title: Implementation of a walking school bus: lessons learned.
abstract: 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.
  
  
  METHODS
  This pilot study featured 2 WSBs conducted for 10 weeks with kindergarten through fifth-grade students from a predominantly Hispanic elementary school. Qualitative and quantitative data, including coordinator field notes, attendance records, surveys of student and parent satisfaction, and a focus group, were used to evaluate feasibility.
  
  
  RESULTS
  Student and adult participants expressed a high degree of enthusiasm regarding their involvement in the WSB. Participants uniformly indicated that the WSB provided a supportive and safe environment to promote social interaction and physical activity. Conducting a WSB in an urban, underserved school district is feasible but requires attention to ensure participants' involvement and safety. In particular, it is recommended to begin the planning process early to enhance investment from key stakeholders.
  
  
  CONCLUSIONS
  Effective, low-cost interventions are increasingly desired as solutions to the problem of obesity. The WSB has emerged as a promising strategy to address obesity and encourage partnerships across different social levels. Further research is necessary to assess the logistical challenges associated with conducting a large-scale WSB trial and whether such efforts lead to reductions in obesity risk factors.
authors.affiliation: Department of Pediatrics, MSC 105590, 1 University of New Mexico, Albuquerque, NM 87131, USA. akong@salud.unm.edu
authors.forename: Alberta S
authors.initials: AS
authors.lastname: Kong
authors.forename: Andrew L
authors.initials: AL
authors.lastname: Sussman
authors.forename: Sylvia
authors.initials: S
authors.lastname: Negrete
authors.forename: Nissa
authors.initials: N
authors.lastname: Patterson
authors.forename: Rachel
authors.initials: R
authors.lastname: Mittleman
authors.forename: Richard
authors.initials: R
authors.lastname: Hough
mesh_terms: D000041:Absenteeism; D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D003258:Consumer Behavior; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006630:Hispanic or Latino; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000517:prevention & control; D012449:Safety; D014186:Transportation / Q000379:methods*; D016138:Walking