Table 1.

The HEIA study: intervention components implemented in the sixth and seventh grades in 12 Norwegian schools in 2007/2008 and 2008/2009

Setting/arena	What	Timing	Purpose
Class (initiated by classroom-teachers)	Lessons with student booklet: 1. Diet and physical activity 2. Meals 3. 5 a day 4. Sugar-rich beverages 5. Your choice	Once a month—6th grade winter/spring	Increase awareness of behaviour-health relationship, recommended intake levels and own intake
	Posters for classrooms: Key messages, A4-size, placed on a larger ‘frame-poster’ including the HEIA logo	Monthly—throughout the intervention	As a daily reminder of main messages (topic matched fact sheets to parents)
	Fruit and vegetable (FV) break: Cutting equipment per class provided, students brought FV	Once a week–throughout the intervention	Increase FV intake; cut, serve, taste and eat FV with classmates
	Physical activity (PA) break: 10 min of PA conducted in regular classrooms, booklet with ideas and CD provided	Once a week—throughout the intervention	Increase PA; introduce PA also outside of PE and by classroom-teachers
	Sports equipment for recess activities: 1–2 large boxes per school. Examples of content: Frisbees, jump-ropes, elastic bands, hockey-sticks, a variety of balls	Every day—throughout the intervention (some refill in seventh grade)	Increase PA; stimulate PA during recess—especially among those who do not play ball games
	Active commuting campaigns: Register days with active transport to/from school for 3 weeks (5 campaigns)	5×3 weeks: sixth grade: fall, winter and spring seventh grade: fall, winter	Increase PA; stimulate activity
	Pedometer: One class-set per school to be used in PE (SPARK), as tasks at school, as home assignment and active commuting	Seventh grade	Increase awareness about PA level; stimulate activity
	Computer tailored individual advice 1. Fruit 2. Vegetables 3. Physical activity 4. Screen time 5. Sugar sweetened beverages + 1-week action plans for each topic (instruction on what, where and when to do the suggestions for behaviour change)	Seventh grade Fall Fall Winter/spring Winter/spring Winter/spring	Increase awareness of; Recommended intake and PA level Own intake of FV, PA level and hours of screen time Received personal advice about what and how to change
Home/parents	Fact sheets Facts on targeted behaviours. Practical tasks/challenges for leisure time/weekends in seventh grade	Monthly—throughout the intervention, one behaviour per fact sheet	To stimulate parents to evaluate and change the home environment with regard to facilitating or regulating the targeted behaviours
	Brochures/information sheets Teachers were provided info sheets about the FV break that they could use to inform parents about these	Once	To ensure that the fact sheets were read and discussed/applied to the home environment
	Brochures: ‘Cutting FV’ ‘Meals—a value worth fighting for’. Handed out together with related fact sheets	Once	To provide knowledge and inspiration.
School-wide	Kick-off meetings at each school:Teacher manuals presented, practical activities tested, material partially provided	Once a year—sixth and seventh grades (fall), 2–3 h each time	To inform the school management, teachers, school nurse and parent committees about the project and establish/inform the grade level teachers as the ‘HEIA team’ at school
	Inspirational courses for PE teachers SPARK ideas/principles18	Once a year—sixth and seventh grades (fall), 6 h each time	Teacher training for PE teachers; methods/activities to increase activity time, enjoyment and self-efficacy for all students during PE classes
	Resource box for school management Offer to order free toolbox for cutting and selling FV	Optional	Focus on healthy food/drinks offered in school/during school events
	Committee meetings Meetings with school environment groups/parent committees	Optional	Aimed to stimulate easy-to-do changes on the school grounds that could stimulate activity (booklet/ideas provided). Increase awareness of healthy foods and beverages
Leisure time activities (NGO's)*	Information folder and offer to receive a resource box with equipment for cutting and selling FV	Seventh grade (fall)	Create awareness about leisure time activity leaders as role models for dietary habits, to reflect upon availability of food/drinks during practices and events (ie, tournaments, weekend training sessions, etc)

*Not successfully implemented.

FV, fruits and vegetables; HEIA, HEalth In Adolescents; NGO, non-governmental organisation; PE, physical education.