SNAP-Ed Soccer for Success (SfS)

Soccer for Success (SfS) is a direct education intervention designed to improve fitness levels of participants, improve nutritional knowledge and behavior of participants (and their families), and improve youth development outcomes of participants. SfS helps kids establish healthy habits and develop critical life skills through trained coach-mentors. Our multifaceted model combines structured physical activity, nutritional education, family engagement resources, and coach-mentoring best practices. The nutrition component meets USDA standards. SfS lessons are taught 3 times a week for 12 or 24 weeks by trained coach-mentors. SfS’ curriculum provides coach-mentors with tools to integrate nutrition lessons into fun activities. As a result, children are constantly engaged and challenged to incrementally increase both their level of physical activity and their understanding of healthy lifestyles. To further address the social determinants of health, we use SfS as a hub for wrap-around health services. The SfS model incorporates community engagement days, featuring health resources from local community-based organization partners.

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

Intervention Type: Direct Education

The OrganWise Guys Program (OWG)

 The OrganWise Guys Program (OWG) is a direct education and PSE change intervention designed to increase fruit and vegetable consumption and increase physical activity among participants, as well as facilitate PSE changes in the settings in which it is conducted. SNAP-Ed staff or trained classroom teachers provide direct education through various curriculum to youth in child-care and school settings and provide support materials for families. The WISERCISE! program provides 10-minutes of desk-side daily physical activity in the classroom. Foods of the Month helps create a healthy cafeteria environment via daily nutrition messaging and outreach to parents. The OWG gardening curriculum helps establish gardens while children learn to grow and consume homegrown food. These curriculum focus on PSE changes by working with school wellness councils to develop policies that address foods served at school events, establish school gardens, and improve and promote school meals/snacks. Partnerships and parent/adult engagement in positive health behaviors can lead to PSE change that is sustainable and beneficial community wide.

Target Behavior: Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance

Intervention Type: Direct Education, PSE Change

Heart Smarts

Heart Smarts is a direct education, PSE change, and social marketing intervention that combines healthy food access, nutrition education, and health and social services for individuals to improve their health and reduce their risk of diet-related disease. The program offers nine lessons for use in retail environments covering topics like fruits and vegetables, whole grains, sodium, sugar-sweetened beverages and making healthy choices along with nutrition-focused tip sheets. Each lesson includes taste tests, recipes, healthy food incentive coupons* and health screenings* (for blood pressure, weight checks, and healthy lifestyle counseling and referrals). Technical assistance and training is provided to site staff and storeowners to support PSE changes including healthier stores, businesses and communities.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, Social Marketing, PSE Change

*These Heart Smarts components (health screenings, including blood pressure and BMI; counseling and referrals; and healthy food incentive coupons help participants choose heart-healthy items at the site) are not allowable by SNAP-Ed. Heart Smarts lessons and food tastings can be used without these additional components. Screenings and coupons can be funded by grants or partnered organizations.

FoodShare

FoodShare is a PSE change intervention designed to improve food security and health outcomes through fresh food access and affordability. Every 2 weeks residents can order a Fresh Food Box using cash or SNAP/EBT. The program is a SNAP Healthy Bucks site (a state SNAP healthy incentives program), which allows SNAP recipients to receive a $10 healthy incentive to go towards the cost of their box. Each Fresh Food Box contains 12-14 varieties of culturally appropriate fruits and vegetables, always with a mix of more common items (e.g., apples) and less common items (e.g., radishes). A recipe card that is culturally relevant to participants and based on the produce in the box in a given week is also included. The program is situated within an academic medical center and community-based hospital system. A screening and referral process was created that links patients to FoodShare.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: PSE Change

Healthy Steps to Freedom

Healthy Steps to Freedom (HSF) is a direct education health, nutrition, and body image program designed to augment existing broad-based drug treatment and community education programs for women under correctional supervision for substance use/misuse.  HSF intervenes through self-enrollment, court ordered programs and the corrections system. While the long-term goal of HSF is to reduce recidivism and attrition for females under correctional supervision, the more immediate short-term goal is to teach healthy lifestyles as an alternative approach to substance use/misuse including nutrition, diet quality, balanced meals, physical activity, family mealtimes, reading food labels, increased fruit and vegetable consumption, and positive self-esteem.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Other: eating behaviors, body image disturbances and substance use/misuse

