Positive effects of student-led health promotion activities at mass gathering events on health modification behaviors

The 'Pit Stop for Health' initiative is a student-led health promotion program providing opportunistic health screenings and behavioral counseling at mass gathering events. This cross-sectional observational study surveyed 369 participants across agricultural fairs, sporting events, and university activities. Structural equation modeling identified multiple pathways influencing satisfaction, health modification, and health behavior's, with the overall model explaining 58.8% of the variance (R2 = 0.588). Satisfaction with the 'Pit Stop for Health' initiative significantly predicted health modification (β = 0.157, SE = 0.068, CR = 2.316, P = .021) and the likelihood of recommending the activity to others (β = 0.812, SE = 0.138, CR = 5.877, P < .001), while follow-up behaviors were strongly associated with future health modification (β = 0.854, SE = 0.116, CR = 7.380, P < .001) and seeking medical advice (β = 0.967, SE = 0.107, CR = 9.050, P < .001). The model demonstrated excellent fit (χ2 = 33.736, df = 24, P = .090), with age negatively correlated with follow-up behaviors (r = -0.137, P = .028), and no significant associations found for gender or self-reported health importance. Findings highlight the public health value of student-led, reciprocal service-learning models in delivering preventive interventions in non-clinical community settings. Such initiatives not only strengthen public engagement with health services but also provide meaningful experiential learning for future health professionals. By addressing preventive health needs in accessible, resource-constrained environments, 'Pit Stop for Health' contributes to population-level health promotion. Further research examining cultural and ethnic influences is warranted to enhance the inclusivity, relevance, and scalability of similar interventions in diverse communities. Contribution to Health Promotion Promoted health behavior changes by offering opportunistic health screenings and lifestyle modification counseling at mass gathering events.Increased access to preventive healthcare services, especially in resource-limited settings, through a cost-effective student-led initiative.Fostered community engagement in health promotion while simultaneously enriching nursing students' educational experiences.Enhanced public awareness of health importance through innovative, context-sensitive interventions at diverse public events.Supported healthcare systems by addressing preventive health needs and improving follow-up behaviors among participants.