Wellness-Promoting Practices Through Girl Scouts: A Pragmatic Superiority Randomized Controlled Trial With Additional Dissemination

Brooke J. Cull, David A. Dzewaltowski, Justin M. Guagliano, Sara K. Rosenkranz, Cassandra K. Knutson, Richard R. Rosenkranz

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Purpose: To evaluate the effectiveness of in-person versus online Girl Scout leader wellness training for implementation of wellness-promoting practices during troop meetings (phase I) and to assess training adoption and current practices across the council (phase II). Design: Pragmatic superiority trial (phase 1) followed by serial cross-sectional study (phase II). Setting: Girl Scout troop meetings in Northeast Kansas. Participants: Eighteen troop leaders from 3 counties (phase 1); 113 troop leaders from 7 counties (phase II). Intervention: Phase I: Troop leaders attended 2 wellness training sessions (first in groups, second individually), wherein leaders set wellness-promoting practice implementation goals, self-monitored progress, and received guidance and resources for implementation. Leaders received the intervention in person or online. Measures: Phase I: At baseline and postintervention, leaders completed a wellness-promoting practice implementation questionnaire assessing practices during troop meetings (max score = 11). Phase II: Leaders completed a survey about typical troop practices and interest in further training. Analysis: Phase I: Generalized linear mixed modeling. Results: Phase I: In-person training increased wellness-promoting practice implementation more than online training (in person = 2.1 ± 1.8; online = 0.2 ± 1.2; P =.022). Phase II: Fifty-six percent of leaders adopted the training. For 8 of 11 wellness categories, greater than 50% of leaders employed wellness-promoting practices. Conclusion: In-person training was superior to online training for improvements in wellness-promoting practices. Wellness training was adopted by the majority of leaders across the council.

Original languageEnglish (US)
Pages (from-to)1544-1554
Number of pages11
JournalAmerican Journal of Health Promotion
Issue number7
StatePublished - Sep 1 2018


  • child obesity
  • health promotion
  • nutrition
  • physical activity
  • wellness policy

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health


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