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0%, p less then 0.001). Staff and students provided positive reports of intervention acceptance. Conclusions and Implications Findings from this pilot study indicate that role modeling in a school cafeteria setting may be a promising health promotion strategy and provide groundwork for future research in the development of school cafeteria role modeling interventions. Further research is needed to assess intervention efficacy and acceptability at a larger scale. © 2020 the Author(s), licensee AIMS Press.Introduction Acute appendicitis is