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

Pennsylvania Healthy Pantry Initiative

The Pennsylvania Healthy Pantry Initiative (PA HPI) is a PSE change intervention designed to increase access to healthy food and promote healthy food choices within the food pantry. PA HPI provides resources to implement strategies included in the pantry assessment. The strategies are divided into five categories: inventory, environment and healthy nudges, health promotion and marketing, nutrition policies and guidelines and services, resources and training. Nutrition educators collaborate with food pantry staff and volunteers, as well as food bank staff to assess, plan and implement strategies according to the needs and capacity of the pantry. 

Target Behavior: Healthy Eating 

Intervention Type: PSE Change 

Chronic Disease Self-Management Program

The Chronic Disease Self-Management Program (CDSMP) is a direct education intervention that helps individuals and caregivers of those with chronic health conditions build a “toolbox” of strategies they can utilize to help achieve their health goals. Workshops are for adults and are highly participatory and build mutual support. Workshop topics include techniques to deal with symptoms of chronic conditions, such as fatigue, pain, sleeplessness, shortness of breath, stress, and emotional problems, such as depression, anger, fear, and frustration. Participants will learn appropriate exercise for maintaining and improving strength and endurance, falls prevention, healthy eating, better breathing techniques, appropriate use of medication, working more effectively with health care providers, communication skills, action planning, problem solving, and decision making. Through actively achieving small goals, participants obtain success which builds confidence in their ability to manage their health and maintain active, fulfilling lives. 

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 

Turtle Island Tales Family Wellness Program

The Turtle Island Tales family wellness program is a home-based, family-level, direct education intervention designed to increase fruit and vegetable consumption, decrease added sugar intake, increase physical activity, decrease sedentary/screen time, promote healthy sleep, and promote emotional regulation, providing low-income, SNAP-eligible American Indian (AI) families with skills and tools needed to make healthy lifestyle choices. The year-long 12 lesson program is designed to be mailed into the home monthly as a kit focused on a particular topic each month. Each kit contains themed printed lessons for adults, a children’s book on the topic, support items, and multiple activities for adults and children (3-8 years). Each lesson is designed for use in the home by families for approximately 1-2 hours each month; additional games and recipes in the kit and online encourage engagement throughout the month. The program is reinforced by social media (Instagram/Facebook) and a website that contains healthy recipes, active games, tips for wellness, and short character-based films, and complements and reinforces existing policy, systems, and environmental change interventions in Native communities, such as community gardens, traditional activities, and tribal wellness programs. 

Target Behavior: Healthy Eating, Physical Activity and Reduced Screen Time, Other: Sleep, emotional regulation 

Intervention Type: Direct Education 

StrongPeople™ Strong Hearts

StrongPeople Strong Hearts (SPSH) is a cardiovascular disease risk reduction program for midlife and older adults designed to improve diet and physical activity behaviors, assess local food and physical environment resources, and shift social norms about active living and healthy eating. The program consists of experiential one-hour group classes twice weekly for six months (48 classes) addressing multiple levels of the socioecological model (individual, social, and environmental levels). Class activities include aerobic exercise; strength training; instruction, discussion, and activities related to nutrition, physical activity, stress, and social support; and civic engagement activities to increase awareness and knowledge of aspects of the local food and physical environment that make healthy living easier or more difficult.  

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

Intervention Type: Direct Education 

Common Threads: Cooking Skills and World Cuisine Program

Cooking Skills and World Cuisine (CSWC) is a direct education intervention targeting elementary and middle school aged children designed to increase nutrition knowledge, culinary skills, liking of vegetables, vegetable consumption, and communication about healthy eating between students and families. Each lesson explores a different country’s cuisine and teaches young chefs how to follow a recipe, prepare and cook ingredients, and leave the kitchen as clean as they found it. Students that have completed the Cooking Skills and World Cuisine program are able to cook a balanced healthy meal that includes whole grains, lean protein, fruits, and vegetables. 

Target Behavior: Healthy Eating 

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 

PowerUp Your School

PowerUp Your School (PowerUp) is an evidence-based physical activity program aligned with academic standards and social-emotional learning skills. As a direct education program, PowerUp helps youth meet national physical activity guidelines by engaging K-8th grade participants in 30 minutes of physical activity, a minimum of two times per week, in before and after school settings. Every PowerUp lesson is aligned with national Math and English Language Arts academic standards to engage students in active learning. Designed to minimize barriers to physical activity, PowerUp does not require any equipment and can be successfully implemented in a variety of spaces including gymnasiums, cafeterias, classrooms, hallways, common spaces, or outdoors. 

Target Behavior: Physical Activity and Reduced Screen Time 

Intervention Type: Direct Education

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