The HEALTHY intervention program consisted of 4 intervention components:
The integration of all of the components enhanced the accomplishment of the targeted goals of:
- Increasing water consumption.
- Substituting water for added sugar beverages.
- Drinking water for health, nutrition, and hydration.
- Choosing healthier foods and drinks for meals and snacks.
- Substituting nutrient dense, lower calorie foods for low nutrient, higher calorie foods.
- Applying self-monitoring, goal setting, and problem solving to increase intake of water, fruits, and vegetables.
- Increasing movement and accumulation of time spent being active.
- Decreasing time spent in sedentary behavior.
- Substituting physical activity for sedentary behavior.
- Applying self-monitoring, goal setting, and problem solving to increase physical activity and decrease sedentary behavior.
The intervention was delivered over 5 semesters across the 6th, 7th, and 8th grades of middle school, and each semester targeted a theme:
|1. Winter/Spring 2007
||Water versus Added Sugar Beverages
|2. Fall 2007
||Physical Activity versus Sedentary Behavior
|3. Winter/Spring 2008
||High Quality versus Low Quality Food
|4. Fall 2008
||Energy Balance – Energy In/Energy Out
|5. Winter/Spring 2009
||Strength, Balance, and Choice for Life
Every theme involved each of the intervention components, so the intervention is structured as a 5-by-4 matrix.