{"doi":"10.1093/tbm/ibaf062","title":"Back to school: a qualitative study evaluating a community-informed COVID-19 risk communication intervention for rural elementary school children and their families","abstract":"BACKGROUND: ReOpening Schools Safely and Educating Youth (ROSSEY) was a cluster randomized controlled trial of a risk communication intervention for COVID-19 prevention to promote safe return to school among students in a rural, agricultural community. PURPOSE: This qualitative study evaluated the implementation of a risk communication intervention and a school district's COVID-19 testing program through parent focus groups and interviews with school staff and students. METHODS: Parents (n = 37), students (n = 19), and school staff (n = 14) from seven schools that received the intervention shared their experience via focus groups and interviews informed by the RE-AIM framework. Deductive and inductive coding was conducted by four data analysts. Themes were validated with community members. RESULTS: Parent focus groups, student and staff interviews provided insight into the ROSSEY study implementation. We identified five main themes: (i) social and financial drivers of participation; (ii) personal beliefs and unique challenges to research participation; (iii) intervention reinforced knowledge and shifted behavior; (iv) the appeal of comic books and videos supported adoption; and (v) multimodal communication and partnerships enhanced implementation. CONCLUSIONS: The risk communication intervention was deemed culturally appropriate, reinforced previous knowledge, and encouraged adoption of preventive behaviors. The partnership with the school district and collaboration with the district's COVID-19 testing program ensured success of recruitment, study implementation, and adoption of preventive behaviors.","journal":"Translational Behavioral Medicine","year":2025,"id":579141,"datarank":0.0,"base_score":0.0,"endowment":0.0,"self_citation_contribution":0.0,"citation_network_contribution":0.0,"self_endowment_contribution":0.0,"citer_contribution":0.0,"corpus_percentile":null,"corpus_rank":null,"citation_count":0,"citer_count":0,"citers_with_citation_signal":0,"citers_with_endowment":0,"datacite_reuse_total":0,"is_dataset":false,"is_dataset_confidence":0.9622,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2025-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":606968,"name":"Parth D. Shah","orcid":"0000-0002-3536-6219","position":1,"is_corresponding":false},{"id":671355,"name":"Ari Bell‐Brown","orcid":"0000-0003-3346-914X","position":2,"is_corresponding":false},{"id":1291301,"name":"Janet Rojina","orcid":null,"position":3,"is_corresponding":false},{"id":1489782,"name":"Morgan Glascock","orcid":null,"position":4,"is_corresponding":false},{"id":952474,"name":"Magaly Ramirez","orcid":"0000-0001-5063-1028","position":5,"is_corresponding":false},{"id":795720,"name":"Genoveva Ibarra","orcid":null,"position":6,"is_corresponding":false},{"id":976936,"name":"Lorenzo Garza","orcid":null,"position":7,"is_corresponding":false},{"id":1152944,"name":"Sandra Linde","orcid":"0000-0001-6747-6642","position":8,"is_corresponding":false},{"id":343430,"name":"Sonia Bishop","orcid":null,"position":9,"is_corresponding":false},{"id":430898,"name":"Michelle M. Garrison","orcid":"0000-0002-6603-7696","position":10,"is_corresponding":false},{"id":1315922,"name":"Kelley M Pascoe","orcid":"0000-0003-0356-5464","position":11,"is_corresponding":false},{"id":331061,"name":"Paul K. Drain","orcid":"0000-0003-3300-3817","position":12,"is_corresponding":false},{"id":455250,"name":"Chuan Zhou","orcid":"0000-0002-0609-1658","position":13,"is_corresponding":false},{"id":342337,"name":"Linda K. Ko","orcid":"0000-0002-1090-6637","position":14,"is_corresponding":false},{"id":743317,"name":"Miriana C. Duran","orcid":"0000-0003-2027-1070","position":0,"is_corresponding":true}],"reference_count":17,"raw_metadata":null,"created_at":"2026-07-19T02:58:30.282164Z","pmid":"41136348","pmcid":null,"fwci":null,"citation_percentile":null,"influential_citations":0,"oa_status":null,"license":null,"views":0,"total_file_size_bytes":0,"version_count":0,"fair_f":null,"fair_a":null,"fair_i":null,"fair_r":null,"fair_zscore":null,"fair_rationale":null,"fair_model":null,"fair_agent_version":null,"fair_fulltext_source":null,"fair_has_llm":null,"fair_computed_at":null,"clinical_trials":[],"software_tools":[],"db_accessions":[],"linked_datasets":[],"topics":[]}