Strategies

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

84 Strategies
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Active recess

Establish a break from the school day, typically before lunch, that involves planned, inclusive, actively supervised games or activities; also called semi-structured, or structured recess

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Bicycle & pedestrian master plans

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area

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

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 arts programs

Support locally-based visual, media, and performing arts initiatives for children and adults; also called participatory arts programs

Evidence Rating:
Expert Opinion
  • Family and Social Support

Community centers

Provide space to promote socializing among community members and offer programs and services such as recreational or educational activities, counseling or support services

Evidence Rating:
Expert Opinion
  • Family and Social Support

Community Development Block Grants (CDBGs)

Provide funding for local community development activities such as affordable housing, anti-poverty programs, and infrastructure development

Evidence Rating:
Some Evidence
  • Housing and Transit

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 land trusts

Purchase the land a home is on to lease to homeowners with low and middle incomes and require homeowners to sell the home back to the trust or to another resident with low income upon moving

Evidence Rating:
Some Evidence
  • Housing and Transit

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

Competitive pricing for healthy foods

Assign higher costs to non-nutritious foods than nutritious foods via incentives, subsidies, or price discounts for healthy foods and beverages or disincentives or price increases for unhealthy choices

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Complete Streets & streetscape design initiatives

Enhance streetscapes with greater sidewalk coverage and walkway connectivity, street crossing safety features, traffic calming measures, and other design elements

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

Cross-age youth peer mentoring

Establish an ongoing relationship between an older youth or young adult and a younger child or adolescent, usually an elementary or middle school student

Evidence Rating:
Some Evidence
  • Family and Social Support

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

Extracurricular activities for social engagement

Support organized social, art, or physical activities for school-aged youth outside of the school time

Evidence Rating:
Scientifically Supported
  • Family and Social Support

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

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

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 home environment assessments

Train volunteers, professionals, or paraprofessionals to help residents assess and reduce environmental home health risks and recommend low cost changes (e.g., improved ventilation, integrated pest management, etc.)

Evidence Rating:
Scientifically Supported
  • Housing and Transit

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

HOME Investment Partnership Program

Provide grants to states and localities to fund activities that build, buy, or rehabilitate affordable housing for rent or homeownership, or provide direct rental assistance to households with low incomes

Evidence Rating:
Expert Opinion
  • Housing and Transit

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

Housing Choice Voucher Program (Section 8)

Provide eligible families with low and very low incomes with vouchers to help cover the costs of rental housing; also called Section 8

Evidence Rating:
Some Evidence
  • Housing and Transit

Housing First

Provide rapid access to permanent housing and support (e.g., crisis intervention, needs assessment, case management), usually for chronically homeless individuals with persistent mental illness or substance abuse issues

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Housing mediation services

Facilitate mediation between tenants and landlords to resolve conflict and prevent eviction

Evidence Rating:
Insufficient Evidence
  • Housing and Transit

Housing rehabilitation loan & grant programs

Provide funding, primarily to families with low or middle incomes, to repair, improve, or modernize dwellings and remove health or safety hazards

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Housing reparations

Apologize for discriminatory housing policies; increase subsidies, financing, and paths to homeownership for people of color; and invest in systematically disadvantaged neighborhoods

Evidence Rating:
Expert Opinion
  • Income
  • Housing and Transit

Housing trust funds

Support funds that help create or maintain affordable housing, subsidize rental housing, and assist homebuyers with low incomes and non-profit housing developers

Evidence Rating:
Expert Opinion
  • Housing and Transit

Inclusionary zoning & housing policies

Require developers to reserve a proportion of housing units for residents with low incomes via mandatory requirements or incentives, such as density bonuses

Evidence Rating:
Some Evidence
  • Housing and Transit

Integrated pest management for indoor use

Support a four-tiered approach to indoor pest control that minimizes potential hazards to people, property, and the environment

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Intergenerational mentoring and activities

Establish a relationship between an older adult and a child, adolescent, or college student through social interactions or a variety of educational and art activities

Evidence Rating:
Some Evidence
  • Family and Social Support

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

Lead paint abatement programs

Eliminate lead-based paint and contaminated dust by removing or encapsulating lead paint, or removing lead painted fixtures and surfaces

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Low Income Home Energy Assistance Program (LIHEAP)

Provide funds to households with low incomes to meet home energy needs, especially for households with children, older adults, or individuals with disabilities

Evidence Rating:
Expert Opinion
  • Housing and Transit

Low Income Housing Tax Credits (LIHTCs)

Provide funding via tax credits at the state and local level to support development and rehabilitation costs of low income rental housing

Evidence Rating:
Some Evidence
  • Housing and Transit

Mental Health First Aid

Provide an 8 or 12 hour training to educate laypeople about how to assist individuals with mental health problems or at risk for problems such as depression, anxiety, and substance use disorders

Evidence Rating:
Some Evidence
  • Family and Social Support

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

Neighborhood associations

Establish voluntary formal groups of residents who work together to create a unified voice, enhance living conditions in their neighborhood, and address neighborhood concerns

Evidence Rating:
Expert Opinion
  • Family and Social Support

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

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

Out of town bypasses

Establish roads that avoid built-up areas such as towns, cities, or commercial/business districts

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Community Safety