Table 2. Summary of Relevant Dimensions and Representative Feedback From Parent Interviews, Build Our Kids’ Success (BOKS) Evaluation, Massachusetts, 2018a , b .
| RE-AIM Dimension | Relevant Interview Question(s) | Key Themes and Subthemes | Representative Quotes |
|---|---|---|---|
| Reach | Your child has been participating in the BOKS program at their school; why did you choose to enroll them in this? | Benefits parent and child | • [I]t’s good because, for me, I have three kids. They study in two different schools. . . . When [teacher] said, “Now we have the BOKS program,” and also, “Sign up for the kids, and then they can come to school early.” (Father of daughter, 7 y) • I just said that maybe it’s gonna help him and put this energy a little down. (Mother of son 10, y) |
| Child interest | • He loves anything that keeps him bouncing around and moving and jumping. He definitely was very interested in signing up, so, it was all him. (Mother of son, 9 y) | ||
| Need for physical activity opportunities | • Oh, because I knew that at home he’s not very active and I will like to see him do more exercise and keep active, just to keep him healthy. (Mother of son, 6 y) | ||
| Implementation | What things have made it hard to participate in BOKS? Is there anything you would change about the program? | Acceptability | • From my standpoint, from my children, whatever is going on at BOKS, and you guys are doing, seems to be keeping my kids very interested. From my standpoint, I wouldn’t change a thing. (Mother of daughter, 9 y) |
| Barriers: transportation, weather, time | • The first time it was hard because I’m not driving anymore. It was his father, and it was really hard for him, but now we did manage that. (Mother of son, 10 y) • [It’s hard] especially when it’s cold and raining. (Mother of daughter, 6 y) • Getting him ready and up early in the morning. The only downside. (Mother of son, 9 y) |
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| Suggestions for future program structure and content | • I think maybe a shorter program. I think that the hour was a very long time. (Mother of son, 9 y) • I wish that it’s more than 12 weeks, because my child likes that program very much. (Mother of son, 6 y) • It’s like, if they can do some dancing too in the morning, some music, some dance, some Zumba, something. (Mother of daughter, 6 y) |
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| Effectiveness | What good things have you seen about participating in the BOKS program? | Impact on parents | • I found that it was helpful for me. . . . It helped me with the day. You know what I mean? (Mother of daughter, 6 y) |
| Child benefits observed: behavior, self-esteem, health | • He concentrates better at school. His teacher’s not so after him to calm down. He’s got ADHD, so, I think it kinda helps him settle his mind a little bit having that activity in the morning so he’s not so wound up. (Mother of son, 9 y) • [S]he teach me how to do a new exercise. I don’t know how to do it but she teach me how to do it. . . . I like to see her more confident and active. (Mother of daughter, 8 y) • I see she’s losing a little weight. (Mother of daughter, 9 y) |
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| Physical activity behaviors: skills, enjoyment, sedentary time | • Coordination used to be a big deal with him, but he’s past that right now, so that’s why I think BOKS probably helped him. (Mother of son, 10 y) • They make it fun to be active. They play games. (Mother of son, 9 y) • [E]xercising to take her away from watching TV or to be[ing] inactive. (Mother of daughter, 10 y) |
Abbreviations: RE-AIM, Reach, Effectiveness, Adoption, Implementation, and Maintenance.
a
Based on Holtrop et al (29).
b
Adoption not assessed as a setting-level domain; maintenance not assessed because interviews were performed during program (before maintenance period).