Evaluation of implementation and effect of primary school based intervention to reduce risk factors for obesity

Objectives To implement a school based health promotion programme aimed at reducing risk factors for obesity and to evaluate the implementation proces s and its effect on the school. Design Data from 10 schools participating in a group randomised controlled crossover trial were pooled and analysed. Setting 10 primary schools in Leeds. Participants 634 children (350 boys an d 284 girls) aged 7-11 years. Main outcome measures Response rates to questionnaires, teachers' evaluatio n of training and input, success of school action plans, content of school meals, and children's knowledge of healthy living and self reported behavio ur. Results All 10 schools participated throughout the study. 76 (89%) of the a ction points determined by schools in their school action plans were achiev ed, along with positive changes in school meals. A high level of support fo r nutrition education and promotion of physical activity was expressed by b oth teachers and parents. 410 (64%) parents responded to the questionnaire concerning changes they would like to see implemented in school. 19 out of 20 teachers attended the training, and all reported satisfaction with the t raining, resources, and support. Intervention children showed a higher scor e for knowledge, attitudes, and self reported behaviour for healthy eating and physical activity. Conclusion This programme was successfully implemented and produced changes at school level that tackled risk factors for obesity.