Strategies

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

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

Provide home visiting services to low income, first time mothers and their babies, starting during pregnancy and continuing through a child’s second birthday

Engage community members to determine how public budgets are spent, ideally to improve neighborhood conditions and reduce inequality.

Use pervious concrete, porous asphalt, permeable interlocking pavers, open-jointed blocks or cells, or other permeable pavement in individual or commercial development efforts; also called porous or pervious pavement

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

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

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable to help control stormwater