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.

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

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

The Alliance for a Healthier Generation (Healthier Generation) Healthy Schools Program (HSP)

The Alliance for a Healthier Generation’s Healthy Schools Program (HSP) is a PSE intervention designed to create healthier school environments for students and staff. HSP addresses multiple factors that lead to poor health — from physical activity and nutrition to social-emotional health and sleep. HSP leads school and district staff through the following 6-step continuous improvement process to implement the Framework of Best Practices: 1) convene a School Wellness Committee (SWC), 2) assess the school health environment using the HSP assessment, 3) develop an action plan tailored to school priorities based on what is important and achievable, 4) explore HSP resources and tools, 5) take action to implement the plan and achieve school goals 6) celebrate success and monitor progress. HSP facilitates the development of partnerships during step one and provides support to schools to implement evidence-based policies and practices related to nutrition and physical activity. Schools document their need and readiness for change in step two by completing the HSP assessment. The sixth step addresses program recognition by celebrating schools’ success through Healthier Generation’s national recognition program. 

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

Intervention Type: PSE Change

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

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 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

Create Better Health Curriculum

The Create Better Health (CBH) Curriculum is a direct education intervention designed to improve the nutrition and physical activity-related knowledge, skills, and self-efficacy of SNAP-Ed eligible adults to lead an active and healthy lifestyle with limited resources. CBH has a unique emphasis on improving food resource management through the use of “Create” concepts. “Create” concepts teach participants how to use foods they already have in their kitchen to create a variety of nourishing meals. CBH includes 8 lessons that are to be offered in a series of 6-8 classes. Nutrition educators are trained regularly to teach CBH classes all of which include a nutrition topic, physical activity discussion, and a hands-on (ideally) cooking demonstration that utilizes a “Create” concept. CBH addresses and evaluates individual level changes including short term readiness and capacity and medium term changes over 6 months in the areas of healthy eating, physical activity, and food resource management. CBH also includes a 1-year follow-up survey to evaluate long-term behavior changes.

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

Intervention Type: Direct Education

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

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

Champions for Change

Champions for Change is a social marketing campaign designed promote fruit and vegetable consumption, physical activity, and food security. The goal of Champions for Change is prevent obesity and other chronic diseases. This campaign is a recreation of the former California 5 a Day Campaign, and now reflects the new federal guidelines for health.

Target Behavior: Healthy Eating, Physical Activity, Food Insecurity/Food Assistance

Intervention Type: Social Marketing

Texas Mother-Friendly Worksite Program

The Texas Mother-Friendly Worksite Program (TX MFWP) is a PSE Change, employer recognition program that designates worksites as “Mother-Friendly” if they voluntarily develop and submit to Department of State Health Services (DSHS) a written policy that supports employees’ efforts to combine continued breastfeeding with employment. At a minimum, the policy must ensure:

  • Flexible work scheduling to allow time for breast milk expression,
  • Access to private locations for breast milk expression,
  • Access to a clean, safe water source to wash hands and clean pumping equipment, and
  • Access to hygienic options for workplace storage of expressed breast milk.

This intervention functions at two levels: at the state-level and at the worksite level. DSHS provides resources and support to worksites wanting to be designated and the worksites must implement their individual plans for achieving and sustaining designation.

NOTE: Activities must be in approved worksites where more than half of employees are low-wage workers.

Target Behavior: Breastfeeding

Intervention Type: PSE Change

California Fit Business Kit

The California Fit Business Kit is a PSE change intervention designed to help employers develop and implement a workplace culture and environment that support healthy eating and physical activity among workers. This Kit contains 13 individual components, all of which contain tips and steps to implementing policies and programs conducive to a healthy lifestyle in the workplace. Most importantly, the tools can assist employers and employees who are interested in combating declining employee health and ever-increasing health care costs.

Target Behavior: Breastfeeding, Healthy Eating, Physical Activity

Intervention Type: PSE Change

Farm To Work

Farm To Work is a PSE change intervention that increases access to fresh fruits and vegetables in the work environment by providing a weekly opportunity for purchase and delivery of fresh produce from local farmers. The program’s primary focus is to promote individual and group behavior change by modifying the work environment to increase access, availability, purchases, and use of healthy fruits and vegetables from local farms. Employees are provided a weekly or biweekly opportunity to order and receive a basket of local fresh produce delivered to the worksite; they can place an order for a basket as often or as seldom as they like.

NOTE: Activities must be in approved worksites where more than half of employees are low-wage workers.

Target Behavior: Healthy Eating, Food Insecurity/Food Assistance

Intervention Type: 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

Ways to Enhance Children’s Activity and Nutrition (We Can!)

Ways to Enhance Children’s Activity and Nutrition (We Can!) is a national science-based education program designed for parents, caregivers, and communities to help children ages 8 to 13 years old maintain a healthy weight. We Can! focuses on the following behaviors:

  • Improved food choices
  • Increased physical activity
  • Reduced screen time

We Can! offers tips, fun activities, and resources to help parents and caregivers encourage these healthy behaviors in their family. It also offers organizations and health professionals with resources to implement science-based educational programming and activities for parents, youth and families in their community.

Target Behavior: Healthy Eating, Physical Activity

Intervention Type: Direct Education, Social Marketing

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

Walk With Ease

Walk With Ease is a direct education program that is designed to promote education about successful physical activity for people with arthritis, arthritis self-management and walking safely and comfortably. Walk With Ease also encourages participants to continue their walking program and explore other exercise and self-management programs that deliver proven benefits for people with arthritis. Walk With Ease can be done by individuals using the Walk With Ease guidebook on their own or by groups led by trained leaders. While walking is the central activity, Walk With Ease is a multi-component program that also includes health education, stretching and strengthening exercises, and motivational strategies.

Target Behavior: Physical Activity

Intervention Type: Direct Education

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