Telephonic Health Coaching Intervention (THC) Toolkit

The Telephonic Health Coaching Intervention (THC) Toolkit is a direct education intervention designed to:

  • Increase frequency of eating all five food groups
  • Increase frequency of eating a variety of fruits and vegetables
  • Increase whole fruit consumption by at least half a cup per day
  • Increase vegetable consumption by at least half a cup per day
  • Increase frequency of intake of fat-free or low-fat dairy including (dairy/nondairy) and yogurt, and decrease frequency of intake of full fat dairy (milk/yogurt)
  • Increase frequency of whole grains and decrease consumption of refined grains
  • Increase frequency of lean proteins and decrease frequency of high fat proteins
  • Decrease sugar-sweetened beverage intake
  • Increase frequency of low sodium foods
  • Increase minutes of daily physical activity

In order to achieve these goals, the THC intervention provides material to train SNAP-Ed educators to be health coaches that engage with clients by telephone and use behavior change techniques to craft individual goals related to healthy eating and physical activity. The increased intensity, duration and personalization of the THC intervention improve the likelihood that persons eligible for SNAP will make healthy food choices and choose physically active lifestyles consistent with the current USDA Dietary Guidelines for Americans.

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

Intervention Type: Direct Education

Senior Center Needs Assessment Toolkit

The Senior Center Needs Assessment Toolkit is a policy, systems, and environmental (PSE) change intervention designed to allow SNAP-Ed partners and senior centers to assess the readiness of a senior center to make changes to nutrition and physical activity (PA) programming and assist senior centers and their partners in making evidence-based changes to the nutrition and PA policies, systems, and environment. The Toolkit consists of a needs assessment portion (sections one and two) that provides a structured way to gather information and should be completed by or with the Senior Center Director or person/people that have a strong understanding of the center. Section three can be completed by either senior center staff or a partner, such as SNAP-Ed, who may be assisting with nutrition and PA initiatives. Overall, the goal of this Toolkit is to facilitate centers to make changes that improve the health of participants through community-based prevention strategies.

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

Intervention Type: PSE Change

Text2LiveHealthy

The Text2LiveHealthy (T2LH) intervention is a direct education and social marketing intervention designed to increase family consumption of fruits and vegetables, increase physical activity among the entire family, and increase family consumption of water while decreasing consumption of sugary beverages. T2LH is a nutrition and physical activity digital health outreach effort that links the Integrated Nutrition Education Program (INEP) and Culture of Wellness in Preschools (COWP) youth education provided in classrooms to homes via text messaging, in order to influence behavior change for economically disadvantaged families across Colorado. There are four text message cycles in Year 1 with each cycle containing approximately 30 core texts that address the following themes: fruit and vegetable consumption, physical activity and sedentary behaviors, sugar-sweetened beverages, and water consumption. Each cycle contains approximately seven to eight core messages and two to three evaluation messages. In general, the messages are easy to use and include goal-setting for healthy behavior change, fun and easy recipes, family-friendly physical activity ideas, motivational messages, and links to resources. In Year 2, participants receive one text per week with a focus on maintaining behavior changes. 

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Food Insecurity/Food Assistance  
Intervention Type: Direct Education, Social Marketing 

Culture of Wellness in Preschools: Nutrition Education and Physical Activity (COWP NE/PA)

Culture of Wellness in Preschools: Nutrition Education and Physical Activity (COWP NE/PA) is a direct education and PSE change intervention designed to increase fruit and vegetable intake and physical activity levels in children and their parents, as well as to reduce their risk of obesity and chronic disease. In addition to providing nutrition education and physical activity in the classrooms, COWP works with Head Start Agencies and other preschool centers to identify and change school PSEs around nutrition and physical activity by working with preschool wellness teams to impact the health of the students and their families. COWP is also designed to improve the likelihood that persons eligible for SNAP will make healthy food choices within a limited budget and choose physically active lifestyles consistent with current Dietary Guidelines for Americans and the USDA food guidance.  

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time  
Intervention Type: Direct Education, PSE Change 

10 Tips for Adults

10 Tips for Adults (10 Tips) is a multi-level direct education intervention designed to reinforce messages related to increasing fruit and vegetable consumption, increasing physical activity, consuming more water, and providing SNAP eligible adults with the skills to purchase healthy foods on a budget. The curriculum can be used in a variety of community-based settings frequented by SNAP eligible adults that complement and reinforce PSE interventions such as community gardens, healthy retail, worksite wellness, and healthcare clinical community linkages. The curriculum was designed to be implemented by qualified, professional Nutrition Educators and includes two distinct, but complementary, four-session series: Series A: Choosing MyPlate and Series B: Eating Better on a Budget. 10 Tips works to increase participants’ perceptions of the importance of a healthy diet and decrease their perceived barriers to shopping, cooking, and eating healthy on a budget. Each session includes a recipe demonstration and tasting to introduce participants to new healthy foods and simple cooking techniques to reduce perceived barriers to preparing healthy foods. 

Target Behavior: Healthy Eating, Physical Activity and Reducing Screen Time, Other: Budget-savvy shopping strategies   
Intervention Type: Direct Education 

Stay Strong, Stay Healthy (SSSH)

Stay Strong, Stay Healthy (SSSH) is a direct education intervention designed to help older adults increase physical activity, decrease sedentary behaviors, increase fruit and vegetable consumption, and sustain physical activity participation and healthy eating behaviors post program. SSSH strives to meet the need for effective community-based physical activity (PA) and nutrition programs, so classes are offered by trained SSSH instructors in familiar locations such as churches, community centers, and senior centers. SSSH consists of 16 one-hour sessions over eight weeks. Participants complete a warmup, a prescribed set of upper- and lower-body strengthening exercises, and a cool-down. SSSH challenges participants through incremental increases in exercise volume and intensity. Each PA session is followed by a nutrition lesson, and lessons are tailored to older adults by addressing topics such as fiber, bone health, and vitamins and minerals for healthy aging. In addition to weekly group classes, participants are encouraged to complete the program on their own once a week, including preparation of the recipes. After the course ends, participants are still encouraged to continue at home or with a community group. The overall goal of SSSH is to increase PA and improve nutrition behavior to help seniors maintain independence.

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

Intervention Type: Direct Education

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 NCThe 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 

Child Health Initiative for Lifelong Eating and Exercise (CHILE) Plus

The Child Health Initiative for Lifelong Eating and Exercise (CHILE) Plus is a multi-component nutrition and physical activity education program for preschool age children and their families. CHILE Plus is the dissemination project of CHILE, a randomized control trial conducted by the University of New Mexico Prevention Research Center (UNM PRC). CHILE Plus is based on the socioecological model and includes 6 components that fit into this model: the classroom curriculum, staff professional development, food service, family engagement, grocery store collaboration, and partnership with local health care providers and Women, Infants and Children (WIC) program providers.

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

Intervention Type: Direct Education, PSE Change

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