Table 2.

Question guide for focus groups and interviews

Categories	Questions for parents	Questions for children	Questions for healthcare professionals	Questions for recreational professionals
Meanings of healthy active lifestyle	What does a healthy lifestyle mean for your child?	What do you like to do when you’re being physically active? What foods do you think are healthy and good to eat? What foods do you think are not healthy and should be eaten just as a special treat?	What does a healthy lifestyle for your patient mean to you?	How would you describe a successful physical activity opportunity for children?
Supports, resources, barriers to engage in a healthy active lifestyle	What people, resources, or activities have improved/decreased your child’s physical activity and ability to engage in a healthy lifestyle? What supports/resources /services have been beneficial for you/your child in relation to your child’s ability to: a)be physically active, b)eat a healthier diet, or c)reduce the risk of injury during physical activity?	Can you tell me about the people or things or reasons that make it easier for you to be physically active?	What people, resources, or activities have improved/decreased your patient’s ability to be physically active and engage in a healthy lifestyle? As a healthcare professional, what do you think are the reasons children with heart problems are denied the opportunity to participate in physical activity?	What helps children to be physically active and engage in a healthy lifestyle? As a recreation professional, what do you think are the reasons children with heart problems do not participate in community physical activity opportunities?
Concerns about engaging in physical activity	What concerns do you hear from others about your child engaging in physical activity?	Some kids say that it’s hard for them to participate in physical activity. Can you think of what might make it hard for you or other kids your age? When you are active, what do you do so that you don’t get hurt? Some kids say that they get hurt when they are active, or that they are worried that they might get hurt. What things do you think kids worry about when they think about physical activity?	What concerns about physical activity do you hear from your patients and their parents?	What concerns about including children with heart defects in physical activity do you hear from parents, your colleagues, or other participants?
Changes that could help or resources required to promote healthy active lifestyles	If you could change or add to the supports/resources/ services that you/your child received, how would they have been different in relation to: a)being physically active, b)eating a healthier diet, or c)reducing the risk of injury during physical activity?What supports/ resources/services do you think you/your child will need in the future so that your child can: a)be physically active, b)eat a healthier diet, or c)reduce the risk of injury during physical activity?	What could your family do to help you be more active or eat healthier? What could the doctors and nurses do to help you be more active or eat healthier? What could the people in your community, like your teacher or coach, do that would help to make physical activity more fun?	What supports or services would benefit you or would you like to have to better enable your patients to: a)be physically active, b)adopt a healthier diet, c)reduce their physical activity injury risk?	What supports or resources do you know about that you think would help a child with a complex heart problem to successfully: a)engage in physical activity, b)eat healthier, c)reduce the risk of physical activity–related injuries?
Advice to other groups	What advice would you give to health professionals who care for your child regarding how they can help to encourage a healthy lifestyle and physical activity for your child? What advice would you give to recreational professionals in your community regarding how they can help to encourage a healthy lifestyle and physical activity for your child?	If you could talk to your friends and family about physical activity and healthy eating, what would you want them to know?	What advice would you give to parents, other health professionals, and recreational professionals who care for your patient in regards to enabling a healthy lifestyle?	What advice would you give to parents or health professionals about how to get their child involved in community recreation opportunities?