Purpose: This study aims to examine the effectiveness of a whole-of-school approach by using the 4PC model (Active Policy, Active People, Active Program, Active Place, and Active Classroom) in improving physical activity and reducing sedentary behavior of school children in Thailand. Method: We employed a quasi-experimental cohort design in which…

Background: Lack of nutrition knowledge, low preference for fruits and vegetables (F&V), and underdeveloped taste are recognized as modifiable influencers of children's F&V intake. Purpose: To assess the effectiveness of a behavior-and age-specific nutrition education intervention to improve nutrition knowledge and preference for F&V…

Background: Most children do not eat enough fruits and vegetables (FV). Schools are a critical setting for supporting children to consume FV. To fill a gap in available materials, a classroom curriculum was developed and evaluated to determine impacts on student FV-related knowledge, attitudes, and behaviors. Methods: A pre-/post-intervention…

In this dissertation, I examine how two major social programs in Kentucky--state-funded preK and Family Resource and Youth Service Centers--impact children's outcomes across the state, including racial, ethnic, and economic equity through elementary school. In each chapter, I will analyze how early childhood opportunities relate to outcomes…

Objective: To increase nutrition knowledge, fruit and vegetable preference, eating and cooking self-efficacy among 3rd- to 5th-grade students after a 6-week school-based nutrition education intervention. Design: Quasi-experimental pre-post design. Setting: Title I elementary schools, South Plains, West Texas. Method: A nutrition education…

Background/Aim: Increased knowledge, attitudes, and beliefs about a topic and behavioral capability and self-efficacy for healthy eating are often a precursor to behavior change. The purpose of this study is to determine the effectiveness of the multicomponent school-based program on children's healthy eating knowledge, attitudes, and…

Purpose/Objectives: American children's consumption of fruits and vegetables (FVs) does not meet current recommendations. Hence, several federally funded, school-based programs have been initiated over the last several years. One such program is the United States Department of Agriculture Fresh Fruit and Vegetable Program (FFVP), which provides…

Background: Less than half of elementary children meet the physical activity recommendations of 30 to 60 minutes of moderate-to-vigorous physical activity (MVPA) on a daily basis. Recess provides the single biggest opportunity for children to accumulate MVPA. This study explored whether a teacher's social prompting to be active during recess alone…

School-based childhood obesity prevention programs have grown in response to reductions in child physical activity (PA), increased sedentariness, poor diet, and soaring child obesity rates. Multiple systematic reviews indicate school-based obesity prevention/treatment interventions are effective, yet few studies have examined the school nurse role…

Background. High overweight and obesity prevalence has instigated many programs to improve children's health. Farm to School (F2S) is a grassroots-organized program that seeks to improve children's dietary habits, especially fruit and vegetable (FV) consumption, through various educational activities. Long-term goals include reducing obesity…

High levels of physical inactivity are evident among many American children. To address this problem, providing physical activity (PA) during the school day within the CSPAP framework, is one strategy to increase children's PA. Thus, the purpose of this study was to examine the effects of a classroom-based PA program on children's PA. Two hundred…

Background: Obesity is a public health concern that disproportionately affects underserved and minority communities. Purpose: To evaluate whether a comprehensive obesity prevention program that targets children and school staff in an underserved Hispanic community affects obesity related knowledge, attitudes, and behaviors among both students and…

The impact of Comprehensive School Physical Activity Programs (CSPAPs) on urban children's, educators', and parents' physical activity (PA) is relatively unknown. The purpose of this study was to explore overall changes in student, educator, and parent PA after an 8-month CSPAP-based program. This longitudinal, exploratory study implemented a…

The past two decades have seen a transformation in youth programming toward a comprehensive positive youth development (YD) framework. Cool Girls, Inc., a YD program, focuses on improving girls' life chances by promoting positive behaviors and attitudes in multiple domains. These include self-concept, academic orientation, future orientation, and…

As the number of children affected by obesity increases in the United States, it is necessary to intervene with preventative and intervention techniques that will enact change. Since children spend a significant portion of their time in school, it is of particular interest to target strategies during the school day. Given recommendations for the…