Stanford Youth Diabetes Coaching Program

The Stanford Youth Diabetes Coaches Program (SYDCP) facilitates partnerships between medical training programs and high schools serving youth from socioeconomically disadvantaged and underrepresented minority communities. The SYDCP is a “train the trainer program” in which medical residents (and other health professional trainees) train high school students to coach family members with diabetes or other chronic illnesses. The program consists of 8 tightly scripted, interactive PowerPoint based lessons that incorporate evidence-based approaches to chronic disease management, highlighting healthy eating and physical activity. The curriculum is based on Kate Lorig’s Adult Chronic Disease Self-Management Model, Social Cognitive Theory, and peer health coaching, and is designed to address the burden of chronic disease in underserved communities by focusing on health knowledge, communication skills, goal setting, problem solving, and healthy behaviors. 

Please Note: Medical nutrition therapy is not allowable for SNAP-Ed. We strongly recommend you partner with a healthcare professional to provide those components of this intervention. Components focused on healthy eating and physical activity are appropriate for SNAP-Ed. 

Target Behavior: Healthy Eating, Physical Activity and Reduced Screen Time 

Intervention Type: Direct Education

Steps to Health’s Nuts and Bolts of a Healthy Food Pantry

The Nuts and Bolts of a Health Food Pantry Toolkit is a direct education and PSE change intervention that is designed to support pantries in improving the food environment so their clients can choose healthy food and beverage items. The components of the Toolkit include a resource guide, baseline and follow-up assessments to explore opportunities for PSE, training modules for food pantry staff and volunteers, action planning tools for sustaining PSE changes, and promotional materials, such as signage and “nudge” cards to influence healthy choices. The Toolkit equips partners to share best practices when collaborating with food pantries.  

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance  

Intervention Type: Direct Education, PSE Change 

Healthy Drinks for Toddlers

Healthy Drinks for Toddlers is a social marketing intervention designed for caregivers of young children to discourage provision of sugar-sweetened beverages (SSBs) and encourage water consumption. The 45-second videos counter fruit drink and toddler milk marketing messages, inform caregivers about why these drinks are not recommended for young children and include a specific message to parents to “keep it simple, keep it real” by serving water and plain milk to their toddlers once weaned from breastmilk/infant formula. These materials provide SNAP households with young children accurate information about the best drinks to serve during their child’s transition from breastmilk/infant formula to regular table food, a critical time in development of healthy eating habits. 

Target Behavior: Healthy Eating 

Intervention Type: Social Marketing 

Steps to Health’s PSE Toolkit: The Ingredients for a Welcoming Farmers Market

The Ingredients for a Welcoming Farmers Market Toolkit is a PSE change intervention that uses best practices to contribute to a more welcoming farmers market environment for all community members. The Toolkit outlines a 7-step process designed to assist with data collection, analysis, and action planning. The baseline assessment determines whether the market is implementing the healthy practice in question or if the market needs some improvement in that area. The resource guide helps staff better understand why questions are included in the assessment, and how the market can improve its practices related to each question. Using the Community Food Survey included in the Toolkit, staff collect responses from community members to better understand why individuals might not attend the farmer’s market or what foods they might be interested in buying at the market.  

Target Behavior: Food Insecurity/Food Assistance 

Intervention Type: PSE Change 

Cooking Matters for WIC Clinics (CM for WIC)

Cooking Matters for WIC Clinics (CM for WIC) is a direct education intervention designed to enhance the WIC client experience and to improve maternal and child diets and health through improved knowledge and self-efficacy for healthy eating on a budget, increased WIC voucher redemption (particularly the fruit and vegetable vouchers), and increased WIC client retention beyond the first year postpartum. CM for WIC includes nutrition education and hands-on cooking classes adapted from the Cooking Matters for Parents (CMP) curriculum to correspond with the time frame of other client classes offered at WIC clinics, Cooking Matters at the Store for WIC Parents (CMATS WIC) pop-up grocery store tours in clinics, and customized survey tools.

Target Behavior: Healthy Eating, Other: Food Resource Management  
Intervention Type: Direct Education 

Around the Table

Around the Table is a direct education intervention for youth that upholds principles of trauma-informed engagement and nourishment. It is designed to improve cooking skills, food safety, food resource management, and healthy eating, as well as increase awareness surrounding stress, emotional eating, health values, and feeding children. Participants enjoy hands-on cooking, facilitated conversations, and interactive activities that build healthy connections to food, self, and community.  

Additionally, Around the Table: Nourishing Families is for young adults and parents. It is a curriculum that upholds principles of trauma-informed engagement and nourishment where participants enjoy conversation, reflection, cooking, sharing a meal together, and learning holistic skills to care for their families’ nutritional well-being.  

