With an increasing amount of overweight children, especially among racial and ethnic minorities, effective population-level interventions are urgently needed (Wang et al., 2006). The purpose of this study was to provide insight into nutritional and physical activity intervention programs at a Connecticut public school in an urban setting. Interviews were conducted with school leaders, sixth grade teachers, physical education teachers; the school nurse, the cafeteria manager, and students' parents or guardians. Responses were analyzed to explore perspectives on the school's health programs and their association with students' attendance, class participation, socialization and communication skills, attitude toward school and motivation, and health issues and risk behaviors. Family involvement was investigated to determine if it influenced program effectiveness. Information was gathered to determine leadership roles and strategies for sustaining the school's programs. Data were analyzed thematically and the results suggested that school-based health intervention programs may or may not influence student behaviors. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]