Development of ACTION! Wellness Program for Elementary School Personnel.
OBJECTIVE
The prevalence of overweight and obesity has increased dramatically in the adult population over the past 2 decades. Almost two-thirds of the adult population works outside the home; thus, interventions implemented at the worksite are viable for obesity reduction. Elementary schools are worksites that have a number of resources that can encourage a healthy lifestyle. The purpose of this paper is to describe the formative research activities and how these were used to design the ACTION! Wellness Program for Elementary School Personnel.


METHODS
Formative data were collected using focus groups, a school survey, and an environmental audit. Focus groups were conducted in three elementary schools, whereas the school survey and environmental audit were collected in 24 elementary schools. The intervention was then tested as a pilot study in one school to determine feasibility and receptivity and refine its components.


RESULTS
Participants in the focus groups indicated that most had experience with trying to lose weight, some had positive social support, and most had little free time at school; however, most were very receptive to having a weight control intervention program at their school. Eighteen (75%) of the schools had snack vending machines on the school site, and all had cold drink machines. All 24 schools had at least one indoor site that could be used for physical activity programs. All schools were in neighborhoods conducive for walking.


CONCLUSIONS
ACTION! will take advantage of the school resources in implementing an environmental intervention to reduce overweight and obesity. This paper describes the progression of events that led to the final trial.
Webber
Larry S
LS
Department of Biostatistics-SL18, Tulane University School of Public Health and Tropical Medicine, 1440 Canal Street, New Orleans, LA 70112. lwebber@tulane.edu.
Johnson
Carolyn C
CC
Rose
Donald
D
Rice
Janet C
JC
D004032:Diet; D004777:Environment; D015444:Exercise; D005260:Female; D017144:Focus Groups; D005522:Food Services; D006293:Health Promotion; D006801:Humans; D008297:Male; D009765:Obesity / Q000517:prevention & control* / Q000628:therapy; D009786:Occupational Health Services; D010865:Pilot Projects; D012574:Schools / Q000458:organization & administration*; D012931:Social Environment; D011795:Surveys and Questionnaires; D015431:Weight Loss; D017132:Workplace