Alliance for a Healthier Generation (Healthier Generation)

The Alliance for a Healthier Generation (Healthier Generation) supports school and district leaders in creating and sustaining healthy schools where students – especially those from underserved communities – can thrive. 

Healthier Generation is a PSE intervention designed to create healthier school environments for students and staff. It is among the nation’s largest school-based programs improving whole child health, addressing multiple factors that lead to inadequate health and life outcomes – from physical activity (PA) and nutrition to social and emotional health and tobacco/vaping prevention. Healthier Generation leads school and district staff through the following 6 step continuous improvement process: 1) convene a School or District Wellness Committee, 2) assess the school health environment using the Thriving Schools Integrated Assessment (TSIA), 3) develop an action plan tailored to school or district priorities based on what is important and achievable, 4) explore Healthier Generation resources and tools, 5) take action to implement the plan and achieve school or district goals 6) celebrate success and monitor progress. Healthier Generation facilitates the development of partnerships during step one and provides support to schools to implement evidence-based policies and practices related to nutrition and PA. Schools document their need and readiness for change in step two by completing the TSIA. The sixth step addresses program recognition by celebrating schools’ success through Healthier Generation’s national recognition program.  

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: PSE Change

Project breakFAST (Fueling Academics and Strengthening Teens)

Project breakFAST is a Policy, Systems, and Environmental Change intervention designed to increase high school breakfast participation. In this intervention, a school breakfast team, made up of students, school food service, administration, teachers, and other key staff is formed to design and implement a grab-and-go breakfast outside the traditional cafeteria setting. School policies are changed to allow students to eat school breakfast in the hallways or classrooms. A student-led marketing campaign is conducted to encourage students to eat school breakfast. With the increased school breakfast participation, most schools are able to recoup start-up costs within one month and make a profit on school breakfast. Project breakFAST promotes healthier eating as high school students ate breakfast more often, ate more fruit servings, and did not have a change in overall calorie intake despite the increase in eating breakfast. Project breakFAST also addresses food insecurity as breakfast participation increased among low-income students and regular pay students. 

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance 

Intervention Type: PSE Change.

Eagle Adventure

The Eagle Adventure (EA) was designed to address the need for culturally relevant SNAP-Ed programming to prevent type 2 diabetes in Indian Country. EA was developed using the CDC Eagle Book series as the central theme. Through this series of four books, wise animal characters are brought to life. Mr. Eagle, Miss Rabbit and a clever trickster, Coyote, engage Rain That Dances and his young friends in the joy of being physically active, eating healthy foods and learning from their elders about traditional ways of being healthy. Throughout the program, youth and their families learn that type 2 diabetes can be prevented through healthful dietary and physical activity (PA) choices. Students in grades 1-3 are introduced to the program through the EA play, which embraces traditions of Native American storytelling. Students participate in hands-on activities and food experiences in each of the lessons.

EA includes the following social marketing components: school and radio announcements, newspaper messages, place-based signage, and social media components to extend healthful messages beyond the classroom to community settings. Not Our Destiny (www.NotOurDestiny.com) is a complementary intergenerational social marketing campaign that is asset-based and shares stories of health from Native Americans who engage in healthful activities.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Other: preventing type 2 Diabetes

Intervention Type: All: Direct Education, Social Marketing, PSE Change

FNV

The FNV Campaign is a social marketing and PSE change intervention that aims to present fruits and vegetables in a way that is both fun and cool, ultimately shifting attitudes, behavior and social norms relative to healthy eating. The objectives of the FNV Campaign are to create positive attitudes toward fruits and vegetables and to drive increased consumption of fruits and vegetables in targeted communities amongst SNAP eligible audiences. Targeted at millennials, the FNV campaign uses humor and the power of local and/or national celebrity to voluntarily shift consumer behavior toward healthier dietary choices. The campaign’s recommended approach includes surround sound marketing through billboards, retail, and transit media placements and in advertising buys on social and digital media, but it can be customized and tailored based on individual campaign needs.

