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Table 2 Numbers of intervention centers (N = 15) shown by scores indexing each center’s implementation of Lunch is in the Bag

From: Efficacy of the Lunch is in the Bag intervention to increase parents’ packing of healthy bag lunches for young children: a cluster-randomized trial in early care and education centers

MultiAttribute Evaluation (MAE) tree with • branches and nodes that enabled aggregation of location measures from the process evaluation tools across attributes and components of implementation in the □ domain representing use of Lunch is in the Bag

Low (score 0–50)

Medium (score 51–75)

High (score 76–100)

• ECE center staff sent parents the newsletters1

0

0

15

• Parents recalled receiving the newsletters2

0

2

13

• Parents read the newsletters2

0

2

13

• Parents recalled newsletter content re: fruit, veg, whole grain2

0

1

14

• Parents recalled newsletter content re: home practice activities2

0

6

10

• ECE center staff recalled content of the newsletters3

3

2

9

Newsletters sent, read, recalled

0

2

13

• ECE center staff installed the parent–child activity stations1

0

1

14

• Parent–child activity stations were configured as intended4

6

0

9

• ECE center staff recalled content of the parent–child stations1

2

0

13

• ECE center staff saw parents visit the parent–child stations1

8

6

1

• Parents recalled content of the parent–child activity stations2

2

11

2

Parent–child activity stations installed, visited, recalled

2

8

5

• Teachers did the classroom lessons with the children1

0

4

12

• Classroom activities were configured as intended4

9

6

0

• Teachers sent classroom notes to parents5

0

5

10

• Parents recalled classroom notes from the teachers5

0

10

5

• Parents recalled child talking about the classroom activities2

15

0

0

Classroom activities done, supported, talked about

0

15

0

• ECE center had child nutrition education in its curriculum6

5

3

7

• ECE center had policies re: nutrition education for parents6

7

8

0

• ECE center had informal policies/leaders support for nutrition6

4

7

4

Nutrition education and behavior advocated at the ECE center

7

7

1

□ Use of the intervention

3

10

2

Other items from data sources 2 and 3 were input to score multi-attribute evaluation (MAE) trees for:

□ Usability of the intervention from the users’ perspectives

0

9

6

□ Usefulness of the intervention from the users’ perspectives

0

3

12

  1. Data sources of the location measures at the bottom of the MAE trees: 1 = ECE Directors’ Weekly Activity Logs, 2 = Parent Summary Evaluation, 3 = ECE Staff Summary Evaluation, 4 = Innovation Configuration Observation Records , 5 = ECE Teachers’ Weekly Classroom Activity Logs, 6 = ECE Director Questionnaire