Target Behavior: Healthy Eating  
Intervention Type: Direct Education 

The State Nutrition Action Council: Farmers Market Initiative

The State Nutrition Action Council: Farmers Market Initiative (SNAC) is policy, systems, and environmental change intervention designed to:

  • Increase knowledge of Food and Nutrition Service (FNS) programs available at farmers markets.
  • Increase knowledge of locally grown fruits and vegetables and how to use, cook, and store them.
  • Increase the use of Market Match and CalFresh redemption vouchers to support low-income shoppers in maximizing their purchasing power.
  • Increase state and local partnerships of FNS funded programs to support a welcoming market environment that accepts multiple FNS food benefits. 

In 2018, SNAC focused on increasing low-income shoppers’ utilization of their food and nutrition program benefits at local Farmers Markets, and in 2019, SNAC expanded its Farmers Market Initiative (FMI) into additional counties and markets, as well as added an on-site navigator component. The navigator model was tested at three markets, and the CalFresh Healthy Living (CFHL) Navigators were found to address barriers to shopping at farmers markets, including lack of knowledge and comfort using food assistance benefits. CFHL Navigators provided support to shoppers by distributing materials, promoting accepted FNS benefits, providing information on how to use FNS benefits, explaining Market Match, and providing interactive nutrition and health education activities on-site at the market for six consecutive weeks. The FMI has continued to expand into new counties in California since 2019 and increases in food benefit redemptions at FMI markets has sustained. 

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: PSE Change

Food Smarts

Food Smarts is a direct education intervention that is designed to support healthy behavior change in the areas of healthy eating, food safety, cooking, food waste reduction and food resource management. In 2022, Leah’s Pantry released an updated version of Food Smarts that incorporates principles of trauma-informed nutrition.  Food Smarts is a flexible, learner-centered, multi-session nutrition and cooking program with several available lesson plans to fit the needs of a variety of settings. A kitchen is not required for the implementation of the intervention, but participants can be engaged in simple recipe preparation as an instructional strategy. The adult curriculum of Food Smarts is available in English, Spanish, Russian, Chinese, Vietnamese, and Korean. The youth curriculum is available in English.  

Target Behavior: Healthy Eating  
Intervention Type: Direct Education 

Veggie Van (VV) Toolkit

The Veggie Van (VV) Toolkit is a policy, systems, and environmental change intervention designed to:

  • Increase access to healthy, affordable fruits and vegetables in lower income and/or food insecure communities
  • Help the target population improve their diets through skill building
  • Address the interplay between the physical food environment, individual perceptions of that environment, and self-efficacy
  • Address multiple dimensions of access to fresh produce for lower-income and under-served communities, including availability, affordability, accessibility (geographic and financial), and accommodation
  • Improve self-efficacy for finding, purchasing, and preparing fruits and vegetables or other healthy foods via cooking and nutrition education interventions

VV achieves these goals via mobile farmers markets that present cooking demonstrations, recipes, taste tests, and nutrition education to help customers better use the produce they receive. VV mobile markets also accept SNAP benefits, electronic benefits (EBT), and other relevant local food incentive and benefit programs, as well as employ a bundling model in addition to a la carte purchasing. The bundling model allows the VV mobile markets to sell more items at a lower cost and expose participants to a greater variety of fruits and vegetables. Markets operate a minimum of 10 months out of the year and typically source produce locally or regionally.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: PSE Change

PSE Readiness Assessment and Decision Instrument (PSE READI)

The PSE READI intervention was designed with guidance from SNAP-Ed and public health practitioners in Ohio to promote successful implementation of community nutrition Policy, System, and Environmental (PSE) programs as a broader strategy for obesity prevention. Practitioners can take the online PSE Readiness Assessment and Decision Instrument (READI) to assess their community’s readiness and capacity to implement community nutrition PSE changes. The PSE READI can be completed by an individual or the practitioner can invite community members to share their input in a team assessment. The four different PSE READIs currently available include: Farmers’ Markets, Healthy Food Retail, Farm to School, and Healthy Eating Policies in Childcare, with current plans to add two new areas to the tool in 2022: Food Pantries and K-12 Schools. After completion of your PSE READI, a report will be generated with three recommendations. These recommendations will help practitioners and teams plan next steps and guide community nutrition PSE implementation tailored to local community readiness and capacity. The PSE READI website includes a curated resource library with over 1,000 toolkits, guides, and other evidence-based PSE resources that provide guidance to help end-users put into action their community nutrition PSE implementation.  

Target Behavior: Healthy Eating  
Intervention Type: PSE Change