street. •The back yard, and just take an hour, an hour and a half jumping rope. It doesn’t matter what it is, really. It’s just keeping the body active. He doesn’t have to go to a specific place.
	Neighborhood and community support
	•I think the community itself — I mean, encourage, of course — they encourage kids to do sports. •Also we go to church. He’s involved in basketball, too, and they have activities outside. •Having a good neighborhood also makes you healthier.
	Safety concerns
	•We don’t allow him to go outside by himself because so many things happening around and you don’t know. Sometimes we don’t know the neighbor and it’s hard because we should know who’s there and who’s not there. •With my kids, I’m always concerned about who’s living next door or who’s around the neighborhood. That way you know where to go and not to. Because you know so many things are happening and things happen in a flash.
Benefits of a community resources map	Finding resource can be time consuming
	I know there are resources, but it’s hard to find them. Maybe if there were easier resources for parents to get to know, that didn’t require them to have to spend all the time. I think it would be a lot different for a lot of families. I really do.
	Map provides the opportunity to learn about new resources and plan activities
	•Yeah, because I didn’t even know that there was a free gym on Saturdays right down the street, where kids play. I didn’t even know it was there. •Yeah, I think having this will really help you to plan, “Okay, I’m done with this. Oh, where next?” •Sometimes we don’t know that it’s there and it’s very close and we could go even walking or driving — riding a bike. It’s very helpful.
	Ease of online format
	•When I found things in my community . . . I went online and signed up for something. •It’s more effective and it’s more handy because these days everything is online, everyone is using smart phones.
	Search capabilities of map
	•Search for it. There’s a lot of farmers markets around and even in the regular stores, like I mentioned. Search for it. I mean search and go for it and go and buy vegetables and go buy the things we need at home to get a healthy life. •Look, ‘cause the resources are out there, if they just look.

^a Children who succeeded in improving their body mass index.