Intervention Type: Direct Education

Mind, Exercise, Nutrition…Do It! (MEND)

Mind, Exercise, Nutrition…Do it! (MEND) program is a direct education intervention designed to manage overweight, obesity in children 2-13 years old and their families by improving health, fitness, and self-esteem. The MEND programs combine physical activity, healthy eating, and behavior change to facilitate safe, effective weight management and lasting changes in lifestyle. Programs run for 10 weeks and the child and at least one parent or primary caregiver must attend. MEND programs help families in the following areas: 

● Mind – improving children’s self-esteem and supporting families to change their behaviors around eating and activity 

● Exercise – engaging in regular physical activity that is fun 

● Nutrition – learning about good nutrition and healthy eating 

● Do it! – taking action to make healthy lifestyle changes long term 

The newest program, Healthy Together, for children ages 6–13 years and their families, is based on MEND 7-13 but with simplified delivery and focus on critical content. Healthy Together can be delivered by one person and is ideal for smaller groups and spaces. 

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

Intervention Type: Direct Education

Food eTalk

Food eTalk is direct education intervention designed to increase participant’s daily intake of fruit and vegetables, whole grains, and fat-free or low-fat dairy products; decrease daily intake of sodium; improve food resource management, food safety practices, and physical activity. The 6 interactive eLearning modules are self-paced and the mobile-nature of many Internet accessing devices (i.e., smartphones) encourages learning at the point-of-decision making, such as engaging in quick Food eTalk video-based lessons in a supermarket or restaurant. Additionally, the asynchronous “anytime, anyplace” lessons aim to mitigate traditional barriers to attending in-person classes, such as issues with transportation, variable work schedules, and child-care limitations. Food eTalk includes 6 interactive lessons, 6 accompanying cooking demonstration videos, and 4 “just in time” education videos with focus on meal preparation, food shopping, and food safety in the home.

Target Behavior: Healthy Eating

Intervention Type: Direct Education

Healthy Choices for Every Body Adult Nutrition Education Curriculum

The Healthy Choices for Every Body (HCEB) is a direct education intervention designed to improve diet quality, physical activity, and food safety practices, as well as enhance food security and food resource management skills. HCEB incorporates lessons and activities that recognize participants’ experiences, skills, and knowledge; explains why, what, and how the nutrition education concepts presented relate to real-life situations; and includes active learning activities, hands-on practice, and demonstrations to help participants understand and apply content.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance, Other: Food resource management skills, food safety practices

Intervention Type: Direct Education

Teen Battle Chef (TBC)

Teen Battle Chef (TBC) is a direct education, social marketing, and PSE change intervention designed to develop skills in nutrition, cooking, and leadership for participants and their families through cooking lessons, a PSE campaign, ongoing nutrition education, development of youth leaders, and supporting a culture of wellness in partner organizations. TBC includes eight sessions in which participants learn plant-focused recipes and cooking skills to compete in cooking battles. After eight weeks of skill development, the Teen Chefs choose one of four tracts to impact PSE change. The four tracts are bundled with the curriculum license and include School Food Ambassadors (for collaborating with schools’ food service), Special Event Headliners (for ensuring healthy options at School Events), CHEFS 4 Change (program for youth collaboration with local bodegas to support healthy ‘grab n’ go’ options), and Culinary Coaches (teaching other students healthy meal/snack strategies).

TBC School Food Ambassadors have been effectively utilized as partners with school food service to co-develop new school menu items and promote them with demos and sampling. This active collaborative creates peer-driven motivation for more students to participate in school lunch and breakfast, which is easily measured through school food service participation rates.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance

Intervention Type: Direct Education, Social Marketing, PSE Change

Healthy Children, Healthy Families: Parents making a difference!

The Healthy Children, Healthy Families: Parents making a difference! (HCHF) is an 8-week intervention designed to increase healthy eating and physical activity and to reduce screen time. HCHF integrates parenting and nutrition education and is delivered to parents and caregivers of children 3 to 12 years old. HCHF uses a learner-centered dialogue approach, based on the Social Cognitive Theory, to engage participants in discussions and hands-on activities. This method aims to introduce behaviors (a.k.a. Paths to Success) most likely to prevent unhealthy weight gain and chronic disease, along with relevant parenting skills (a.k.a. Keys to Success) to help participants in supporting their families’ with these behavior changes. Sessions are scripted to ensure ease of delivery and are structured using the 4A Dialogue Approach to increase participant engagement. Each of the 8 sessions focuses on a specific behavior, and provides participants an opportunity to learn and apply one or more new parenting skills. These sessions are once per week and last 1.5 hours. Additionally, each session includes tasting a healthy recipe and an “active play break” to help parents practice activities they can take home and do with their children.

