Strategies

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

Provide educational and social services in an alternative setting for students at risk of dropping out of traditional high schools

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

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

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

Provide career and technical education (CTE) as an integrated part of an academic curriculum for students, especially those at risk of dropping out of high school; also called vocational training

Establish small learning communities in high schools focused on fields such as health care, finance, technology, communications, or public service

Deliver tobacco cessation advice and motivational messages via text or video message

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

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

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

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

Combine academic, mental and physical health, and social service resources in schools for students and families via partnerships with community organizations; also called community learning centers

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

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

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

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

Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts

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

Provide child care, parent education, physical health and mental health services, and other family supports to pregnant women and parents with low incomes and children aged 0 to 3

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

Convene small groups of families for facilitated weekly meetings that include a family meal, structured activities, parent support time, and parent-child play therapy

Offer opportunities for group purchase and distribution of selected grocery items, generally at a reduced price

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)

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.

Offer kindergarten programs for 4 to 6-year-old children, five days per week for at least five hours per day

Recruit and train underrepresented minority (URM) students for careers in health fields via information about health careers, classes, practicum experiences, advising about college or medical school admissions, etc.

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

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

Increase healthy options in vending machines by reducing the price of healthy choices, increasing the number of healthy choices compared to unhealthy choices, etc.

Provide supports such as mentoring, counseling, or vocational training, or change the school environment to help students complete high school

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

Support young children who exhibit or are at risk for behavioral problems with interpersonal relationship training and parents and teachers who are trained to meet their needs

Use websites, computer programs, and other electronic means to provide information, strategies, or behavioral support to tobacco users who want to quit, sometimes with counseling or pharmacotherapy

Change state-level school finance systems to increase funding for school districts serving large populations of students from low income backgrounds, students of color, and students with disabilities, special needs, or limited English skills

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

Establish programs that connect students at risk of dropping out with trained adult mentors who provide ongoing guidance for academic and personal challenges

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

Deliver educational, behavioral, environmental, and other obesity prevention efforts (e.g., education classes, enhanced physical education, healthy food promotion, family outreach, etc.) in schools

Focus heavily on reading and math achievement, enforce high behavioral expectations through a formal discipline system, lengthen instructional time, and increase feedback on teacher performance

Improve work environments for nurses via establishment of strong nursing leadership, organizational support, etc.

Offer young children opportunities to eat healthy foods and engage in physical activity by providing fresh fruits and vegetables, incorporating physical activity into daily classroom routines, etc.

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

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Incorporate classroom-based physical activities, such as classroom energizers, into academic lessons or as a break, usually for elementary students

Modify local environments to support physical activity, increase access to new or existing facilities for physical activity, or build new facilities

Place motivational signs on or near stairwells, elevators, and escalators that encourage individuals to use stairs

Teach positively stated behavior expectations to all students, often reinforced with prizes or privileges and supported with coaching and data

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education