Funding for this research was provided by:
Centers for Disease Control and Prevention (Centers for Disease Control and Prevention Health and Human Services Block Grant)
Michael and Susan Dell Foundation (Michael and Susan Dell Center for Healthy Living)
Texas Department of State Health Services (Title V Maternal and Child Health Block Grant)
Received: 25 February 2018
Accepted: 17 May 2019
First Online: 27 May 2019
Ethics approval and consent to participate
: This study was conducted according to the guidelines laid down in the Declaration of Helsinki and all procedures involving human subjects/patients were approved by the Committee for the Protection of Human Subjects at the University of Texas Health Science Center Houston (UTHealth) HSR-SPH-00-056 and the Texas Department of State Health Services Institutional Review Board (IRB# 04–062). The study was reviewed and approved by school districts. Based on school policies and requirements, either written active (opt in) or passive (opt out) informed consent was obtained from all study participants and from the parents/guardians of the minors. Since this study was determined to be of low risk, has previously been conducted in schools, included data that were anonymized after administration, and include assessments that are commonly conducted at the student level in schools as part of usual procedures (e.g., heights and weights, and surveys), passive consent was allowed.
: Not applicable
: The authors declare that they have no competing interests.