ABSTRACT
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.
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.
- Content Type Journal Article
- Category Original Research
- Pages 1-10
- DOI 10.1007/s13142-012-0120-0
- Authors
- Claudio Nigg, Department of Public Health Sciences, University of Hawai’i at Mānoa, Honolulu, HI 96822, USA
- Karly Geller, Cancer Research Center of Hawai’i, Honolulu, HI, USA
- Paula Adams, Department of Public Health Sciences, University of Hawai’i at Mānoa, Honolulu, HI 96822, USA
- Michele Hamada, Department of Public Health Sciences, University of Hawai’i at Mānoa, Honolulu, HI 96822, USA
- Phoebe Hwang, Department of Public Health Sciences, University of Hawai’i at Mānoa, Honolulu, HI 96822, USA
- Richard Chung, Hawai`i Medical Service Association, Honolulu, HI, USA
- Journal Translational Behavioral Medicine
- Online ISSN 1613-9860
- Print ISSN 1869-6716