Strategies

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

86 Strategies
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Attendance interventions for chronically absent students

Support interventions that provide chronically absent students with resources to improve self-esteem, social skills, etc. and address familial and school-related factors that can contribute to poor attendance

Evidence Rating:
Scientifically Supported
  • Education

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

Big Brothers Big Sisters (BBBS)

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings

Evidence Rating:
Some Evidence
  • Community Safety
  • Education

Breastfeeding promotion programs

Provide education, information, counseling, and support for breastfeeding to women throughout pre- and post-natal care

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Bridge programs for hard-to-employ adults

Provide basic skills (e.g., reading, math, writing, English language, or soft skills) and industry-specific training with other supports; also called occupationally contextualized basic education programs

Evidence Rating:
Expert Opinion
  • Education
  • Employment

Charter schools

Establish publicly financed schools that are not subject to many of the regulations that govern traditional public schools, such as staffing, curriculum, and budgeting requirements.

Evidence Rating:
Mixed Evidence
  • Education

Chicago Child-Parent Centers

Provide preschool education and comprehensive support to families with low incomes, including small classes, student meals, and home visits with referrals for social service support as needed

Evidence Rating:
Scientifically Supported
  • Education

Child development accounts

Build assets through child development accounts (CDAs) with contributions from a sponsoring organization, such as government agencies or nonprofits, and family, friends; also called children’s savings accounts (CSAs)

Evidence Rating:
Expert Opinion
  • Income
  • Education

College access programs

Help high school students prepare for college, complete applications, and enroll, especially first-generation applicants and students from families with low incomes

Evidence Rating:
Scientifically Supported
  • Education

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 fitness programs

Offer exercise classes (e.g., aerobic dance, yoga, Tai Chi, cycling, etc.) and fitness program support in community, senior, fitness, and community wellness centers

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

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 kitchens for food processing

Establish shared kitchen spaces that support licensed, commercial food processing and connect specialty food processors, farmers, and others who produce value-added goods

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Community kitchens for nutrition education

Use existing kitchen spaces for community members to share knowledge, resources, and labor to prepare, cook, and consume food, often with nutrition education provided for participants experiencing food insecurity

Evidence Rating:
Insufficient Evidence
  • Diet and Exercise

Community supported agriculture (CSA)

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Community weight loss challenges

Support temporary programs that work to energize participants to lose weight via prizes, often combined with education, weight status and food intake tracking, regular check-ins, and group support

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Community-based social support for physical activity

Build, strengthen, and maintain social networks that provide supportive relationships for behavior change through walking groups or other community-based interventions

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

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

DARE to be You

Provide education and training sessions with parent-child activities and family meals for youth, parents, and care providers

Evidence Rating:
Expert Opinion
  • Education

Early childhood home visiting programs

Provide at-risk expectant parents and families with young children with information, support, and training regarding child health, development, and care from prenatal stages through early childhood via trained home visitors

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Family and Social Support

Electronic Benefit Transfer payment at farmers markets

Enable farmers markets to accept EBT, the electronic payment system of debit cards used to issue and redeem Supplemental Nutrition Assistance Program (SNAP) benefits

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Employee Assistance Programs (EAP)

Provide confidential worksite-based counseling and referrals to employees to address personal and workplace challenges

Evidence Rating:
Some Evidence
  • Employment
  • Family and Social Support

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

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

Father involvement programs

Support fathers’ active involvement in child rearing via various father-focused or family-focused interventions

Evidence Rating:
Some Evidence
  • Family and Social Support

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

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 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 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

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

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

Intergenerational communities

Establish policies, plans, and programs that meet the needs of all residents of a community, especially children and older adults, and promote interaction and cooperation between individuals of different generations

Evidence Rating:
Expert Opinion
  • Family and Social Support

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

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

Land return for tribal restitution

Return the rights to land, property, and resources to Native people as part of policies and initiatives that promote tribal sovereignty

Evidence Rating:
Expert Opinion
  • Income
  • Family and Social Support

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

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