Strategies

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

48 Strategies
Clear all

Big Brothers Big Sisters (BBBS)

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings

Evidence Rating:
Some Evidence
  • Community Safety
  • Education

Bridge programs for hard-to-employ adults

Provide basic skills (e.g., reading, math, writing, English language, or soft skills) and industry-specific training with other supports; also called occupationally contextualized basic education programs

Evidence Rating:
Expert Opinion
  • Education
  • Employment

Child development accounts

Build assets through child development accounts (CDAs) with contributions from a sponsoring organization, such as government agencies or nonprofits, and family, friends; also called children’s savings accounts (CSAs)

Evidence Rating:
Expert Opinion
  • Income
  • Education

College-based obesity prevention educational interventions

Support multi-component educational interventions for college students that address nutrition, physical activity, and healthy weight management; often with environmental modifications

Evidence Rating:
Some Evidence
  • Diet and Exercise

Community gardens

Establish and support land that is gardened or cultivated by community members via community land trusts, gardening education, zoning regulation changes, or service provision (e.g., water or waste disposal)

Evidence Rating:
Some Evidence
  • Diet and Exercise

Community kitchens for food processing

Establish shared kitchen spaces that support licensed, commercial food processing and connect specialty food processors, farmers, and others who produce value-added goods

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Community-wide physical activity campaigns

Engage a variety of partners in a highly visible, multi-component effort to increase physical activity, often with efforts to address cardiovascular disease risk factors

Evidence Rating:
Some Evidence
  • Diet and Exercise

Comprehensive school reform

Implement a coordinated effort to overhaul school operation, integrating curriculum, instruction, professional development, parent involvement, classroom and school management; also called school-wide or whole school reform

Evidence Rating:
Some Evidence
  • Education

DARE to be You

Provide education and training sessions with parent-child activities and family meals for youth, parents, and care providers

Evidence Rating:
Expert Opinion
  • Education

Electronic Benefit Transfer payment at farmers markets

Enable farmers markets to accept EBT, the electronic payment system of debit cards used to issue and redeem Supplemental Nutrition Assistance Program (SNAP) benefits

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Extracurricular activities for physical activity

Provide chances for kids and adolescents to be active and play sports at various skill levels via structured or unstructured after and before school athletic activities

Evidence Rating:
Some Evidence
  • Diet and Exercise

Family-based physical activity interventions

Increase family members’ support for physical activity, often via educational sessions on health, goal-setting, problem-solving, or family behavioral management

Evidence Rating:
Some Evidence
  • Diet and Exercise

Farm to school programs

Incorporate locally grown foods into school meals and snacks, often with visits from food producers, cooking classes, nutrition and waste reduction efforts, and school gardens

Evidence Rating:
Some Evidence
  • Diet and Exercise

Farmers markets

Support multiple vendor markets where producers sell goods such as fresh fruit and vegetables, meat, dairy items, and prepared foods directly to consumers

Evidence Rating:
Some Evidence
  • Diet and Exercise

Financial incentives for new nursing faculty

Offer loan repayment, tuition assistance, competitive academic salaries, etc. to students who teach in nursing programs after completing an advanced degree

Evidence Rating:
Expert Opinion
  • Access to Care

Fruit & vegetable taste testing

Offer samples of fresh fruits and vegetables in cafeterias, nutrition classes, school gardens, or workplace well-being meetings, often as part of a multi-faceted nutrition intervention

Evidence Rating:
Some Evidence
  • Diet and Exercise

Green space & parks

Increase green space through new parks or open spaces, renovation or enhancement of under-used recreation areas, rehabilitation of vacant lots, brownfields, etc.

Evidence Rating:
Some Evidence
  • Diet and Exercise

Group prenatal care

Provide prenatal care in a group setting, integrating health assessment, education, and support

Evidence Rating:
Some Evidence
  • Access to Care

Health literacy interventions

Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy

Evidence Rating:
Some Evidence
  • Access to Care
  • Quality of Care

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

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

HighScope Perry Preschool model

Provided high quality preschool with home visiting to African-American children from families with low incomes with an emphasis on active learning in Ypsilanti, Michigan

Evidence Rating:
Some Evidence
  • Education

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

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

Long-acting reversible contraception access

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.

Evidence Rating:
Some Evidence
  • Access to Care
  • Sexual Activity

Mentoring for new nurses

Pair new nurses with more experienced nurses who act as a resource and provide support as the new nurse establishes her or himself professionally

Evidence Rating:
Some Evidence
  • Access to Care

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

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

Nurse residency programs

Implement programs that continue education, mentoring, and support for novice nurses following graduation

Evidence Rating:
Some Evidence
  • Access to Care

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

Point-of-purchase prompts for healthy foods

Place motivational signs on posters, front of package labels, or shelf labels near fruits, vegetables, and other items that encourage individuals to purchase healthier food options

Evidence Rating:
Some Evidence
  • Diet and Exercise

Preconception education interventions

Provide women with information about the risks and benefits of behaviors that affect their health before, during, and after pregnancy

Evidence Rating:
Some Evidence
  • Access to Care

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

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 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

School-based nutrition education programs

Address nutrition in schools via educational (e.g., classroom or curricula-wide efforts, peer training, etc.), environmental (e.g., school menus, classroom snacks, etc.), and other approaches

Evidence Rating:
Some Evidence
  • Diet and Exercise

School-based trauma counseling

Help students process trauma exposure and develop coping skills through individual or small group counseling with mental health professionals or school staff with trauma-specific training

Evidence Rating:
Some Evidence
  • Education

Shared use agreements

Create contracts that support community access to existing public, private, or nonprofit facilities before or after business hours; also called joint use, open use, or community use agreements

Evidence Rating:
Some Evidence
  • Diet and Exercise

Small elementary classes

Reduce the number of students in elementary school classrooms

Evidence Rating:
Some Evidence
  • Education

Smart Start North Carolina

Provide comprehensive early childhood services, including high quality educational child care, health, and family support to address local needs

Evidence Rating:
Some Evidence
  • Education

Trauma-informed schools

Adopt a multi-tiered approach within schools to address the needs of trauma-exposed youth, including school-wide changes, screenings, and individual intensive support

Evidence Rating:
Some Evidence
  • Education

Urban agriculture

Support food-producing and income-earning activities in urban environments (e.g., edible landscapes, front yard or rooftop gardens, window farming, hydroponics, livestock, etc.)

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Youth civics education

Teach students attitudes, skills, knowledge, and behavior needed to participate in and contribute to a democracy

Evidence Rating:
Some Evidence
  • Family and Social Support
  • Education