Childhood obesity has become a global epidemic, with long-term implications for the physical and psychological well-being of individuals. Elementary schools serve as a crucial environment for addressing this issue by providing physical education (PE) programs. However, barriers to implementing quality PE curricula can impede efforts to fight…

OPREVENT2 was a multilevel, multicomponent (MLMC) adult obesity prevention that sought to improve access and demand for healthier food and physical activity opportunities in six Native American communities in the Southwest and Midwest. OPREVENT2 worked with worksites, food stores, schools (grades 2-6), through social media and mailings, and with a…

Objectives: In the USA, 18% of school-aged young people are classified as obese, and rural populations appear to be particularly at risk. Achieving high levels of fitness reduces the risk of obesity and underlying health conditions. To better understand youth obesity trends and fitness levels, annual fitness testing ([FT], that is, surveillance)…

Objective: This study describes the step-by-step development of the IMove30+ programme and outlines lessons derived from the authors' experience using an intervention mapping protocol (IMP)-based programme design. The programme was designed to increase the moderate to vigorous physical activity (PA) level at school among Lebanese children, aged…

Purpose: Obesity in children and adolescents is a significant public health concern. The World Health Organization Health Promoting Schools (HPS) framework promotes good nutrition and physical activity in school settings. While HPS is embraced globally, effective implementation and sustainable programmes are a continued challenge. This paper aims…

A recent evaluation of a school nurse-led obesity intervention demonstrated a 5% implementation rate. The purpose of this study was to explore school nurses' perceived barriers to and facilitators of the intervention in order to understand reasons for the low implementation rate. Methods included semi-structured individual interviews with school…

The purpose of this paper is to highlight the three articles included in a special focus of "Drugs: Education, Prevention, and Policy" that address environmental change strategies targeting drug abuse prevention. We define environmental change strategies and their effectiveness in public health domains such as alcohol abuse, smoking, and…

Background: South Africa has a high prevalence of HIV and obesity. Interventions to date have primarily focused on adolescents and adults. Prevention of obesity, in particular, is not addressed substantively in the current pre-adolescent school curriculum. Education about factors underlying these issues early in life could reach beyond children,…

According to a 2007 U.S. Census report, 43% of children in America younger than six are classified as low income (U.S. Census Bureau, 2007). The USDA (2008a, 2009a) indicated 17.1% of school-aged children are classified as overweight; an additional 15% are at risk of becoming overweight; and approximately 17.2 million children are living in…

While grappling with their traditional core business of imbuing students with official curricular knowledge, schools have simultaneously, increasing demands to take on health promotion responsibilities. This paper examines the mandated implementation of the Eat Well Be Active (EWBA) Action Plan and its subsidiary "Smart" policies in…

The latest statistics from the Centers for Disease Control (CDC) identify 34% of American adults as obese and another 33% as overweight. Since children tend to mimic adult behavior, adults not only hurt themselves when they practice poor eating and exercise habits, they also hurt their children. With only one-third of adults modeling…

Using clickers to gauge student understanding in large classrooms is well documented. Less well known is the effectiveness of using clickers with youth for test taking in large-scale Extension programs. This article describes the benefits and challenges of collecting evaluation data using clickers with a third-grade population participating in a…

Background: School environment and policy changes have increased healthy eating and physical activity; however, there has been modest success in translating research ?ndings to practice. The School Environment Project tested whether an adapted version of Intervention Mapping (AIM) resulted in school change. Methods: Using a pair randomized design,…

The objective is to examine school-level program and policy characteristics and student-level behavioural characteristics associated with being overweight. Multilevel logistic regression analysis were used to examine the school- and student-level characteristics associated with the odds of a student being overweight among 1264 Grade 5-8 students…

Background: Obesity is rapidly becoming the most common chronic medical condition affecting children. To address this crisis, an Albuquerque, New Mexico, elementary school partnered with University of New Mexico researchers and conducted a Walking School Bus (WSB). The purpose of this article is to examine the feasibility of implementing a WSB.…