Successful dissemination of Fun 5 — a physical activity and nutrition program for children
- 213 Downloads
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.
KEYWORDSDissemination 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.
- 1.U.S. Department of Health and Human Services. Healthy People 2010. Washington, DC: U.S. Government Printing Office; 2001.Google Scholar
- 8.Revised dietary guidelines to help Americans live healthier lives. FDA Consumer. 2005; 39(2):18–19.Google Scholar
- 11.Centers for Disease Control and Prevention. Guidelines for school and community programs to promote lifelong physical activity among young people. MMWR Recomm Rep. 1997;46(RR-6):1-36.Google Scholar
- 12.Health Utilisation Research Alliance (HURA). Ethnicity, socioeconomic deprivation and consultation rates in New Zealand general practice. J Health Serv Res Po. 2006; 11(3):141-149.Google Scholar
- 17.Pate RR, Davis MG, Robinson TN, Stone EJ, McKenzie TL, Young JC. Promoting physical activity in children and youth: a leadership role for schools: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Physical Activity Committee) in collaboration with the Councils on Cardiovascular Disease in the Young and Cardiovascular Nursing. Circulation. 2006;114(11):1214-1224.PubMedCrossRefGoogle Scholar
- 18.Optimal calcium intake. NIH Consens Statement Online. 1994; 12(4): 1–31. http://consensus.nih.gov/1994/1994OptimalCalcium097html.htm
- 20.Rogers EM. Diffusion of innovations. 5th ed. New York: The Free Press; 2003.Google Scholar
- 21.Minkler M, Wallerstein N. Introduction to community based participatory research. In: Minkler M, Wallerstein N, eds. Community-based participatory research for health. San Francisco, CA: Jossey-Bass; 2003:3-26.Google Scholar
- 24.Nigg CR, Battista J, Chang JA, Yamashita M, Chung RS. Physical activity outcomes of a pilot intervention using SPARK Active Recreation in elementary after school programs. J Sports Exerc Psychol. 2004;26:S144-S145.Google Scholar