{"doi":"10.1136/bmjopen-2022-068375","title":"Feasibility evaluation of the Reaching Out to Kids with Emotional Trauma (ROcKET) intervention in an elementary school: a single-arm, single-centre, feasibility study based on the RE-AIM framework","abstract":"OBJECTIVE: The study purpose was to describe feasibility of implementation of the Reaching Out to Kids with Emotional Trauma (ROcKET) intervention. We hypothesised that the ROcKET Intervention would be feasible in a poor resource school. DESIGN: We performed a single-arm, single-centr feasibility study of an intervention pilot, based on the RE-AIM framework. SETTING: The intervention was delivered in a single K-4th elementary charter school in the Nashville, TN area, in a low-resource community. PARTICIPANTS: 57 elementary school children attending our partner school and reporting exposure to at least one adverse childhood experience (ACE) and their parents. INTERVENTIONS: The Reaching Out to Kids with Emotional Trauma (ROcKET) intervention is a school-based multilevel intervention (individual child, family and school) that promotes positive health behaviours in children who have been exposed to ACEs. OUTCOMES: Outcomes were gathered qualitatively via focus groups. The primary outcome was feasibility. The secondary outcomes were implementation outcomes according to the RE-AIM framework, including Reach, Effectiveness, Adoption and Implementation. RESULTS: Of 105 eligible children, 57 children and their parents participated (54%) with 31 (54%) girls, 47 (82%) Black/African American, 5 (9%) Hispanic and 5 (9%) white. The school staff implemented all planned ROcKET sessions with >90% fidelity in each session, and 52 (91%) of children who completed the final intervention session went on to complete 6 month follow-up assessments. The average attendance at the in-school child sessions was 57 students (87%), and 35 (61%) of parents attended at least one family session, with 25 (44%) of parents attending at least half of the family sessions. 13 (23%) parents participated in the focus groups. Qualitative data suggested high parent participant satisfaction, uptake of positive health behaviours targeted by the intervention and increased quality of life. CONCLUSIONS: Our study suggests that the ROcKET intervention was feasible and acceptably delivered in a local elementary school with high reach to low-income and minority populations. These data suggest that schools, especially those serving low-income and minority children, can be an appropriate avenue for interventions designed to address health disparities. Data from this study will be used to advise a pilot study of the intervention.","journal":"BMJ Open","year":2023,"id":403753,"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":0.9457,"is_data_producer":false,"deposit_databanks":null,"is_oa":true,"file_count":0,"downloads":0,"has_version_chain":false,"published_date":"2023-01-01","fair_score":null,"fair_percentile":null,"algorithm_id":"datarank_citation_only_1hop_v6","ranking_scope":"data_only","authors":[{"id":1151207,"name":"Chelsea van Wyk","orcid":null,"position":1,"is_corresponding":false},{"id":964468,"name":"Tavia González Peña","orcid":null,"position":2,"is_corresponding":false},{"id":396887,"name":"Lauren R. Samuels","orcid":"0000-0002-7273-5626","position":3,"is_corresponding":false},{"id":1181072,"name":"Leah Teeters","orcid":"0000-0003-1442-9310","position":4,"is_corresponding":false},{"id":1181073,"name":"Sarah B Worsley","orcid":"0009-0004-3724-7530","position":5,"is_corresponding":false},{"id":396884,"name":"William J. Heerman","orcid":"0000-0002-9706-6860","position":6,"is_corresponding":false},{"id":1181071,"name":"Ellen McMahon","orcid":"0000-0002-7601-4412","position":0,"is_corresponding":true}],"reference_count":21,"raw_metadata":null,"created_at":"2026-07-19T01:20:36.280647Z","pmid":"36921944","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":[]}