Table 6 Adoption

Setting level adoption^a

% of eligible schools^a agreeing to participate;

Adoption = schools randomized divided by all eligible schools

Numerator: Schools^a that agree to participate

Denominator: Eligible schools

Numerator of Adoption (setting)^a: all schools randomized to study arm assignment in a given school year

Denominator of Adoption (setting)^a: all eligible schools in a given school year—see Table 3 for eligibility criteria

Representativeness of school settings (School demographic data include %free-reduced lunch, % English as a second language, race/ethnicity, # students enrolled, # school teachers, # school nurses/team members and school nurse team to student ratio)

Annual collection of data from Colorado Department of Education for schools that adopted as compared to eligible schools that declined adoption

Qualitative reasons for participation (or not) by school or school district

Activity tracking by research team and ANavs re: reasons for participation or not

Staff level adoption

% of nurses from eligible schools (see above) agreeing to support the intervention

All eligible school nurses

Numerator of Adoption (staff): among school nurses whose school administration agreed to participate, the number of nurses who agreed (or were assigned) to be randomized to study arm assignment in a given school year

Denominator of Adoption (staff)^a: nurses whose school administration agreed to participate in a given school year—see Table 3 for eligibility criteria

Representativeness of school nurses (education, years of service, age-range, race/ethnicity, number of schools served)

Participating nurses compared to representative sample of statewide school nurses

Participating nurses: Annual school nurse survey (enrolled)

Aggregate demographic data of Colorado school nurses

Feasibility, acceptability, and appropriateness [54]

Enrolled School Nurses

Annual surveys from all enrolled school nurses

Feasibility, acceptability and appropriateness will be further explored in annual qualitative interviews with a purposive sample of school nurses