Target Behavior: Healthy Eating

Intervention Type: Social Marketing, PSE Change

The Safe and Healthy Food Pantries Project (SHFPP)

The Safe and Healthy Food Pantries Project (SHFPP) is a PSE change intervention designed to improve the food environment and food safety practices within an emergency food pantry. The SHFPP manual provides tools to support the adoption of research-informed strategies likely to expand access and promote safe and healthy food. Users are encouraged to follow an action cycle with 5 steps outlined in the manual (e.g., assessment, strategies, action planning, implementation, and evaluation). The project is implemented and maintained with collaboration between SNAP-Ed educators, food pantry staff and volunteers, and other stakeholders. This team is encouraged to assess where changes can be made including readiness and sources of food procurement. The stand-alone tools help guide the team to plan policies and practices that change the food pantry environment in terms of health and safety. Example strategies include donor education, improvements in food layout or display, signage, procuring local food, and food safety and nutrition policies. Finally, the toolkit emphasizes continuously evaluating and assessing the efforts and changes made in the pantry.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance, Other: Food Safety

 Intervention Type: PSE Change

Culture of Wellness in Preschools: Policy, System and Environment Change Process (COWP)

The Culture of Wellness in Preschools, Policy, System and Environment Change Process (COWP PSE Change Process) is a PSE change intervention designed to implement an average of five changes that promote healthy eating and physical activity in early childcare centers. Interdisciplinary wellness teams are comprised of 3-8 early childcare center staff who work together to participate in three key change-making strategies: 1) conducting a strengths and needs assessment related to healthy eating and physical activity practices, 2) prioritizing best practice PSE changes based on importance and feasibility, and 3) developing action steps and planning for implementation and sustainability. Toolkit materials are provided to each site to support the implementation of their selected PSE changes. COWP facilitators help early childcare center staff develop center-specific wellness policies highlighting their adopted PSE changes to ensure sustainability.

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

Intervention Type: PSE Change

Integrated Nutrition Education Program

The Integrated Nutrition Education Program (INEP) is a multi-level comprehensive direct education and policy, system, and environment (PSE) change intervention designed to increase fruit and vegetable intake and physical activity levels in children and their parents and to reduce the risk of obesity and chronic disease. INEP’s programming consists of classroom nutrition education and physical activity lessons, take-home recipes, newsletters, and parent nights designed to combat the rising rates of obesity, diabetes, hypertension, and other negative health outcomes. INEP’s programming is designed to positively influence healthy eating habits for students and empower them to take what they learn in school back home to their families at no cost to participants.

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

Intervention Type: Direct Education, PSE Change

The Children’s Healthy Living (CHL) Program

The Children’s Healthy Living Program (CHL) is a direct education, social marketing, and PSE change intervention designed to help children ages 2-8 in pacific communities decrease sugar-sweetened beverage (SSB) intake, increase water intake, increase fruit and vegetable intake, decrease recreational screen time, increase physical activity, and increase the duration of sleep. The CHL toolkit has 4 functions that partners can choose from: 1) strengthen and implement school wellness policies, 2) partner and advocate for environmental change, 3) promote the CHL message, and 4) train trainers (capacity building) that address healthy behaviors at multiple levels of the social ecological model. Nineteen specific activities are recommended under each of the 4 functions. These activities promote PSE changes through the development of community strengths and interests. 

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

Intervention Type: Direct Education, Social Marketing, PSE Change

Farm to Early Care and Education

Farm to Early Care and Education (farm to ECE) is a PSE change intervention designed to increase access to healthy, local foods in ECE settings through local food purchasing and gardening; increase the quality of the ECE setting through food, nutrition, and agriculture

related experiential education; increase children’s acceptance and preference for healthy foods; increase children and family knowledge about healthy foods and local food systems; and  positively influence child, family, and provider health behaviors. Farm to ECE includes a set of activities and strategies that include 3 core elements of farm to school – local food purchasing, gardens, and food, nutrition, and agriculture education – implemented with the goal of enhancing the quality of the ECE environment and the educational experience in all types of ECE settings. As farm to ECE is not a “one size fits all” strategy, the core elements adapt readily to different settings, geographic locations, enrollment numbers, and diverse ages and abilities of children. Farm to ECE aims to advance racial and social equity by increasing access to healthy, local foods and high quality education opportunities for all children.

Target Behavior: Healthy Eating

Intervention Type: PSE Change

The Early Childhood Program Wellness Policy Workbook

The Early Childhood Program Wellness Policy Workbook is designed to promote the adoption of wellness policies and implementation of best practices at the center level to create cultures of health within child care facilities, which positively impact early childhood providers’ knowledge and skills about healthy eating and physical activity (PA), provide tools and resources for child care facilities to help parents and families increase healthy eating and PA, and expose children to healthy foods and PA at a young age. It helps centers learn how to approach these issues and embed best practices into their ongoing activities to create a culture of health and wellness within their environments.

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity and Reducing Screen Time, Other: staff wellness

Intervention Type: Direct Education, PSE Change