{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T02:17:00Z","timestamp":1778638620491,"version":"3.51.4"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2024,12,26]],"date-time":"2024-12-26T00:00:00Z","timestamp":1735171200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HD107492"],"award-info":[{"award-number":["R01HD107492"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of School Health"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Schools play a key role in children's health. Following COVID\u201019, programs that promote students' well\u2010being are needed more than ever. This study examines the continuation of a wellness initiative in Anchorage, Alaska, in the 2021\u20132022 school year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Interviews were conducted with <jats:italic>n<\/jats:italic>\u2009=\u200925 principals and cafeteria managers. Content analyses of the qualitative data were conducted using an immersion\/crystallization approach. Codes were grouped to create themes contained under larger domains.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>All schools continued aspects of the wellness initiative following COVID\u201019. Principals and cafeteria managers indicated: recess, movement opportunities, and longer lunch periods are important for mental health, socialization, and relationship building; COVID\u201019 exacerbated previous challenges with staffing shortages; additional pressure for the academic time made scheduling the wellness initiative challenging; longer lunch periods give younger students time to eat but cause poor behavior in older students which were alleviated through supportive strategies; and 30\u2010minute recess and movement breaks offer more time to move, reset, and focus on schoolwork.<\/jats:p><\/jats:sec><jats:sec><jats:title>Implications for School Health Policy, Practice, and Equity<\/jats:title><jats:p>The study underscores the importance of school administrators integrating wellness initiatives into their policies, with buy\u2010in from school and district leadership.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>This study highlights the need for and importance of school wellness initiatives following COVID\u201019 extended school closures.<\/jats:p><\/jats:sec>","DOI":"10.1111\/josh.13535","type":"journal-article","created":{"date-parts":[[2024,12,27]],"date-time":"2024-12-27T06:04:27Z","timestamp":1735279467000},"page":"247-253","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["The Continued Implementation and Perceived Impact of an Elementary School Wellness Policy After Extended <scp>COVID<\/scp>\u201019\u2010Related School Closures*"],"prefix":"10.1111","volume":"95","author":[{"given":"Deborah A.","family":"Olarte","sequence":"first","affiliation":[{"name":"Department of Nutrition and Food Studies, Steinhardt School of Culture, Education, and Human Development New York University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katie","family":"Cueva","sequence":"additional","affiliation":[{"name":"Institute of Social and Economic Research University of Alaska  Anchorage Alaska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina D.","family":"Economos","sequence":"additional","affiliation":[{"name":"Friedman School of Nutrition Science and Policy Tufts University  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenneth","family":"Chui","sequence":"additional","affiliation":[{"name":"Tufts University School of Medicine  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Rodvik","sequence":"additional","affiliation":[{"name":"Institute of Social and Economic Research University of Alaska  Anchorage Alaska USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana F. W.","family":"Cohen","sequence":"additional","affiliation":[{"name":"Department of Nutrition &amp; Public Health School of Nursing and Health Science, Merrimack College  North Andover Massachusetts USA"},{"name":"Harvard T.H. Chan School of Public Health  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2021.03.010"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-021-10545-x"},{"key":"e_1_2_9_4_1","unstructured":"National Center for Education Statistics \u201cBack\u2010to\u2010School Statistics\u201d (2019\u20102023) https:\/\/nces.ed.gov\/fastfacts\/display.asp?id=372#:\u223c:text=In%20fall%202021%2C%20about%2049.5 estimates%20are%20subject%20to%20change."},{"key":"e_1_2_9_5_1","unstructured":"National Center for Education Statistics \u201cEducational Institutions\u201d (2009\u20102021) https:\/\/nces.ed.gov\/fastfacts\/display.asp?id=84."},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2018.01.010"},{"key":"e_1_2_9_7_1","volume-title":"Physical Activity Guidelines for Americans","author":"U.S. Department of Health and Human Services","year":"2018"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jand.2021.12.002"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9629(23)00738-3"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/josh.13010"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmab158"},{"key":"e_1_2_9_12_1","unstructured":"Microsoft Excel \u201cVersion Version 16.72 \u201d(2023) https:\/\/office.microsoft.com\/excel."},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2023.1240382"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpnec.2023.100184"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/1356336X221080372"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18168558"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2021.14148"}],"container-title":["Journal of School Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/josh.13535","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T08:09:35Z","timestamp":1741766975000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/josh.13535"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12,26]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/josh.13535"],"URL":"https:\/\/doi.org\/10.1111\/josh.13535","archive":["Portico"],"relation":{},"ISSN":["0022-4391","1746-1561"],"issn-type":[{"value":"0022-4391","type":"print"},{"value":"1746-1561","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,26]]},"assertion":[{"value":"2024-11-05","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-11-07","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-12-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}