Strategies

Use regulation to extend nurse practitioners’ (NPs’) scope of practice to provide care to the full scope of their training and skills without physician oversight, especially for primary care

Provide prescriptions with healthy eating goals for patients and families, often accompanied by progress checks at office visits; can include partnerships with local farmers markets via FVRx programs

Support outdoor pursuits and adventure-based activities that emphasize inter- and intra-personal growth through overcoming obstacles (e.g., challenge courses, wilderness excursions, etc.)

Support joint decision making between health care practitioners and patients through shared decision making (SDM); part of patient-centered care

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

Provide women with information about the risks and benefits of behaviors that affect their health before, during, and after pregnancy

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

Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

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