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

Intervention Type: Direct Education

Bingocize®

Bingocize® is a 10-week program designed to increase physical activity and reduce sedentary behavior. Specifically, Bingocize® can increase older adults’ functional fitness, knowledge of falls prevention, and social engagement in a variety of settings, including community senior centers and congregate meal sites. The program combines a bingo-like game with physical activity and/or health education (falls prevention and nutrition). Trained leaders may select between separate units that focus on exercise-only, exercise and falls prevention, or exercise and nutrition. Each unit includes a leader’s script for each session, participants’ materials, and “take home” cards for participants to complete exercises and tasks at home to reinforce the weekly health education information.  Participants play Bingocize® twice per week, with each 45-60 minute session consisting of exercises (range of motion, balance, muscle strengthening, and endurance exercises) and/or health education questions. The program is pre-approved by the National Council on Aging as an evidence-based falls prevention program and qualifies for Title IIID funding.

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

Intervention Type: Direct Education

VeggieBook, a mobile app for Android and iOS smartphones (VB)

VeggieBook is a social marketing and direct education intervention app that is designed to help users choose customized recipes and healthy eating tips which ultimately lead to increased vegetable-based preparation for meals at home. The app invites a user to create a new VeggieBook or SecretsBook. VeggieBooks are sets of recipes, each set built around 1 of 10 vegetables. A series of questions posed by the app helps users select recipes and food preparation tips of interest. Recipes use simple ingredients most households have and have been tested for user-appeal. SecretsBooks are 5 sets of illustrated ideas about food use and acquisition–Secrets to Better Breakfasts, Lunches, Dinners, Snacks, and Shopping. The app’s emphasis on users’ choices promotes just-in-time learning.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: Direct Education, Social Marketing

Cooking for a Lifetime of Cancer Prevention

The Cooking for a Lifetime of Cancer Prevention (C4L program) is a direct education intervention designed to increase participant’s intention to: 1) implement nutrition and physical behaviors for cancer prevention (achieve and maintain a healthy weight, consume fruits and vegetables, limit red meat, avoid processed meat, choose whole grains, and limit alcohol, and meet US physical activity guidelines), and 2) be screened for breast, cervical, and/or colorectal cancer as age and sex appropriate. In addition, participants will be able to: 3) select and prepare healthy foods for an overall healthy lifestyle and for cancer prevention, and 4) eligible participants will be able to connect with referral to free and reduced cost cancer screening services through the Breast and Cervical Cancer Control Program (BCCP) or other cancer resources in their community. The one-time, three-hour workshop includes educational presentations that address SNAP-Ed outcomes, including encouraging healthy eating, increasing physical activity and reducing sedentary time, and improving food resource management.

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Other: Cancer screening participation

Intervention Type: Direct Education

Common Threads: Small Bites Program

The Common Threads: Small Bites Program is a direct education intervention designed to increase nutrition knowledge, vegetable consumption, and variety of vegetables consumed. The curriculum teaches students about nutrition and healthy cooking through a series of eight 1-hour lessons combining nutrition and knife-free cooking. In every lesson, students prepare a healthy snack, using recipes that meet USDA Guidelines, and provide opportunities to learn about and reinforce nutrition concepts and cooking skills. The lessons are grade-level banded, suitable for the in-school or after-school setting and are designed to support core content learning in math, English Language Arts, and science.

Target Behavior: Healthy Eating

Intervention Type: Direct Education

Healthy Way to Grow

The Healthy Way to Grow (HWTG) is a direct education and PSE intervention directed at early childhood education centers (ECE). HWTG 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. HWTG 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

Healthy Nutrition Guidelines for LA County

The Healthy Food Procurement Initiative in Los Angeles County is a PSE Change intervention designed to improve the nutrition standards of the county’s food service contracts.  In 2011, the County of Los Angeles (“County”) Board of Supervisors adopted Healthy Food Promotion in Los Angeles County Food Service Contracts, a motion aimed at County departmental food procurement policies and practices as they relate to nutrition. The motion established a process for the County’s Department of Public Health to develop nutrition standards and/or healthy food procurement practices in new and renewing Requests for Proposals (RFP) for food service and vending contracts across County departments.

