Table 1.

Evaluation of Healthy Habits Happy Homes Scotland (4HS) Translational Processes using RE-AIM.

Component of study	RE-AIM Dimensions & Features of 4HS Study	Process & Feasibility Results Demonstrating Achievement or Enablement of: Aim 1 (participatory and inclusive approach) and Aim 2 (feasibility of translated intervention)
Participatory Approach (aim 1)	Reach	R
	•researcher attended a multiagency strategic level planning meeting in Jan 2017 (January 2017)	•Strategic meeting made up of n ​= ​7 gatekeepers to community (workforce)
	•iterative process of dialogue and attendance at further meetings (Feb–May 2017)	•n ​= ​3 further meetings with community workforce practitioners (strategic) and n ​= ​4 meeting with local community workers (NE, Dundee).
	•Meetings and workshops with a group (HIPA) of local parent/carers (May–August 2017)	•n ​= ​5 co-production workshops each with n ​= ​8 local parents and n ​= ​2 workers
	•Study name, Acceptable recruitment strategy, study website co-designed.	•‘Dundee Family Health Study’ ‘inclusive recruitment’ www.dfhs.com website co-created
	Effectiveness	E
	•participatory approach impact	•building relationships, connecting with and establishing trust with local community. Key attributes to enable this: non-judgemental, empathetic, ability to put child and family needs at the centre, ability to ‘come alongside’ the individual, enhanced listening skills.
	Adoption (setting/context)	A
	•Levels of deprivation	•a) over 35% of city population live within the most deprived areas of Scotland.a
	•a) Dundee city and	•b) 39% of households within NE area live in the 15% most income deprived areas in Scotland 2 of the 5 neighbourhoods at 65% and 96%. All meetings took place at local health hub within the North East community [21].
	•b) local NE area	•c) ​> ​22% of children at primary 1 (age 4–5 years) were overweight or obese [3].
	•c) Levels of childhood obesity	I
	Implementation	•Qualitative (co-production) - on the whole, the group felt that the original intervention materials were appropriate, based on discussions during 5 workshops with only small alterations made, to the words or language used (simple non jargon, non ‘american’ e.g., remove soda), preferences for locally relevant photographs and and use of colours not associated with either city football team.
	•adaptation of existing intervention materials.	M N/A – will be adressed in a later mixed methods outcome paper
	Maintenance
	•sustainability of 4HS
Inclusive recruitment (aim 1)	Reach	R
	•No of enquiries about study (Dec 2017–Sep 2018)	•n ​= ​126 parents enquired over a 10 month recruitment period.
	•Means of recruitment Type – printed leaflets, printed poster, website, social media, newspaper article (also publicised on newspaper Facebook page)	•n ​= ​34 posters and n ​= ​~250 leaflets were placed in venues. Positive local press coverage shared on social media prompted 23% (n ​= ​29) of total enquiries.
	Effectiveness	•21% (n ​= ​26) of 126 who enquired then signed up to the study with Intervention Group n ​= ​14 Control Group n ​= ​12.38%, n ​= ​10 signed up via study website and 19%, n ​= ​5 via face-to-face interaction at events. n ​= ​2 newspaper articles (january 2017) prompted n ​= ​16 and (May 2017) n ​= ​9 enquiries about the study.
	•reducing barriers and making it easier for families	•38.4%, n ​= ​10 of participant families heard of study on local newspaper Facebook site or by seeing study poster on social media 35% (n ​= ​9).
	Adoption	E N/A -will be addressed in a later mixed methods outcome paper
	•Representativeness of settings and individuals	A
	Implementation	•Number of participant Families and randomisation n ​= ​26, % living in most deprived data zone in Scotland 61.5%a (n ​= ​16), % one parent families 23% (n ​= ​6), Average number of children living in household 2.0 (1–4)% Lead parent not in education or working38.5% (n ​= ​10), % of children who attend childcare setting for at least 15 ​h per week 69.2% (n ​= ​18)
	•How the programme was adapted	I
	Maintenance	•Qualitative (co-production) no limits should be set for eligibility criteria, study website was co-created with group members, local imagery and simple language. ‘Dundee Family Health Study’ based on discussions during n ​= ​5 workshops.
	•sustainability of 4HS	M N/A – will be addressed in a later, mixed methods, outcomes paper
Feasibility of translating 4HS (aim 2)	Reach	R
	•willingness of parents to participate (Dec 2017–March 2019)	•At baseline, height and weight collected in100% of children, BIA in 58% (n ​= ​15) and 54% (n ​= ​14) wore an accelerometer. Parental questionnaires were completed in 100% (n ​= ​26).
	Effectiveness	•Correspondence (email/text/phone/letter) required in order to complete a baseline visit, from 1st contact (mean 15).
	•will be assessed using qualitative and quantitative methods and reported elsewhere	E N/A – will be addressed in a later, mixed methods, outcomes paper
	Adoption	A N/A - will be addressed in a later, mixed methods, outcomes paper
	•will be assessed using qualitative and quantitative methods and reported elsewhere	I
	Implementation	•Intervention group - Total number of contacts (sms, email, face to face, letter) ​= ​726, Mean number of contacts per family 726/13 ​= ​56 (33–80).
	•Consistency of implementation (one researcher, JG)	•Control Group - Total number of contacts (sms, email, face to face, letter) ​= ​371, Mean number of contacts per family 371/10 ​= ​37 (22–62)
	Maintenance	•‘good’ proficiency of MI buy researcher (JG) see results Table 3
	•will be assessed using qualitative and quantitative methods and reported elsewhere	M N/A– will be addressed in a later, mixed methods, outcomes paper

^aAs defined by Scottish Index Of Multiple Deprivation SIMD quintile 1, contains the 20% most deprived data zones in Scotland.