In the current study, several health outcomes were measured. The most robust findings regarded the data from children at HBS where the BMI percentile declined and number of daily steps increased by nearly 5000. This increase in average daily steps is especially impressive since children at both schools were achieving the recommended average of 10,000 steps per day at baseline.Additional supportive data are the self-reported significant changes in daily servings of fruits/vegetables and soda/punch; all of which are consistent with the 5-2-1-0 curriculum.
These highly encouraging data at HBS begged the question as to why the same positive changes were not observed at EHS, particularly since EHS was the school with the longer project duration (7 vs. 4 months). The most plausible explanation relates to delivery mechanism and dosage of the coaching. The children at HBS had weekly,onsite sessions with the student nurses. These school-based sessions were supervised and facilitated by an onsite nursing faculty member. In contrast, the children at EHS received highly variable dosage (ranging from 1 session to 12.5 sessions) based on whether the student nurse was able to arrange visits, with the parent and child. These differences suggest that the 5-2-1-0 content delivered in the classroom by itself might be insufficient to increase physical activity. The coaching related to the 5-2-1-0 delivered
by student nurses seemed to serve as important reinforcements to the children. Additional support for this suggestion is that the most notable changes in physical activity for
HBS children were during the school hours (Fig. 3b).
In the current study, several health outcomes were measured. The most robust findings regarded the data from children at HBS where the BMI percentile declined and number of daily steps increased by nearly 5000. This increase in average daily steps is especially impressive since children at both schools were achieving the recommended average of 10,000 steps per day at baseline.Additional supportive data are the self-reported significant changes in daily servings of fruits/vegetables and soda/punch; all of which are consistent with the 5-2-1-0 curriculum.These highly encouraging data at HBS begged the question as to why the same positive changes were not observed at EHS, particularly since EHS was the school with the longer project duration (7 vs. 4 months). The most plausible explanation relates to delivery mechanism and dosage of the coaching. The children at HBS had weekly,onsite sessions with the student nurses. These school-based sessions were supervised and facilitated by an onsite nursing faculty member. In contrast, the children at EHS received highly variable dosage (ranging from 1 session to 12.5 sessions) based on whether the student nurse was able to arrange visits, with the parent and child. These differences suggest that the 5-2-1-0 content delivered in the classroom by itself might be insufficient to increase physical activity. The coaching related to the 5-2-1-0 deliveredby student nurses seemed to serve as important reinforcements to the children. Additional support for this suggestion is that the most notable changes in physical activity forHBS children were during the school hours (Fig. 3b).
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