Target Behavior: Healthy Eating

Intervention Type: PSE Change

Connecticut Breastfeeding Initiative (CBI)

The Connecticut Breastfeeding Initiative (CBI) is a PSE Change intervention designed to promote practices in maternity facilities that support the initiation and continuation of breastfeeding. The Ten Steps to Successful Breastfeeding provide the foundation of the Baby-Friendly Hospital Initiative (BFHI). The Steps focus on breastfeeding initiation, exclusive breastfeeding, skin-to-skin contact, and rooming in, among other elements. By providing a state-level support system of training, technical assistance, and financial assistance, the CBI assisted multiple hospitals in progressing down the 4-D Pathway with the intention of becoming Baby-Friendly designated. The cornerstone of the CBI is the implementation of the Baby-Friendly Hospital Initiative (BFHI) at the hospital level.

NOTE: Portions of this initiative may be SNAP-Ed appropriate. Should be done in collaboration with WIC and other maternal and child health programs.

Target Behavior: Breastfeeding

Intervention Type: PSE Change

Kaiser Permanente Cafeteria Menu Labeling

Kaiser Permanente (KP) Cafeteria Menu Labeling is a PSE change intervention developed collaboratively by KP National Nutrition Services Procurement & Supply and National Community Benefit Departments to help patrons make informed decisions about their purchases with the goal of shifting purchasing to lower calorie and healthier options. The KP Cafeteria Menu Labeling intervention provides cafeteria customers with detailed nutrient content information, including calories, at the point-of-decision-making. The intervention was developed to help inform food/beverage purchasing decisions in KP hospital sites for those visiting the cafeteria, including employees, health plan members, and visitors.

Target Behavior: Healthy Eating

Intervention Type: PSE Change

Baby-Friendly Hospital Initiative (BFHI)

The Baby-Friendly Hospital Initiative (BFHI) is a hospital accreditation program and PSE change intervention that was created by the United Nations Children’s Fund and the World Health Organization to recognize hospitals and birth centers around the world that offer an optimal level of care for infant feeding and mother/baby bonding. It requires facilities with the Baby-Friendly designation to provide direct breastfeeding education and support to families.  In the United States, Baby-Friendly USA, Inc. is the nonprofit national authority for the Baby-Friendly Hospital Initiative and conducts all activities necessary to assess, accredit birthing facilities with the Baby-Friendly designation.. In order to receive the Baby-Friendly designation, maternity facilities must meet the BFHI criteria for implementing the Ten Steps to Successful Breastfeeding, which consists of evidence-based practices that have been shown to increase breastfeeding initiation and duration. To attain designation facilities must also follow the International Code of Marketing of Breast-milk Substitutes which outlines restrictions for marketing of breast-milk substitutes, infant feeding bottles and artificial nipples. Infant formula and related products must be purchased at fair market rates and the facility may not accept any free or discounted breast-milk substitute distributed and/or sponsored by formula companies.

Target Behavior: Breastfeeding

Intervention Type: Direct Education, PSE Change

Food Hero

Food Hero is a multi-channel social marketing campaign designed to change family and community behaviors.  Food Hero includes an extensive evaluation process. The program is designed to increase fruit and vegetable consumption among low-income Oregonians, and components of the campaign have been used widely in other states and countries.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, PSE Change, Social Marketing

EatFresh

EatFresh.org is mobile-friendly website that was created for the SNAP-Ed population and the organizations that serve them. It provides practical resources and encouragement for individuals with varying levels of digital literacy, internet access, health awareness and culinary skills. EatFresh.org is a stand-alone indirect education resource, an extender for direct education interventions, and a useful tool for a variety of PSE strategies. Partners throughout California use EatFresh.org as a tool to direct their participants to healthy recipes during nutrition workshops, to look up preparation and storage tips for food received at food banks, and to apply for SNAP/Calfresh.  They promote the website by distributing recipe cards at health fairs and other indirect events, and refer clients to the EatFresh.org Mini Course as a flexible direct education resource. The EatFresh.org Mini Course is a free online direct education course that features 15 SNAP-Ed self-paced topics that can be completed in any order.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, PSE Change

