This article is a program description addressing program implementation process and feasibility and initial data on implementation and efficacy. It describes the implementation of a school-wide system-level health promotion initiative, Make School a Moving Experience (MSAME), which was designed to promote physical activity in 74 Delaware elementary schools from 2009 to 2012. By working with the schools to create environments supportive of physical activity (PA), the project goal was to provide students with the opportunity to participate in recommended levels of PA for at least 150 min per week during school hours. Evaluation data was presented in terms of school engagement, school-level PA plans and program implementation, student-level PA and fitness. Findings from the program evaluation illustrate a promising approach for generating system-level changes designed to influence children’s health behaviors.
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