ArticleA Coordinated School Health Approach to Obesity Prevention Among Appalachian Youth: The Winning With Wellness Pilot ProjectSchetzina, Karen E. MD, MPH; Dalton, William T. III PhD; Lowe, Elizabeth F. MS, RD; Azzazy, Nora MD; VonWerssowetz, Katrina M. MBA, MPH; Givens, Connie BS, MEd; Pfortmiller, Deborah T. MA; Stern, H. Patrick MDAuthor Information Department of Pediatrics, James H. Quillen College of Medicine, East Tennessee State University, Johnson City (Dr Schetzina, Ms VonWerssowetz, and Dr Stern); Departments of Psychology (Dr Dalton) and Family and Consumer Sciences (Ms Lowe) and Center for Nursing Research, College of Nursing (Ms Pfortmiller), East Tennessee State University, Johnson City; Department of Transitional Medicine, University of Tennessee Graduate School of Medicine, Knoxville (Dr Azzazy); and Tennessee Department of Education, Office of Coordinated School Health Project, Nashville (Ms Givens). Corresponding Author: Karen E. Schetzina, MD, MPH, Department of Pediatrics, James H. Quillen College of Medicine, East Tennessee State University, Johnson City, TN 37614 (email@example.com). This study was supported by an East Tennessee State University Appalachian Center for Translational Research Disparities (ACTRID) grant through funding from NCMHD Project EXPORT grant number 5 R24 MD001106–02 awarded to Dr Joellen Edwards. The authors thank all coalition members and community partners for their contributions in developing, supporting, and implementing the Winning with Wellness Pilot Program, including the Tennessee Coordinated School Health Project, Washington County Department of Education, Mountain States Health Alliance, East Tennessee State University, James H. Quillen College of Medicine, America on the Move in Tennessee, University of Tennessee Extension Service, Sherry Franks Beavers, RN, and the pilot school students, parents, teachers, staff, and administrators. Family & Community Health: July-September 2009 - Volume 32 - Issue 3 - p 271-285 doi: 10.1097/FCH.0b013e3181ab3c57 Buy Metrics Abstract Childhood obesity has been an increasing problem in the United States, especially in rural areas. Effective prevention approaches are needed. This article describes the development, implementation, effectiveness, feasibility, and sustainability of a school-based obesity prevention pilot project, Winning with Wellness. The program was based on the coordinated school health model and included a community-based participatory research approach aimed at promoting healthy eating and physical activity in a rural Appalachian elementary school. Findings from this preliminary project revealed improvements in nutrition offerings and increased physical activity during the school day. In addition, the program was found to be acceptable to teachers, successfully implemented utilizing both existing and newly developed resources, and sustainable as evidenced in continued practice and expansion to other area schools. © 2009 Lippincott Williams & Wilkins, Inc.