Afterschool Rx 2.0: Prescriptions to Afterschool Care for Pediatric Cardiovascular Risk Reduction

Proportion of families who complete the study (RE-AIM: Individual Reach)

Study logs will be used to determine the proportion of families who complete the study. Participants are considered to have completed the study if they do not withdraw or drop out. A successful outcome will be considered if ≥80% of families in both groups are retained in the study and families in both sequences (AB/BA) are retained in the study at equivalent rates.

Time frame: 9 months (end of spring semester)

Proportion of children who attend afterschool care during intervention allocation (RE-AIM: Individual Implementation)

Attendance records provided by afterschool care programs will be used to determine the proportion of children who attend afterschool care during intervention allocation. Success will be defined as ≥80% of children attend afterschool care during intervention assignment.

Time frame: Baseline (beginning of fall semester) to 4 months (end of fall semester) and 5 months (beginning of spring semester) to 9 months (end of spring semester)

Proportion of families that express a desire to continue attending afterschool care after the study ends (RE-AIM: Potential Maintenance)

Qualitative interviews with families at the school year will be used to determine families' interest in continuing to utilize afterschool care. A successful outcome will be defined as ≥80% of families in both groups express a desire to continue attending afterschool care after study ends.

Time frame: 9 months (end of spring semester)

Portion of clinics and clinicians that participate in prescribing afterschool care (REAIM: Setting-level Adoption)

Study records will be used to measure the proportion of clinics and clinicians that prescribe afterschool care to eligible children. A successful outcome will be defined as a referral rate of ≥60% eligible children.

Time frame: Baseline (beginning of fall semester) , 5 months (beginning of spring semester)

Proportion of afterschool programs providing afterschool care to study participants (REAIM: Setting-level adoption)

Study records will be used to measure the proportion of afterschool programs that are able and willing to provide afterschool care to children participating in the study. A successful outcome will be defined as having at least 8 available spots across participating programs each year (i.e., able to meet recruitment goals).

Time frame: Baseline (beginning of fall semester), 5 months (beginning of spring semester)

The number of days and daily hours participating afterschool programs opperate (REAIM: Setting-level Implementation)

Study records and random unannounced direct observation will be used to measure the number of days and daily hours the afterschool programs operate. A successful outcome will be defined as the afterschool programs being open and operational on days local elementary schools are open and operational and that the participating afterschool program follows preplanned schedule on ≥80% of observation days.

Time frame: Baseline (beginning of fall semester) to 4 months (end of fall semester) , 5 months (beginning of spring semester) to 9 months (end of spring semester)