Strategies

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

20 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

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

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Societal Rules

  • Institutional practices
  • Governance

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

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

Extracurricular activities for physical activity

Provide chances for kids and adolescents to be active and play sports at various skill levels via structured or unstructured after and before school athletic activities
Evidence Rating:
Some Evidence

Community Conditions

  • 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

Community Conditions

  • Diet and exercise
  • Civic and community resources
  • Climate

Homework or extra credit for PE class

Assign homework or extra credit activities for physical education (PE) or health classes that require students to be physically active outside of school
Evidence Rating:
Some Evidence

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 workplace supports for active commuting

Provide physical infrastructure (e.g., bike parking or showers), educational or social support (e.g., walking groups), and financial incentives that support active commuting
Evidence Rating:
Some Evidence

Community Conditions

  • Housing and transportation
  • Diet and exercise
  • Climate

Open gym time

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
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Civic and community resources

Open Streets

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

Community Conditions

  • Diet and exercise
  • Civic and community resources
  • Climate

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

Recreational sports leagues for adults

Offer opportunities for adults to play athletic games such as soccer, softball, kickball, basketball, etc. at beginner, intermediate, and competitive levels
Evidence Rating:
Expert Opinion

Community Conditions

  • Diet and exercise
  • Civic and community resources

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

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

Community Conditions

  • Diet and exercise
  • Civic and community resources

Societal Rules

  • Institutional practices

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

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