Strategies

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

177 Strategies
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Families and Schools Together

Convene small groups of families for facilitated weekly meetings that include a family meal, structured activities, parent support time, and parent-child play therapy

Evidence Rating:
Scientifically Supported
  • Education

Family treatment drug courts

Use specialized courts to work with parents involved in the child welfare system who may lose custody of their children due to substance abuse

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Alcohol and Drug Use

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 rewards for employee healthy behavior

Offer payments, credits toward health insurance premiums, or other financial rewards to encourage employees to lose weight, eat more healthily, quit smoking, engage in physical activity, etc.

Evidence Rating:
Some Evidence
  • Diet and Exercise

Firearm licensing laws

Require a potential purchaser to obtain a permit or license before purchasing a firearm

Evidence Rating:
Scientifically Supported
  • Community Safety

Firearm restrictions for people convicted of domestic violence

Prohibit firearm purchase and possession by people convicted in any court of a domestic violence misdemeanor or by people subject to a domestic violence protective/restraining order

Evidence Rating:
Some Evidence
  • Community Safety

Focused deterrence strategies

Target a particular crime through law enforcement and community agency cooperation and coordination of various deterrents and social services; also called pulling levers policing

Evidence Rating:
Scientifically Supported
  • Community Safety

Food buying clubs & co-ops

Offer opportunities for group purchase and distribution of selected grocery items, generally at a reduced price

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Food hubs

Support businesses or organizations that aggregate, distribute, and market local and regional food products (e.g., fresh fruits and vegetables, meat, dairy, grains, and prepared items)

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Fruit & vegetable gleaning initiatives

Gather food left in fields after a primary harvest, food in fields where harvesting is not profitable, or excess produce from orchards, packing houses, urban agriculture sites, etc.

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Fruit & vegetable incentive programs

Offer participants with low incomes matching funds to purchase healthy foods, especially fresh fruits and vegetables; often called bonus dollars, market bucks, produce coupons, or nutrition incentives

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

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

Full-day kindergarten

Offer kindergarten programs for 4 to 6-year-old children, five days per week for at least five hours per day

Evidence Rating:
Scientifically Supported
  • Education

Functional Family Therapy (FFT)

Introduce a short-term family-based intervention therapy focused on strengths, protective factors, and risk factors for youth with delinquency, violence, or substance abuse problems, and their families

Evidence Rating:
Scientifically Supported
  • Community Safety

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

Health care screening & follow-up for intimate partner violence

Assesses past or present experience of intimate partner violence among female patients in health care settings and provides follow-ups such as counseling or referrals for services

Evidence Rating:
Some Evidence
  • Community Safety

Health career recruitment for minority students

Recruit and train underrepresented minority (URM) students for careers in health fields via information about health careers, classes, practicum experiences, advising about college or medical school admissions, etc.

Evidence Rating:
Scientifically Supported
  • Education

Healthy food in convenience stores

Encourage convenience stores, corner stores, or gas station markets to carry fresh produce and other healthier food options

Evidence Rating:
Some Evidence
  • Diet and Exercise

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

Helmets in collision sports

Use helmets to absorb, dissipate, and reduce impact forces to an athlete’s head and brain during collisions or falls

Evidence Rating:
Some Evidence
  • Community Safety

High school completion programs

Provide supports such as mentoring, counseling, or vocational training, or change the school environment to help students complete high school

Evidence Rating:
Scientifically Supported
  • Education

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

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

Home water temperature safety education

Educate families about safe tap water temperatures during prenatal or well-baby visits at clinic or home visits; often with home safety checks or provision of home water temperature safety equipment

Evidence Rating:
Scientifically Supported
  • Community Safety

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

Hot spot policing

Focus police resources and enforcement on high-activity crime locations within a community (e.g., street blocks and buildings) using policing tactics such as increasing enforcement time, problem-oriented policing, etc.

Evidence Rating:
Scientifically Supported
  • Community Safety

Incredible Years

Support young children who exhibit or are at risk for behavioral problems with interpersonal relationship training and parents and teachers who are trained to meet their needs

Evidence Rating:
Scientifically Supported
  • Education

Individually-adapted physical activity programs

Teach behavioral skills that can help individuals incorporate physical activity into their daily routines

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

In-vehicle monitoring & feedback for teen drivers and families

Support use of in-vehicle devices that alert novice teen drivers when they have high g-force events (e.g., rapid acceleration, braking, or turning) and allow families to review driving performance

Evidence Rating:
Some Evidence
  • Community Safety

Juvenile curfews

Restrict youth under a certain age from being in public places during certain hours, usually at night

Evidence Rating:
Evidence of Ineffectiveness
  • Community Safety

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

Kinship foster care for children in the child welfare system

Arrange full-time foster care by relatives or adults who are not a child’s parent but have a family relationship with the child when a child is removed from home due to a safety concern

Evidence Rating:
Scientifically Supported
  • Community Safety

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 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

Mentoring programs for high school graduation

Establish programs that connect students at risk of dropping out with trained adult mentors who provide ongoing guidance for academic and personal challenges

Evidence Rating:
Scientifically Supported
  • Education

Mentoring programs to prevent youth delinquency

Pair youth at risk for delinquent behavior with mentors to develop relationships and spend time at regular meetings for an extended period; mentors have greater knowledge, skills, etc. than mentees

Evidence Rating:
Scientifically Supported
  • Community Safety

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

Multi-component fall prevention interventions for older adults

Provide a fixed, multi-component set of fall prevention interventions to older adults, usually in community settings, without an individualized risk assessment

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Quality of Care

Multi-component obesity prevention interventions

Combine educational, environmental, and behavioral activities that increase physical activity and improve nutrition (e.g., nutrition education, aerobic/strength training, dietary prescriptions, etc.) in various settings

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Multi-component school-based obesity prevention interventions

Deliver educational, behavioral, environmental, and other obesity prevention efforts (e.g., education classes, enhanced physical education, healthy food promotion, family outreach, etc.) in schools

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Multi-component workplace supports for active commuting

Provide physical infrastructure (e.g., bike parking or showers), educational or social support (e.g., walking groups), and financial incentives that support active commuting

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