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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 |
6th Grade |
Water versus Added Sugar Beverages |
| 2. Fall 2007 |
7th Grade |
Physical Activity versus Sedentary Behavior |
| 3. Winter/Spring 2008 |
7th Grade |
High Quality versus Low Quality Food |
| 4. Fall 2008 |
8th Grade |
Energy Balance – Energy In/Energy Out |
| 5. Winter/Spring 2009 |
8th Grade |
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.
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