Fig. 2

Through focus groups and other one-time mediums of participation (meetings, phone calls, emails), stakeholders in the communities, the health system, and the school system who were not formally a part of the study team contributed to the design of the community randomized trial. Lead stakeholders from each of these sectors were embedded within the Alaska-based stakeholder team to facilitate continuous involvement. For the full description of members of the Hearing Norton Sound scientific team and the Alaska-based stakeholder team, see Table 1