Implementation of the Healthy LifeStars LifeStar Challenge

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The Ohio State University

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Childhood obesity continues to rise globally with the potential for serious consequences to a child’s physical and mental health. Childhood obesity has an alarming economic impact equating to an average of 173 billion dollars annually spent for obesity-related healthcare. To address the risk for childhood obesity, this Quality Improvement (QI) project objective was for second graders receiving the healthy habit 12-lesson program to have a 10 percent increase in healthy behaviors and beliefs four weeks post completion. Implementation strategies utilized the Plan, Do, Study, Act (PDSA) model, a consistent coach, and a mindfulness exercise prior to starting each lesson. One hundred and fifty second-grade students across three Ohio school districts participated in the QI project. Before the initiative started, each teacher was oriented to the intervention, implementation plan, and 12-lessons. The project objective was evaluated through the self-reported Healthy Lifestyle Belief Scale and the Healthy Lifestyle Behavior Scale tools. A pre and post survey design was utilized to assess students' health behaviors and beliefs about healthy lifestyles. Findings indicate a small effect size in two areas of behavior amongst all three schools: 0.25 "I exercise on a regular basis" and 0.3 "I do healthy things to cope with my worries and stress" which suggest clinical significance and a shift towards improved health behaviors and beliefs. Elementary A demonstrated a 7.5% increase in healthy behaviors. This QI project illustrates the school nurse's unique position as a leader in school health to successfully initiate an intervention addressing childhood obesity while increasing the overall health and wellness of all students.



quality improvement, health behaviors, health education, mindful activity, school nurse