Background: In school year (SY) 2014-2015, 128 schools in 24 districts and 14 states were randomly assigned to receive either onsite or online support to implement a school-based wellness program. The objective of this study was to assess the cost-effectiveness (CE) of the 2 models of implementation support: onsite and online. Methods: We adapted…

Background: The Healthy, Hunger-Free Kids Act of 2010 (HHKA) required schools to make changes to meals provided to children. Rural school districts have limited resources, with increased obesity rates and local food insecurity. In this study we sought to understand the perceptions of rural food service directors and the barriers to implementing…

Is there anything more important than the health, well-being and education of a nation's children? This paper takes the position that school is the most important place to educate children about health and to develop lifelong health promoting skills. We believe that health promotion programs and activities are integral to the school's…

Background: The school-based Dutch Obesity Intervention in Teenagers (DOiT) program is an evidence-based obesity prevention program. In preparation for dissemination throughout the Netherlands, this study aimed to adapt the initial program and to develop an implementation strategy and materials. Methods: We revisited the Intervention Mapping (IM)…

Purpose: The purpose of this paper is to understand how a Canadian intervention based on a professional development (PD) model did or did not influence schools' capacities to absorb a Healthy School (HS) approach into their operations. This study is the second part of a research project: previously published results regarding this research…

Background: Public health professionals must monitor the effectiveness of school policies and programs to prevent youth initiation, promote quitting, and eliminate secondhand smoke. This analysis of school tobacco policies was preliminary to release of a state tobacco prevention and control plan for 2010-2015. Methods: University health educators…

Health education in New Zealand schools has a chequered history, peppered with controversy since its inclusion as a school subject in the early nineteenth century. In this paper we examine the trials and challenges faced by health education teachers over time, pointing to the particular components of this subject that are regarded as controversial…

The American Lung Association's Not On Tobacco (N-O-T) program is federally recognized as an accessible and effective option for teen smoking cessation. The program is the most widely used teen smoking cessation program in schools and communities across the U.S. Over a decade of research demonstrates the program's solid evidence base, with…

Walking today through Somerville, Massachusetts' Winter-Hill Community School during school hours differs markedly compared with just a few years ago. Gone are the greasy potato chips and chocolate-chip cookies from the a la carte offerings in the cafeteria. Missing are the late morning fundraisers when children would fill up on cupcakes and other…

Walking today through Somerville, Massachusetts's Winter Hill Community School during school hours differs markedly compared to just a few years ago. Gone are the greasy potato chips and chocolate-chip cookies from the a la carte offerings in the cafeteria. Missing are the late morning fundraisers when children would fill up on cupcakes and other…

Health promotion programs benefit from an accompanying process evaluation since it can provide more insight in the strengths and weaknesses of a program. A process evaluation was conducted to assess the reach, implementation, satisfaction and maintenance of a school-based program aimed at the prevention of excessive weight gain among Dutch…

Evidence-based substance use prevention programs have proliferated in schools and are being adopted by districts in rural settings and internationally. Little attention, however, has been paid to the adaptation process that occurs when these programs are moved to different contexts. In this commentary, the authors draw upon their experience with…

The Mariner Model provides a step-by-step systems-building process and tool by which schools, school districts, and communities can develop capacity and create an infrastructure that supports continuous improvement in health-promoting environments for children. The Mariner Model follows a public health program planning development model that is…

Community participation in program decision-making and implementation is an ideal that community and academic stakeholders aspire to in participatory research. This ideal, however, can be difficult to achieve. We describe lessons learned about community participation from a quasi-experimental trial aimed at reducing the uptake of smoking among…

Physical activity levels begin to decline in childhood and continue falling throughout adolescence, with girls being at greatest risk for inactivity. Schools are ideal settings for helping girls develop and maintain a physically active lifestyle. This paper describes the design and implementation of "Lifestyle Education for Activity Program", or…