This Race to the Top - Early Learning Challenge (RTT-ELC) annual performance report for the year 2016 describes Michigan's accomplishments, lessons learned, challenges, and strategies Michigan will implement to address those challenges. Strengthened investment in high-quality early learning and development continues to energize educational…

This Race to the Top - Early Learning Challenge (RTT-ELC) annual performance report for the year 2016 describes Oregon's accomplishments, lessons learned, challenges, and strategies Oregon will implement to address those challenges. In 2016, Oregon continued on its trajectory to creating a dynamic early learning system capable of anticipating and…

This Race to the Top - Early Learning Challenge (RTT-ELC) annual performance report for the year 2016 describes Ohio's accomplishments, lessons learned, challenges, and strategies Ohio will implement to address those challenges. When Ohio wrote its application for the Race to the Top: Early Learning Challenge Grant, its vision for early childhood…

This Race to the Top - Early Learning Challenge (RTT-ELC) annual performance report for the year 2016 describes Maryland's accomplishments, lessons learned, challenges, and strategies Maryland will implement to address those challenges. Maryland received one of twenty Race to the Top - Early Learning Challenge Fund Grant (RTTT-ELC) awards in the…

Background: Policies call on after-school programs (ASPs) to serve more nutritious snacks. A major barrier for improving snack quality is cost. This study describes the impact on snack quality and expenditures from a community partnership between ASPs and local grocery stores. Methods: Four large-scale ASPs (serving ~500 children, aged 6-12?years,…

Background: Physical inactivity is a primary contributor to decreasing functional physical fitness and increasing chronic disease in older adults. Purpose: This study assessed the health-related benefits of ExerStart for Lay Leaders, a 20-week, community based, peer-led, low-impact exercise program for older adults. ExerStart focuses on aerobic…

Objective: The aim of this study was to investigate the use of stairways/moving stairways in shopping malls and examine the extent to which simple warning signs determined whether people took the stairs. Design: Large posters that could readily be seen by mall visitors were situated between the stairs and moving stairways in shopping malls.…

The aim of this randomized-controlled trial was to evaluate the effectiveness of an intensive intervention to reduce children's environmental tobacco smoke (ETS) exposure at their home compared with a minimal intervention. The target population of the study was the mothers of children aged 1-5 who lived in the Cengizhan district of Izmir in…

The Active and Healthy School Program (AHS) can be used to alter the culture and environment of a school to help children make healthier choices. The purpose of this study was to determine the effectiveness of AHS to increase physical activity while decreasing total screen time, increase healthy food choices, and improve knowledge about physical…

There is a growing call for evaluation capacity building (ECB); although the area currently lacks a rich research base, there are few robust methods and practice through which to define it. The argument in this article is that the impact of evaluation is mediated by program stakeholders' engagement in evaluation activities. This mediation provides…

Purpose: Given the recent push to increase children's physical activity levels through whole-of-school approaches, the relationship between physical activity and academic achievement has received much attention. Therefore, this study sought to understand the relationship between academic achievement and healthy school transformations in urban…

Background: We evaluated the 12-month effects of the COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition) program versus an attention control program (Healthy Teens) on overweight/obesity and depressive symptoms in high school adolescents. Methods: A cluster randomized controlled…

African Americans have an increased risk of cardiovascular disease partly due to low fruit and vegetable consumption. This article reports the results of an intervention to provide nutrition education and access to fruits and vegetables through community gardens to change dietary behaviors among African Americans in rural Missouri. Cross-sectional…

Background: Latina mothers who care for children with intellectual and developmental disabilities (IDD) over the lifespan struggle to take care of their own health needs in the context of their caregiving experience. Services are typically aimed at the persons with IDD and not their family caregivers. Yet, attending to family caregiver needs may…

Schools are recognized as ideal environments to promote and enhance the health of children. Previous research has shown a positive association exists between increased prevalence of family-style meals and children's health. Use of family-style service provides opportunities to improve children's overall health and well-being through increased…