Strategies

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

30 Strategies
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Active recess

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
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

Activity programs for older adults

Offer group educational, social, creative, musical, or physical activities that promote social interactions, regular attendance, and community involvement among older adults
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise
  • Safety and social support
  • Civic and community resources

Breastfeeding promotion programs

Provide education, information, counseling, and support for breastfeeding to parents throughout pre- and post-natal care
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

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

Community Conditions

  • Diet and exercise
  • Civic and community resources

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

Community Conditions

  • 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

Community Conditions

  • Diet and exercise
  • Climate

Societal Rules

  • Institutional practices

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

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Civic and community resources
  • Climate

Societal Rules

  • Institutional practices

Exercise prescriptions

Provide patients with prescriptions for exercise plans, often accompanied by progress checks at office visits, counseling, activity logs, and exercise testing
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

Fruit & vegetable incentive programs

Offer participants with low incomes matching funds to purchase healthy foods, especially fresh fruits and vegetables; often called bonus dollars, market bucks, produce coupons, or nutrition incentives
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise
  • Climate

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

Community Conditions

  • Diet and exercise
  • Climate

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

Community Conditions

  • Diet and exercise

Individually-adapted physical activity programs

Teach behavioral skills that can help individuals incorporate physical activity into their daily routines
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

Mixed-use development

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Air, water and land
  • Civic and community resources
  • Climate

Societal Rules

  • Laws and policies

Multi-component obesity prevention interventions

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
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

Multi-component school-based obesity prevention interventions

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

Community Conditions

  • Diet and exercise

Nutrition and physical activity interventions in preschool & child care

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.
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise

Physically active classrooms

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

Community Conditions

  • Diet and exercise

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

Community Conditions

  • Diet and exercise
  • Civic and community resources
  • Climate

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

Community Conditions

  • Diet and exercise

Safe Routes to Schools

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS
Evidence Rating:
Scientifically Supported

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

School breakfast programs

Support programs to provide students with a nutritious breakfast in the cafeteria, from grab and go carts in hallways, or in classrooms
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education
  • Diet and exercise

Societal Rules

  • Institutional practices

School fruit & vegetable gardens

Establish designated areas where students can garden with guidance, often with nutrition and food preparation lessons and opportunities for taste tasting and hands-on learning
Evidence Rating:
Scientifically Supported

Community Conditions

  • Diet and exercise
  • Climate

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

Community Conditions

  • Diet and exercise
  • Climate

Societal Rules

  • Laws and policies

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

Community Conditions

  • 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

Community Conditions

  • 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

Community Conditions

  • Diet and exercise

Societal Rules

  • Laws and policies

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

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

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

Community Conditions

  • 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

Community Conditions

  • Diet and exercise

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

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Air, water and land
  • Climate

Societal Rules

  • Laws and policies