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given large number obesityfocused studies conducted schools surprising lack data regarding teacher workplace health behaviors united states determine feasibility effectiveness onsite fitness facility structured integrative wellness program improve healthrelated outcomes among teachers staff urban elementarymiddle school 2year mixedmethods analysis using patientreported outcomes measurement information system promis measures qualitative interviews included 39 teachers staff employed urban elementarymiddle school baltimore maryland fitness facility dedicated exclusively teachers staff integrative wellness program included group exercise classes yoga mindfulness nutrition competitions tests used compare quantitative outcomes baseline end year 1 end year 2 compared baseline year 1 significant improvement promis sleep disturbance score baseline end year 2 significant increases promis global physical health well significant decreases sleep disturbances fatigue social isolation qualitative interviews conducted end year 1 indicated teachers used facility felt improved mood increased energy motivated eat healthily gave opportunities socialize colleagues new ways impact enhanced year 2 onsite fitness facility integrative wellness program may improve healthrelated outcomes among urban elementary school teachers staff greatest benefits seen 2 years implementation