Table 2 Descriptive statistics of individual items included in the primary care clinic implementation index by year of implementation in the TX CORD study, 2013–2014

  I learned to use it quickly

  I easily remember how to use it

  The training I received was adequate

  With overweight or obese kids, I am likely to use Next Steps during well child visits

  With overweight or obese kids, I am likely to use   Next Steps during acute care visits

  With overweight or obese kids, I am likely to use Next Steps during obesity-specific visits

  I am likely to use Next Steps with non- overweight/obese kids

  Patients/families refer to the Next Steps poster

  I refer to the Next Steps poster when I talk with patients/families

Mean score (SD) of the acceptability items at clinic provider level

 Frequency of use of Next Steps materials for counseling with patients who are overweight or obese?

 How often do you use each of the following with patients who are overweight or obese?

  Next Steps poster

  Next Steps flip chart

  Next Steps activity books for home

  List of community resources that support a healthy lifestyle

Mean score (SD) of the adoption items at clinic provider level

Appropriateness, mean (SD)

 When I talk with patients and families about obesity, the Next Steps

  Materials overall helps me be more effective

  Poster helps me be more effective

  Flip chart helps me be more effective

  Patient activity book helps me be more effective

  Materials fits into my patient/office flow

Mean score (SD) of the appropriateness items at clinic provider level

   Understanding health (set a foundation for good health) was applicable

   Understanding healthy food was applicable

   Home environment was applicable

   Eating and your emotions was applicable

   Portion sizes was applicable

   Healthy drinks was applicable

  Category C: Focus on other important concepts

   Physical activity was applicable

   Feeling good about yourself was applicable

   Reading food labels was applicable

   Screen time and sleep was applicable

   Meal patterns and snacks was applicable

   Holidays/Special occasions was applicable

   Eating away from home was applicable

   Parenting was applicable

   Community partners was applicable

   Healthy family was applicable

   Bullying and teasing was applicable

   Goal setting was applicable

   Unintentional disruptions was applicable

Mean score (SD) of the appropriateness items at clinic provider level

 Next Steps poster was accessible

 Next Steps flip chart was accessible

 Next Steps activity books for home was accessible

 List of community resources that support a healthy lifestyle was accessible

Mean score (SD) of the feasibility items at clinic provider level