Szilvia Altwicker-Hámori, Kurt Alexander Ackermann, Pia Furchheim, Julia Dratva, Dominique Truninger, Steffen Müller, Frank Wieber
Risk factors for smoking in adolescence: evidence from a cross-sectional survey in Switzerland
BMC public health
healthpromoting behaviors childhood obesity prevention needed across multiple environments children spend time including outofschool time ost therefore healthy kids school hkos developed intervention strategies promote three evidencebased principles drink right move snack smart obesity prevention ost strategies developed stakeholder input disseminated evaluated 20122015 two volunteerled ost organizations boy scouts america bsa 4h across three us states using reaim reach effectiveness adoption implementation maintenance framework mixed methods used involving surveys key informant interviews organizationallevel data collection sixty 81 741 bsa districts 4h counties reaching 84590 children 72 children participating bsa 4h three states adopted strategies 530 surveys completed local ost leaders baseline 294 followup showed percentage programs offering healthy beverages opportunities physical activity increased baseline followup beverages 26 baseline 35 followup odds ratio 153 physical activity 31 baseline 45 followup 179 p 005 increasing trend healthy snacks statistically nonsignificant p 009 leaders interviewed reported strategies easy implement good fit program facilitated success expected maintain changes integration hkos customized materials bsa patch 4h pin bsa 4h national websites broader indicator maintenance intervention strategies developed stakeholder input disseminated training effectively facilitate healthy environments children potential national scale