Strategies

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

130 Strategies
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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

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

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

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

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

Strong graduated driver licensing laws

Strengthen laws that allow young drivers to gain driving experience in stages; often includes passenger and nighttime driving limitations and higher minimum ages for learner’s permits, intermediate, and full licenses

Evidence Rating:
Scientifically Supported
  • Community Safety

Summer youth employment programs

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

Evidence Rating:
Some Evidence
  • Community Safety
  • Employment

Traffic calming

Modify the built environment to affect traffic speed and patterns via speed humps, pedestrian center crossing islands, roundabouts, etc.

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Community Safety

Trauma-informed juvenile justice systems

Support a trauma-informed juvenile justice system to recognize and respond to trauma’s impact on youth through staff training and broad adoption of trauma-informed practices and policies

Evidence Rating:
Expert Opinion
  • Community Safety

Treatment Foster Care

Place youth with mental, emotional, and behavioral health challenges in foster families that provide a structured, nurturing, therapeutic environment; also called Therapeutic Foster Care (TFC)

Evidence Rating:
Some Evidence
  • Community Safety

Treatment Foster Care Oregon

Place severely and chronically delinquent youth in foster families that are trained in structured behavior management and connected to TFCO program staff; formerly called Multidimensional Treatment Foster Care

Evidence Rating:
Scientifically Supported
  • Community Safety

Unhealthy snack taxes

Increase the price of snack products high in sugar and fat by adding an excise or sales tax

Evidence Rating:
Some Evidence
  • Diet and Exercise

Universal distracted driving laws

Prohibit all drivers from texting or talking on a cell phone while driving

Evidence Rating:
Some Evidence
  • Community Safety

Universal firearm background checks

Require both licensed firearm dealers and unlicensed (i.e., private) firearm sellers to conduct background checks of potential firearm purchasers; also known as comprehensive background checks

Evidence Rating:
Some Evidence
  • Community Safety

Universal motorcycle helmet laws

Require all motorcycle operators and passengers to wear a helmet; laws are established statewide and may also include mopeds and scooters

Evidence Rating:
Scientifically Supported
  • Community Safety

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

Walking school buses

Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones

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

Water availability & promotion interventions

Make water readily available in various settings via regular placement of drinking fountains, water coolers, bottled water in vending machines, etc.

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

WIC & Senior Farmers' Market Nutrition Programs

Support Farmers’ Market Nutrition Programs, which provide WIC and Senior Nutrition Program participants with vouchers for fresh, unprepared, locally grown fruits and vegetables

Evidence Rating:
Some Evidence
  • Diet and Exercise

Workplace supports for breastfeeding

Support breastfeeding via private, well-equipped lactation spaces in workplaces, along with breastfeeding breaks, flexible schedules, professional lactation support, etc.

Evidence Rating:
Some Evidence
  • Diet and Exercise

Worksite obesity prevention interventions

Use educational, environmental, and behavioral strategies to improve food choices and physical activity opportunities in worksite settings, also called workplace health programs

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Youth football full contact rules

Restrict full contact between youth football players via limits to the number of contact practices, head hits per player, delay tackling until a certain age, etc.

Evidence Rating:
Expert Opinion
  • Community Safety

Youth in adult justice system

Transfer arrested youth from the juvenile justice system to the adult criminal justice system

Evidence Rating:
Evidence of Ineffectiveness
  • Community Safety

Zoning regulation and land use policy reforms

Reform zoning regulations to remove exclusionary zoning codes, address physical environment aesthetics and safety, street continuity and connectivity, residential density, and mixed-use development, etc.

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

Zoning regulations for fast food

Limit or ban fast food outlets in areas of a city, restrict the number or density of outlets, or regulate distance between fast food outlets and other sites (e.g., schools)

Evidence Rating:
Expert Opinion
  • Diet and Exercise