Strategies

What Works for Health includes evidence-informed strategies to create communities where everyone can thrive.

127 Strategies
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Healthy food initiatives in food pantries

Combine hunger relief efforts with nutrition information and healthy eating opportunities, often with on-site cooking demonstrations, recipe tastings, produce display stands, etc.

Evidence Rating:
Some Evidence
  • Diet and Exercise

Healthy foods at catered events

Provide more fresh fruits and vegetables, smaller portions, low fat, and reduced sodium or reduced sugar food options and other healthy foods at catered events

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Healthy school lunch initiatives

Modify the school lunch food environment or school lunch schedules by increasing the convenience of healthy foods, providing healthy options, or ensuring students have enough time to eat

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Healthy vending machine options

Increase healthy options in vending machines by reducing the price of healthy choices, increasing the number of healthy choices compared to unhealthy choices, etc.

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

High school completion programs for pregnant and parenting teens

Provide pregnant and parenting teens with services such as education, vocational training, case management, health care, child care, and transportation assistance to support high school completion

Evidence Rating:
Scientifically Supported
  • Education

High school equivalency credentials

Offer programs to help individuals without a high school diploma or its equivalent achieve a high school equivalency credential

Evidence Rating:
Some Evidence
  • Education
  • Employment

Homework or extra credit for PE class

Assign homework or extra credit activities for physical education (PE) or health classes that require students to be physically active outside of school

Evidence Rating:
Some Evidence
  • Diet and Exercise

Ignition interlock devices

Strengthen policies that mandate ignition interlock installation in vehicles to prevent operation by a driver with a high blood alcohol concentration

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

K-12 school finance reforms

Change state-level school finance systems to increase funding for school districts serving large populations of students from low income backgrounds, students of color, and students with disabilities, special needs, or limited English skills

Evidence Rating:
Scientifically Supported
  • Education

Keg registration laws

Require wholesalers or retailers to record an identification number for beer kegs and a purchaser’s information (e.g., name and address, date of birth, etc.) at the time of purchase

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

Knowledge is Power Program (KIPP) in middle schools

Emphasize high expectations for all students, parent and student commitment, empowered principals, and regular student assessments that inform continuous improvement in a lengthened school-year and school-day

Evidence Rating:
Scientifically Supported
  • Education

Land banking

Acquire, hold, manage, and develop properties such as vacant lots, abandoned buildings, or foreclosures, and transition them to productive uses, often affordable housing developments

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Diet and Exercise

Later middle and high school start times

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until after 8:30 or 9:00 a.m.

Evidence Rating:
Some Evidence
  • Education

Mass media campaigns against alcohol-impaired driving

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Mass media campaigns for physical activity

Provide messages that support physical activity to large and broad audiences using television, social media, radio, billboards, newspapers, and other print media

Evidence Rating:
Insufficient Evidence
  • Diet and Exercise

Medical marijuana legalization

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)

Evidence Rating:
Mixed Evidence
  • Alcohol and Drug Use

Medication-assisted treatment access enhancement initiatives

Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use

Minimum drinking age laws

Maintain the current legal age when an individual can purchase alcoholic beverages; currently 21 years in all states

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Mixed-use development

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Mobile produce markets

Support fresh food carts or vehicles that travel to neighborhoods on a set schedule to sell fresh fruits and vegetables

Evidence Rating:
Some Evidence
  • Diet and Exercise

Naloxone education & distribution programs

Distribute Naloxone to trained community members and first responders to reverse opioid overdoses

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

New grocery stores in underserved areas

Attract new grocery stores that sell a variety of fresh foods, baked goods, packaged, and frozen items to underserved areas via financing initiatives, tax incentives, or zoning regulation

Evidence Rating:
Some Evidence
  • Diet and Exercise

No Excuses charter school model

Focus heavily on reading and math achievement, enforce high behavioral expectations through a formal discipline system, lengthen instructional time, and increase feedback on teacher performance

Evidence Rating:
Scientifically Supported
  • Education

Open gym time

Offer time during the school day for children to play in the gym, often during lunch period; shared use agreements can expand open gym opportunities to community members outside school hours

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Open Streets

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Evidence Rating:
Expert Opinion
  • Diet and Exercise
  • Family and Social Support

Parents as Teachers (PAT)

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

Evidence Rating:
Some Evidence
  • Education

Physically active classrooms

Incorporate classroom-based physical activities, such as classroom energizers, into academic lessons or as a break, usually for elementary students

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Places for physical activity

Modify local environments to support physical activity, increase access to new or existing facilities for physical activity, or build new facilities

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Point-of-decision prompts for physical activity

Place motivational signs on or near stairwells, elevators, and escalators that encourage individuals to use stairs

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Preschool education programs

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling

Evidence Rating:
Scientifically Supported
  • Education

Preschool programs with family support services

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education

Evidence Rating:
Scientifically Supported
  • Education

Prescription drug monitoring programs (PDMPs)

Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Promise Academy Charter Schools

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Evidence Rating:
Some Evidence
  • Education

Proper drug disposal programs

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use
  • Air and Water Quality

Publicly funded pre-kindergarten programs

Provide publicly funded pre-kindergarten (pre-K) education to 3- and 4-year-olds, through large-scale or universal efforts

Evidence Rating:
Scientifically Supported
  • Education

Reach Out and Read

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

Evidence Rating:
Scientifically Supported
  • Education

Recreational marijuana legalization

Allow adults to possess a limited amount of marijuana for personal, non-medical use

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use
  • Community Safety

Responsible beverage server training (RBS/RBST)

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Restaurant nutrition labeling

Provide nutrition information on menus and signboards at restaurants and other food outlets

Evidence Rating:
Some Evidence
  • Diet and Exercise

Retail alcohol sale privatization

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages

Evidence Rating:
Evidence of Ineffectiveness
  • Alcohol and Drug Use

Safe Routes to Schools

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Sales to intoxicated persons (SIP) law enforcement

Increase enforcement of laws that prohibit alcoholic beverage service to intoxicated customers, usually with fines, imprisonment, or revocation of a license

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

School and district level zero tolerance policies

Require school officials to apply predetermined consequences for certain infractions, regardless of situational context or circumstances; consequences are usually severe (e.g., suspension or expulsion)

Evidence Rating:
Evidence of Ineffectiveness
  • Education

School breakfast programs

Support programs to provide students with a nutritious breakfast in the cafeteria, from grab and go carts in hallways, or in classrooms

Evidence Rating:
Scientifically Supported
  • Education
  • Diet and Exercise

School food & beverage restrictions

Limit access to competitive foods and beverages in schools via restrictions on foods that are not provided through the National School Lunch Program and School Breakfast Program.

Evidence Rating:
Some Evidence
  • Diet and Exercise

School fruit & vegetable gardens

Establish designated areas where students can garden with guidance, often with nutrition and food preparation lessons and opportunities for taste tasting and hands-on learning

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

School fundraiser restrictions

Prohibit the sale of unhealthy foods such as sugar sweetened beverages, candy, and other non-nutritious snacks at school fundraisers, often as part of a broader nutrition policy

Evidence Rating:
Expert Opinion
  • Diet and Exercise