Strategies

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

216 Strategies
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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

Patient navigators

Provide culturally sensitive assistance and care coordination, and guide patients through available medical, insurance, and social support; also called systems navigators

Evidence Rating:
Scientifically Supported
  • Quality of Care

Permeable pavement projects

Use pervious concrete, porous asphalt, permeable interlocking pavers, open-jointed blocks or cells, or other permeable pavement in individual or commercial development efforts; also called porous or pervious pavement

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

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

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

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

Price transparency initiatives for patients

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

Evidence Rating:
Some Evidence
  • Quality of Care

Professionally trained medical interpreters

Provide interpretation services for patients with limited English proficiency (LEP) in outpatient and inpatient health care settings, following training and certification

Evidence Rating:
Scientifically Supported
  • Quality of Care

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

Public libraries for community building

Lend materials, offer gathering space, and provide educational, civic, and social programming; open to the community and publicly funded

Evidence Rating:
Expert Opinion
  • Family and Social Support

Public transportation systems

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Radon mitigation programs

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Rain barrels

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams

Evidence Rating:
Some Evidence
  • Air and Water Quality

Rain gardens & other bioretention systems

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable to help control stormwater

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Rapid re-housing programs

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Reproductive life plans

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time

Evidence Rating:
Expert Opinion
  • Access to Care

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 clinics

Establish clinics in retail stores that provide basic services for minor illnesses (e.g., sore throats or skin conditions) and procedures (e.g., immunizations, pregnancy testing, routine lab tests); also known as retail pharmacy, walk-in, or convenient care clinics

Evidence Rating:
Expert Opinion
  • Access to Care

Rollover protective structures (ROPS)

Attach metal bars, frames, or crush proof cabs to a tractor that provide a safety zone for an operator in the event of a rollover or overturn

Evidence Rating:
Scientifically Supported
  • Community Safety

Rural transportation services

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.

Evidence Rating:
Expert Opinion
  • Access to Care
  • Housing and Transit

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

Scrap programs for old vehicles

Provide incentives to trade in old cars or light duty trucks with low fuel efficiency and high emissions and buy new vehicles with higher efficiency and lower emissions; also called scrappage or vehicle early retirement programs

Evidence Rating:
Expert Opinion
  • Air and Water Quality

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

Service-enriched housing

Provide permanent, basic rental housing with social services available on-site or by referral, usually for families with low incomes, older adults, veterans, or people with disabilities

Evidence Rating:
Some Evidence
  • Housing and Transit

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

Social service integration

Coordinate access to services across delivery systems and disciplinary boundaries (e.g., housing, disability, physical health, mental health, child welfare, workforce services, etc.)

Evidence Rating:
Some Evidence
  • Family and Social Support

Sports-related concussion education

Educate youth and college athletes, coaches, and parents about the severity of concussions in sports, proper prevention, detection, reporting, and treatment

Evidence Rating:
Insufficient Evidence
  • Community Safety

State-level minimum nurse staffing requirements for nursing homes

Establish state level regulations that require nursing homes to employ at least a set number of licensed and non-licensed nursing staff, often set in terms of staff hours per resident day

Evidence Rating:
Expert Opinion
  • Quality of Care

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

Synthetic progesterone (17P) access

Ensure appropriate access to 17P, a synthetic version of the hormone progesterone, by identifying high-risk women, reducing barriers to treatment receipt and completion, coordinating care, etc.

Evidence Rating:
Expert Opinion
  • Access to Care

Syringe services programs

Provide sterile injection equipment and often other treatment and referral services to people who inject drugs; also called needle or syringe exchange programs and needle syringe programs

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Tax increment financing (TIF) for affordable housing

Create designated tax districts that generate revenue to invest in affordable housing initiatives, blight remediation, and economic development efforts

Evidence Rating:
Expert Opinion
  • Housing and Transit

Teen pregnancy prevention programs

Support school-, community-, and clinic-based teen pregnancy prevention programs such as comprehensive sex education, HIV/STI prevention and youth development efforts, service learning, etc.

Evidence Rating:
Some Evidence
  • Sexual Activity

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

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth

Evidence Rating:
Some Evidence
  • Access to Care

Telemental health services

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference

Evidence Rating:
Some Evidence
  • Access to Care

Text message-based health interventions

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message

Evidence Rating:
Scientifically Supported
  • Access to Care

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