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Mixed-Methods Evaluation of a Healthy Exercise, Eating, and Lifestyle Program for Primary Schools.

BACKGROUND
Reversing decline in physical fitness and increase in excess body weight in school children are considered major public health challenges. We evaluated a proposed model to integrate a screening and healthy exercise, eating, and lifestyle program (HEELP) into primary schools in Canberra, Australia. Objectives were: (1) to establish body status and physical competencies of 5- to 10-year-old children; (2) to evaluate the service's impact on body status and physical fitness; and (3) to gauge parent/guardian and school perspectives on the service.


METHODS
A mixed-methods approach was used over 4 school years, 2010-2013. Primary evaluation used direct quantitative measurement. Confirmatory qualitative methods were implemented in the last 2 years.


RESULTS
The service was delivered on 71 occasions involving 25 schools; 7750 children were screened and 709 completed all aspects of the HEELP evaluation. Over 60% of children screened had 2 or more measures that would benefit from remedial intervention.


CONCLUSIONS
All body status and physical fitness measures showed small beneficial changes on a population basis immediately after the HEELP. Further benefit did not accrue at 6 months after the program. Semistructured interviews with schools and parent/guardian surveys confirmed some beneficial effects observed by direct quantitative measurement.