Strategies

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

114 Strategies
Clear all

Labor unions

Organize workers to bargain collectively for improved wages, benefits, and working conditions

Evidence Rating:
Scientifically Supported
  • Employment
  • Employment

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

Mass media campaigns against tobacco use

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use

Evidence Rating:
Scientifically Supported
  • Tobacco 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

Minimum tobacco age laws

Minimum legal tobacco age (MLTA) laws specify the legal age to purchase or publicly consume tobacco products, including cigarettes, cigars, and e-cigarettes

Evidence Rating:
Scientifically Supported
  • Tobacco 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

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

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

Nutrition prescriptions

Provide prescriptions with healthy eating goals for patients and families, often accompanied by progress checks at office visits; can include partnerships with local farmers markets via FVRx programs

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Online grocery stores

Use internet-based shopping sites to supply refrigerated, frozen, and non-perishable groceries for residential ordering and delivery

Evidence Rating:
Insufficient Evidence
  • Diet and Exercise

On-site child care

Provide employees with child care options at work; care may be provided free of charge, partially subsidized as part of an employee benefit package, or offered at market rates

Evidence Rating:
Insufficient Evidence
  • Employment

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

Paid family leave

Provide employees with paid time off for circumstances such as a recent birth or adoption, a parent or spouse with a serious medical condition, or a sick child

Evidence Rating:
Scientifically Supported
  • Employment

Paid sick leave laws

Require employers in an affected jurisdiction to provide paid time off for employees to use when ill or injured

Evidence Rating:
Some Evidence
  • Employment

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

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

Recreational sports leagues for adults

Offer opportunities for adults to play athletic games such as soccer, softball, kickball, basketball, etc. at beginner, intermediate, and competitive levels

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Restaurant nutrition labeling

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

Evidence Rating:
Some Evidence
  • Diet and Exercise

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

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

School nutrition standards

Regulate the quality of food that can be sold to students through the National School Lunch Program (NSLP), à la carte options, vending machines, etc.

Evidence Rating:
Scientifically Supported
  • 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 physical education enhancements

Expand or enhance school-based physical education (PE) by lengthening existing classes, increasing physical activity during class, adding new PE classes, etc.

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

School-based tobacco prevention skill-building programs

Teach students personal and social skills to avoid tobacco use; led by teachers, health educators, or students in elementary schools, middle schools, or high schools

Evidence Rating:
Some Evidence
  • Tobacco Use

Screen time interventions for children

Encourage children to spend time away from TV and other stationary screen media, often as part of a multi-faceted effort to increase physical activity and improve nutrition

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Secondhand smoke education interventions

Use counseling, informational materials, etc. to inform smokers and non-smokers of the harms of secondhand smoke and encourage them to implement home smoking bans

Evidence Rating:
Mixed Evidence
  • Tobacco Use

Sector-based workforce initiatives

Provide industry-focused education and job training based on the needs of regional employers within specific sectors

Evidence Rating:
Some Evidence
  • Employment

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

Smoke-free policies for indoor areas

Implement private sector rules or public sector regulations that prohibit smoking indoors or restrict it to designated, often outdoor, areas

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Smoke-free policies for multi-unit housing

Implement private sector rules or public sector regulations that prohibit smoking in and around multi-unit housing

Evidence Rating:
Expert Opinion
  • Tobacco Use

Smoke-free policies for outdoor areas

Implement private sector rules or public sector regulations that prohibit smoking outdoors or restrict it to designated areas

Evidence Rating:
Some Evidence
  • Tobacco Use

Soda taxes

Increase the price of sugar sweetened beverages (e.g., soda) by adding an excise or sales tax

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Statewide comprehensive tobacco programs

Coordinate state and community-level cessation and prevention interventions and provide information on the dangers of tobacco using a combination of educational, regulatory, clinical, social, and economic strategies

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Summer youth employment programs

Provide short-term employment opportunities for youth, especially those from disadvantaged backgrounds

Evidence Rating:
Some Evidence
  • Community Safety
  • Employment

Telecommuting

Allow employees to work outside a central office, using technology to interact with others inside and outside the organization; also called remote work, telework, or flexible working arrangements

Evidence Rating:
Some Evidence
  • Employment

Tobacco cessation contests

Encourage participants to quit using tobacco by a set date or during a specific time period and give successful participants a chance to win financial rewards or other prizes; often called Quit & Win contests

Evidence Rating:
Insufficient Evidence
  • Tobacco Use

Tobacco cessation therapy affordability

Reduce patients’ out-of-pocket costs for tobacco cessation therapies such as nicotine replacement therapy (NRT) and cessation counseling participation

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Tobacco marketing restrictions

Limit promotion, placement, flavoring, or pricing of tobacco products via regulation

Evidence Rating:
Some Evidence
  • Tobacco Use

Tobacco quitlines

Deliver phone-based counseling to tobacco users who want to quit, usually with follow-up calls proactively scheduled after initial contact

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Tobacco retailer licensing

Require retailers to purchase licenses to sell tobacco products; retailers must follow all tobacco control laws to keep licenses

Evidence Rating:
Expert Opinion
  • Tobacco Use