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After implementation of the new model, we conducted two additional focus group interviews with 10 physical education teachers.

In analyses we used Systematic Text Condensation and an editing analysis style.

High quality physical education programs in high schools may facilitate adoption of sustainable healthy living among adolescents.

Public health nurses often meet students who avoid taking part in physical education programs.

The participants related the students’ competence and attitude towards participation in physical education class to previous experiences in junior high school, to the competence of physical education teachers, and to possibility for students to influence the content of physical education programs.

The participants suggested that high school students’ attitudes towards participation in physical education is heterogeneous, depends on the students’ previous experiences, and on their present health and quality of life.

At the end of the first year after implementation of the new model, we conducted 2 additional focus group interviews with 10 PE teachers (3 male, 7 female) representing the 2 high schools that had tried out the new model. Bracketing preconceptions, two researchers (EA and GR) independently read the material searching for an overall impression and established preliminary subgroups.The participants shared information about their perception of students’ participation in PE programs and health behaviour.In the new model the students chose participating in one out of two alternative educational programs; 1) “sports enjoyment” focusing on PA skills, technique and improvement of physical performance, and 2) “motion enjoyment” focusing less on technique and physical performance, but more on health and facilitating positive experience when participating in PE lessons.A total of 830 boys and girls started in the two high schools in 2013.A total of 181 first year students comprising 141 (77.9 %) girls and 40 (22.1 %) boys attending to vocational studies of Restaurant and Food Processing ( Before implementation of the new model, 1 focus group interview was conducted with a strategic sample of 6 PE teachers (1 male, 5 female).To reach this goal, design of PE programs should intend to facilitate adherence to PA in general.In Norway, vocational students attend PE less frequently; have lower grades in PE and more frequently drop out of school than other high-school students [].Intending member checking, we presented the results to a group of PE teachers and public health nurses.More information about methods is available from the interview guide and a COREQ checklist [ Participation in the focus groups was based on a written consent.Some students were reported to be reluctant to expose their bodies in showers after class, and students who seldom attended physical education class frequently visited the school health services.Although the majority of students were engaged in class, several of the students lacked knowledge about physical fitness and motoric skills to be able to master daily activities.