Strategies

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

182 Strategies
Clear all

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
  • Diet and Exercise

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
  • Diet and Exercise
  • Family and Social Support

Out of town bypasses

Establish roads that avoid built-up areas such as towns, cities, or commercial/business districts

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Community Safety

Parents as Teachers (PAT)

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

Evidence Rating:
Some Evidence
  • Education

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
  • 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
  • Diet and Exercise

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
  • Diet and Exercise

Point-of-purchase prompts for healthy foods

Place motivational signs on posters, front of package labels, or shelf labels near fruits, vegetables, and other items that encourage individuals to purchase healthier food options

Evidence Rating:
Some Evidence
  • Diet and Exercise

Preschool education programs

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

Evidence Rating:
Scientifically Supported
  • Education

Preschool programs with family support services

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

Evidence Rating:
Scientifically Supported
  • Education

Primary seat belt enforcement laws

Allow law enforcement officials to stop drivers solely for failing to use a seat belt

Evidence Rating:
Scientifically Supported
  • Community Safety

Promise Academy Charter Schools

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

Evidence Rating:
Some Evidence
  • Education

Publicly funded pre-kindergarten programs

Provide publicly funded pre-kindergarten (pre-K) education to 3- and 4-year-olds, through large-scale or universal efforts

Evidence Rating:
Scientifically Supported
  • Education

Reach Out and Read

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

Evidence Rating:
Scientifically Supported
  • Education

Recreational marijuana legalization

Allow adults to possess a limited amount of marijuana for personal, non-medical use

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use
  • Community Safety

Restaurant nutrition labeling

Provide nutrition information on menus and signboards at restaurants and other food outlets

Evidence Rating:
Some Evidence
  • Diet and Exercise

Restorative justice in the criminal justice system

Use victim-offender dialogue to address the harm caused by a crime and victims’ needs; can take place pre-arrest or post sentence via sharing circles, victim-offender mediation, or face-to-face conferences

Evidence Rating:
Scientifically Supported
  • Community Safety

Rollover protective structures (ROPS)

Attach metal bars, frames, or crush proof cabs to a tractor that provide a safety zone for an operator in the event of a rollover or overturn

Evidence Rating:
Scientifically Supported
  • Community Safety

Safe Routes to Schools

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Scared Straight

Organize tours of prison facilities for juvenile delinquents or youth at risk of delinquency and allow them to observe prison life and attend inmates’ presentations; also called juvenile awareness programs

Evidence Rating:
Evidence of Ineffectiveness
  • Community Safety

School and district level zero tolerance policies

Require school officials to apply predetermined consequences for certain infractions, regardless of situational context or circumstances; consequences are usually severe (e.g., suspension or expulsion)

Evidence Rating:
Evidence of Ineffectiveness
  • Education

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
  • Education
  • Diet and Exercise

School food & beverage restrictions

Limit access to competitive foods and beverages in schools via restrictions on foods that are not provided through the National School Lunch Program and School Breakfast Program.

Evidence Rating:
Some Evidence
  • Diet and Exercise

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
  • Diet and Exercise

School fundraiser restrictions

Prohibit the sale of unhealthy foods such as sugar sweetened beverages, candy, and other non-nutritious snacks at school fundraisers, often as part of a broader nutrition policy

Evidence Rating:
Expert Opinion
  • Diet and Exercise

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
  • Diet and Exercise

School-based health centers

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians

Evidence Rating:
Scientifically Supported
  • Education
  • Access to Care

School-based nutrition education programs

Address nutrition in schools via educational (e.g., classroom or curricula-wide efforts, peer training, etc.), environmental (e.g., school menus, classroom snacks, etc.), and other approaches

Evidence Rating:
Some Evidence
  • Diet and Exercise

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
  • Diet and Exercise

School-based social and emotional instruction

Implement focused efforts to help children recognize and manage emotions, set and reach goals, appreciate others’ perspectives, and maintain relationships; also called social and emotional learning (SEL)

Evidence Rating:
Scientifically Supported
  • Education

School-based tobacco prevention skill-building programs

Teach students personal and social skills to avoid tobacco use; led by teachers, health educators, or students in elementary schools, middle schools, or high schools

Evidence Rating:
Some Evidence
  • Tobacco Use

School-based trauma counseling

Help students process trauma exposure and develop coping skills through individual or small group counseling with mental health professionals or school staff with trauma-specific training

Evidence Rating:
Some Evidence
  • Education

School-based violence & bullying prevention programs

Address students’ disruptive and antisocial behavior by teaching self-awareness, emotional self-control, self-esteem, social problem solving, conflict resolution, team work, social skills, etc.

Evidence Rating:
Scientifically Supported
  • Education

School-community liaisons

Provide students from public schools, from low income backgrounds, or who have a high risk of dropping out and their families with information about social services and health care supports; also called community resource or family and community liaisons

Evidence Rating:
Insufficient Evidence
  • Education

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
  • Diet and Exercise

Secondhand smoke education interventions

Use counseling, informational materials, etc. to inform smokers and non-smokers of the harms of secondhand smoke and encourage them to implement home smoking bans

Evidence Rating:
Mixed Evidence
  • Tobacco Use

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
  • Diet and Exercise

Small elementary classes

Reduce the number of students in elementary school classrooms

Evidence Rating:
Some Evidence
  • Education

Smart Start North Carolina

Provide comprehensive early childhood services, including high quality educational child care, health, and family support to address local needs

Evidence Rating:
Some Evidence
  • Education

Smoke-free policies for indoor areas

Implement private sector rules or public sector regulations that prohibit smoking indoors or restrict it to designated, often outdoor, areas

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Smoke-free policies for multi-unit housing

Implement private sector rules or public sector regulations that prohibit smoking in and around multi-unit housing

Evidence Rating:
Expert Opinion
  • Tobacco Use

Smoke-free policies for outdoor areas

Implement private sector rules or public sector regulations that prohibit smoking outdoors or restrict it to designated areas

Evidence Rating:
Some Evidence
  • Tobacco Use

Soda taxes

Increase the price of sugar sweetened beverages (e.g., soda) by adding an excise or sales tax

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Sports-related concussion education

Educate youth and college athletes, coaches, and parents about the severity of concussions in sports, proper prevention, detection, reporting, and treatment

Evidence Rating:
Insufficient Evidence
  • Community Safety

Statewide comprehensive tobacco programs

Coordinate state and community-level cessation and prevention interventions and provide information on the dangers of tobacco using a combination of educational, regulatory, clinical, social, and economic strategies

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Strong graduated driver licensing laws

Strengthen laws that allow young drivers to gain driving experience in stages; often includes passenger and nighttime driving limitations and higher minimum ages for learner’s permits, intermediate, and full licenses

Evidence Rating:
Scientifically Supported
  • Community Safety