17 Weeks
3 Disciplines
1 Class

Head to Toe is a weight management program that helps children and their parents/caregivers learn to make healthier lifestyle choices. Families participate in 90-minute group sessions once a week for 17 weeks.

The Head to Toe Program is multi-disciplinary. All classes rotate between social work, nutrition, and exercise, and are led by professionals in each respective discipline.

Each participant receives a handbook that provides the information that will be covered in class.

Lifestyle and Knowledge assessments are administered to parents and children at the beginning and end of the program. Children also take the Piers Harris Self Concept Scale and complete a fitness assessment consisting of curl-ups, sit and reach, modified push-ups, and a cardiovascular endurance test.

Families are refunded full payment if they attend all 17 program sessions. Parents must attend each session with their child, but can attend without their child and still receive credit for attendance.

The Teams

Head to Toe was started at St. Louis Children’s Hospital and has been expanded to include the following locations:

  • Boone County Hospital in Columbia, MO
  • First Hand Foundation in Kansas City, MO
  • Parkland Hospital in Farmington, MO
  • Progress West Hospital in O'Fallon, MO


Head to Toe began with two families meeting with a dietitian and physical therapist at St. Louis Children’s Hospital around 2001. The program grew to include paid staff and a set curriculum and was launched at several locations around St. Louis.

In 2013, the program was deemed ‘Effective Practice’ by Healthy Communities Institute. In 2015, introduction to the program was added as part of patients’ initial visits to the Healthy Start Clinic.

Get the Program

The Head to Toe program is available for replication. Learn more.