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Disparities in youth obesity continue despite an increasing number of programs designed to address this challenge. Policy, systems, and environmental (PSE) changes hold promise. Youth Engagement & Action for Health! (YEAH!) is a youth advocacy curriculum for PSE change that promotes healthy behaviors. From 2017-2019, 18 youth-serving organizations hosted YEAH! clubs serving 237 middle school youth from low-income communities. Study data include YEAH! adult leader surveys and interviews. Data were coded on themes of youth advocacy action, youth retention, and opportunities and threats to program success. After coding, the data were organized into four categories for validation by representative adult leaders. This study found that positive outcomes were facilitated by adult leaders who had previous engagement with the youth, who showed enthusiasm for youth advocacy, and who had access to resources to motivate group cohesion, participation, and commitment. Best practices highlighted from this study offer tested strategies for adult leaders of youth advocacy groups.
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