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. 2014 Dec 31;11:E227. doi: 10.5888/pcd11.140207

Figure 1.

The figure illustrates the mixed-methods approach applied to assemble evidence to inform decisions for the development of guiding principles and their revision after pilot testing. Insights from a quantitative survey of children’s perceptions of access to healthful food, roundtables with senior administrators of out-of-school time (OST) programs, and a review of OST policies and practices addressing physical activity and nutrition, led to the prioritization of three practices from the policy and literature review. Three guiding principles were then drafted, pilot tested, and revised. The final principles are these: Drink Right: Choose water instead of sugar‐sweetened beverages; Move More: Boost movement and physical activity in all programs; Snack Smart: Fuel up on fruits and vegetables.

Applying the L.E.A.D. Framework to design a mixed-methods process for developing guiding principles for out-of-school time programs,