These findings are promising in terms of building a community partnership to influence child health habits and prevent or reduce childhood obesity rates. The project is also consistent with the recommendations by the White house Task Force on Childhood Obesity Report to the President. [16] That said, a number of study limitations warrant additional evaluation of the approach before concluding it as an effective strategy worth replicating. The lack of a pure control group and consolidation of groups for analyses warrants caution in drawing conclusions. The
multiple interventionists (student nurses) for the coaching sessions may have resulted in varying styles of interaction with the children and thus varying impact. While the students
were offered training, next steps will standardize the training and supervision of student nurses. Assuring routine coaching sessions with the children is an important lesson.
Onsite sessions at the school under supervision are recommended based on the current findings. This approach also requires creative opportunities for engaging parents given the influence parents ultimately have on children’s health habits. Offering parent events at a convenient time
such as evenings with opportunities to model and teach healthy nutrition and physical activity and engage parent