Setting: USDA program sites
Policy, Systems, and Environmental Change Strategies in the Supplemental Nutrition Assistance Program-Education (SNAP-Ed)
Healthy Choices for Every Body Adult Curriculum Improves Participants’ Food Resource Management Skills and Food Safety Practices
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
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
Supporting Wellness at Pantries (SWAP) using the HER Nutrition Guidelines for the Charitable Food System
Supporting Wellness at Pantries (SWAP) is a PSE intervention designed to promote the donation and selection of nutritious foods throughout the charitable food system. The program is based on the theory that categorizing food using simple, intuitive labels and communicating this information at each decision point while food travels through the system (donor, food bank, food pantry, & client) has the potential to transform the policy, systems, and environment of food banks and food pantries. SWAP consists of a suite of tools for food banks and food pantries to rank their inventory using a traffic light nutrition system. SWAP was developed in 2016 and revised in 2020 to align with and use the Healthy Eating Research (HER) Nutrition Guidelines for the Charitable Food System. These guidelines place foods into 11 categories and assign green=choose often; yellow=choose sometimes; and red=choose rarely based on levels of saturated fat, sodium, and added sugars. SWAP can be used as an intervention in multiple levels of the charitable food system to promote food justice and health equity.
Target Behavior: Healthy Eating, 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
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
Families Eating Smart and Moving More (FESMM)
Families Eating Smart, Moving More (FESMM) is a direct education intervention designed to improve dietary intake, increase daily physical activity, and improve home food safety practices, food resource management, and food security. FESMM is a curriculum package that is evidence-based and hands-on.The intervention provides interactive nutrition education sessions that were developed based on a community needs assessment of existing data showing diet and physical activity behaviors, food resource management skills, food safety practices, and food security practices among low-income, low-resource adults living in NC. The lessons in the curriculum include recipes along with physical activities that help participants learn simple solutions to eat smart and be active every day. FESMM addresses key behaviors linked to obesity by helping families learn how to increase fruit and vegetable intake, eat together as a family, reduce screen/sedentary time, control portion sizes, and limit consumption of sugar-sweetened beverages.
Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time
Intervention Type: Direct Education
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) can be delivered via both direct and indirect education including PSE change interventions 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 childcare 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 in schools and during family style eating/snacking in EC Centers via daily nutrition messaging and outreach to parents. The OWG gardening curriculum helps establish gardens while children learn to grow and consume homegrown food. This curriculum focuses 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. Indirect education includes a wide variety of behavior tracking tools for use at home to reinforce key messages. All the above items can be delivered in the traditional way using physical items or via the online platform across all target audiences.
Additionally, The OWG online component allows for projects to collect usage data from all users on the platform. Data collection reports will be available to SNAP-Ed partners which tracks/reports on total time of each session with details on books read, activity sheets/newsletters downloaded, videos watched and physical activity (via new WISERCISE! level). This usage report can assist with your PEARS reporting.
Target Behavior: Healthy Eating, Fruit and Vegetable Consumption, 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.
Together, We Inspire Smart Eating (WISE)
Together, We Inspire Smart Eating (WISE) is a direct education intervention designed to increase fruit and vegetable consumption in children in early education programs as well as in the home. WISE delivers developmentally appropriate food experiences and promotes behavior change through its 3 components: classroom curricula, parent engagement content, and educator training. The intervention is designed to be delivered across a 9-month term with food experiences and supporting activities executed weekly. This program creates positive changes in child and family eating behaviors that align with the current Dietary Guidelines for Americans recommendations, specifically, increasing the number of servings of fruit and vegetables consumed and an increase in a variety of fruits and vegetables consumed. Social media content is available for programs interested in using the content to engage families and early childhood educators in the WISE program goals.
Target Behavior: Healthy Eating
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
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 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). The Teen Battle Chef LIVE online version allows for online instruction using an online delivery platform, such as Zoom or Google Meet.
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, PSE Change
Bingocize®
Bingocize® is an evidence-based health promotion program that strategically combines the game of bingo, health education, and/or exercise. Trained leaders may select between separate 10-week workshops that focus on exercise-only, exercise and falls prevention, or exercise and nutrition. Each workshop includes a facilitator’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. Workshops can be delivered using a traditional in-person bingo game, along with printed curriculum facilitator and participants’ materials. However, facilitators and participants are recommended to use a stand-alone online version, Bingocize® Online, to play Bingocize® in-person or remotely. This adds a fun, interactive technology component to the original game.
To view a short video of the program in action, visit https://youtu.be/meCfC0CU4fg
Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time
Intervention Type: Direct Education
One Healthy Breakfast Program
The One Healthy Breakfast Program (OHBP) is a direct education, social marketing, and PSE change intervention designed to improve home, community, and school food environments to ensure that every student starts their day with a healthy breakfast. Direct education is delivered by classroom teachers utilizing the Breakfast Learning Activities for Students and Teachers (BLAST) curriculum, an interactive lesson series that encourages students in grades 4-8 to learn behavior-changing skills through analyzing and evaluating foods and their food choices. Social marketing campaigns take place through branded promotional materials for use in schools and the community, monthly newsletters to families, and corner store social marketing to encourage students to choose healthy breakfast items. PSE change occurs through promotion of breakfast after the bell options in schools. These components are combined with community engagement to provide students and their families the tools needed to choose healthier options in the morning regardless of whether they eat at home, school, or at the corner store.
Target Behavior: Healthy Eating, Food Insecurity/Food Assistance
Intervention Type: Direct Education, Social Marketing, PSE Change
Common Threads: Small Bites Program
The 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 (or more) 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
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