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Table 4 Qualitative usability testing and PN adaptation

From: Project nature: promoting outdoor physical activity in children via primary care

Core Tool Component

Parent Input

Clinic Staff Input

Adaptation

Written materials

• Should include instructions on how to use the nature toys

• Should include additional outdoor activity ideas and community resources (e.g. information about local parks or library scavenger hunts)

• Should describe the specific benefits of PA

• Pictures are great, but should include representation of children with darker skin tones and pictures of families in different living environments

• Should be child-friendly and child-oriented (e.g. encourage them to play outside instead of use technology)

• Should include pictures of children from different racial and ethnic backgrounds and with different disabilities

• Brochure includes pictures of diverse families

• Brochure describes the health benefits of active play outdoors and ideas for activities in ways children can understand

• Brochure and website emphasize activities that families can do together

Nature toy

• Parents had varied opinions on which toy their child would prefer

• Should match children’s varied interests

• Should be age appropriate

• Should be not too large to store

• Offer families a choice in toy

• Toy options selected: kite; jump rope; bubble wand; frisbee; colored chalk; bug catcher and magnifying glass; shovel and seeds