Engaging youth as peer leaders for promoting instant recess in schools and communities- using a CBPR approach

Background: Generation With Promise (GWP) – Henry Ford Health System (HFHS) aims at increasing physical activity and reducing obesity in low-income schools and communities in urban Detroit through innovative, youth-led practices. Purpose: This paper describes a case study of a youth leadership effort to increase physical activity in schools and communities. Drawing on the research of Dr. Yancey and Instant Recess©, youth leaders conducted assessments, created and piloted peer-developed modules, and led workshops to engage youth in replicating the modules in 13 middle and high schools in the region. This paper discusses the process and lessons learned. Significance: Despite the rise in obesity levels, there are reduced opportunities, especially in urban areas, for physical activity. Innovative practices that focus on youth leadership may represent a new model for schools and communities concerned about the lack of physical activity. Methods: The case study draws on community-based evaluation data including program surveys, qualitative interviews, youth narratives, youth-led evaluation, and program-level documentation. Findings: Findings suggest that young people have influenced physical activity in their schools and communities. Lessons learned include the importance of peer-developed training and materials, the importance of youth leadership, and the critical role of adults in facilitating youth participation. Conclusions: Young people can play leadership roles in shaping policies and practices to improve health in their schools and communities. Young people are in a unique position to serve as role models and leaders which can help facilitate healthy behaviors in ways that are different from adults.