Healthy Food Environments (HFE)

Healthy Food Environments (HFE) is a social marketing and PSE change intervention that aims to increase availability, visibility, and affordability of healthy foods and beverages for employees, volunteers, and visitors on hospital campuses.  The intervention includes a pricing policy incentive to encourage purchase of healthier items (through a price decrease) and discourage purchase of less healthier items (through a price increase). There are five principles in the overall Healthy Food Environment initiative:

  • Provide access to healthy foods
  • Use pricing to promote healthy foods
  • Use marketing techniques to promote healthy foods
  • Use benefit design & incentives to encourage behavior change, and
  • Educate staff and visitors about healthy foods.

Target Behavior: Healthy Eating

Intervention Type: Social Marketing, PSE Change

Mind, Exercise, Nutrition…Do It! (MEND)

Mind, Exercise, Nutrition…Do It! (MEND) is a family-based direct education intervention designed to manage overweight and obesity in 7–13-year-olds and their families by improving health, fitness and self-esteem. The MEND program combines active living (physical activity), healthy eating, and behavior change to facilitate safe, effective weight management and lasting changes in lifestyle. The program is attended by the child and at least one parent or primary caregiver, and runs for 10 weeks, typically for two hours twice a week. MEND helps families in the following areas:

  • Mind – improving children’s self-esteem and supporting families to change their behaviors around eating and activity
  • Exercise – engaging in regular physical activity that is fun
  • Nutrition – learning about good nutrition and healthy eating
  • Do it! – taking action to make healthy lifestyle changes

Healthy Weight Partnership and MEND Foundation provide third parties with the training, resources, support and technical assistance required to deliver MEND programs effectively.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education

Harvest of the Month (HOTM)

Harvest of the Month (HOTM) is a social marketing intervention designed to raise awareness of the benefits of eating fruits and vegetables and being active every day in a variety of settings including schools, daycare, and afterschool programs; retail food stores and farmers markets; health clinics; food banks; and worksites. HOTM provides materials for students, families, and the community to engage in hands-on opportunities to explore, taste, and learn about the importance of eating fruits and vegetables and being active every day. Resources provide the opportunity for collaboration among many partners and stakeholders, including educators, school nutrition staff, school administrators, students, parents, farmers, retail outlets, worksites, SNAP offices, after-school programs, and more.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: PSE Change, Social Marketing

Pick it! Try it! Like it! (PTL)

Pick it! Try it! Like it! (PTL) is a direct education and social marketing intervention which aims to increase consumption of fruits and vegetables by providing consumer information on selecting and preparing fresh produce. PTL materials are filled with tips for selecting, exploring, and cooking a wide variety of fruits and vegetables. Factual information complements simple, healthy, and tested recipes. Colorful fact sheets, recipe cards, and educational videos provide educators and families with fun, engaging tools to enhance any dietary curriculum in a variety of settings.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, Social Marketing 

Michigan Harvest of the Month (MiHOTM)

Michigan Harvest of the Month™ (HOTM) is a multi-level intervention designed to increase consumption of and access to fruits and vegetables; link child-focused nutrition education in schools with adult-focused supports in community-based food access settings; increase consumption of locally grown produce by connecting growers to their communities in school, child care, worksite, retail, farmers market, health care, and emergency food settings. HOTM features ready-to-go supplemental nutrition education materials that can easily be integrated into the core curriculum and are based on the current Dietary Guidelines for Americans.

Target Behavior: Healthy Eating

Intervention Type: Direct Education, Social Marketing, PSE Change

Fruit, Vegetable, and Physical Activity Toolbox for Community Educators

The Fruit, Vegetable and Physical Activity Toolbox for Community Educators (Toolbox) is a direct education and social marketing intervention designed to reach African-American women through nutrition education to increase consumption of fruits and vegetables and physical activity (PA) and empower women to overcome barriers to achieving these goals at the personal and community level. The Toolbox Kit and companion Web site were created so that community educators can easily teach low-income adults about eating the recommended amount of fruits and vegetables and enjoying PA every day.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education, Social Marketing