Translational Behavioral Medicine

, Volume 2, Issue 3, pp 276–285 | Cite as

Successful dissemination of Fun 5 — a physical activity and nutrition program for children

  • Claudio NiggEmail author
  • Karly Geller
  • Paula Adams
  • Michele Hamada
  • Phoebe Hwang
  • Richard Chung
Original Research


Examine the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) of an evidence-based physical activity and nutrition curriculum disseminated to after-school programs. Program components included nutrition, physical activity, and sustainability, adapted to after-school settings and disseminated across 4 years (2004–2008). The RE-AIM framework was used to evaluate dissemination quality through direct observations, surveys, and interviews. In the final year, the Fun 5 program was implemented in 90% (>22,000 students) of Hawai'i after-school sites. Despite substantial annual increases in program reach, implementation and adoption remained consistently effective, and students' physical activity levels during program activities peaked in the final year. Further, evaluations demonstrated strong long-term program sustainability potential. The Fun 5 program demonstrated promise for long-term maintenance with potential for a public health impact among Hawai`i after-school students. Future emphasis on wide-spread program dissemination is encouraged, bridging research and community efforts to improve our children's health and impact public health.


Dissemination Children Physical Activity Nutrition After-school RE-AIM 



This project was funded by the Hawai`i Medical Service Association, an Independent Licensee of the Blue Cross and Blue Shield Association. We would like to thank the valuable contributions of Cary Koike, Roberta Pang, Marisa Yamashita, Jo Ann Chang, Jackie Battista, Megan Inada, Crystalyn Hottenstein, Nicole Kerr, Kelley McGee, and Kevin Kuroda; the private providers (Kama'aina Kids, YMCA); the Hawai`i State Department of Education; and the participating sites.

Conflict of interest

All of the authors of this manuscript are individually without conflicts of interest, including specific financial interests, relationships, and affiliations relevant to the subject of this manuscript.


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Copyright information

© Society of Behavioral Medicine 2012

Authors and Affiliations

  • Claudio Nigg
    • 1
    Email author
  • Karly Geller
    • 2
    • 3
  • Paula Adams
    • 1
  • Michele Hamada
    • 1
  • Phoebe Hwang
    • 1
  • Richard Chung
    • 4
  1. 1.Department of Public Health SciencesUniversity of Hawai’i at MānoaHonoluluUSA
  2. 2.Cancer Research Center of Hawai’iHonoluluUSA
  3. 3.Miami UniversityOxfordUSA
  4. 4.Hawai`i Medical Service AssociationHonoluluUSA

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