Barrier(s) Addressed | Intervention Idea | SE Model Level | Description for Healthcare System Action | ||
---|---|---|---|---|---|
Affordability | Accessibility | Desirability | Â | Â | Â |
X | Â | Â | Advocacy: Policies that make healthy food more affordable | Policy | Advocate for local or national policies to increase affordability of food (e.g. expanding food assistance programs), or overall budget for food (e.g. expanding affordable housing or childcare). |
X | Â | Â | Advocacy: Tax-free healthy foods or Tax-free day | Work with local government to establish a tax-free policy for healthy food, or tax-free weekends for healthy food (similar to an existing back-to-school tax-free weekend popular with families in the region). | |
X | X | X | Accessible mobile markets | Community | Create more accessible, convenient mobile markets with low cost fruits and vegetables, or to distribute free food to families |
X | X | X | Community gardens | Establish community gardens at schools or healthcare centers. Involve kids and use the garden as a teaching and volunteering opportunity for kids and parents. | |
 |  | X | Community events | Launch city-wide event to promote healthy eating with family-friendly, hands-on activities. Send doctors to existing community events to promote healthy eating and connect families to resources. | |
X | X | Â | Healthy food distribution | Organizational (Healthcare Institutions) | Distribute free fruits and vegetables through providers at clinic visits and/or healthy eating classes or events. |
X | Â | Â | Coupons for healthy food | Provide coupons for fruits and vegetables through providers at clinic visits or with an educational class. Important characteristics of the coupon include no expiration date, ability to use it at multiple locations, and broad eligibility for the coupon (i.e. eligibility would not be income-based, but need-based) | |
X | Â | X | Office for healthy food | Create an office at the healthcare facility to distribute fruits and vegetables or coupons to families, as well as information about community food resources, nutrition and how to cook healthy, desirable meals. | |
X | Â | Â | Connect families to community resources | Establish an onsite navigator to connect families with broader community services (e.g. housing, childcare and food assistance programs.) Use a personalized approach with thorough and up-to-date knowledge of resources and eligibility rules by geographic area. | |
 | X | X | Fruit Baskets | Maintain clinic fruit baskets and allow children to pick piece of fruit after their visit. | |
 |  | X | Workshops/Group Classes | Family/ Individual | Offer hands-on nutrition workshops with emphasis on community partnerships, education and family involvement. Examples included freezer meal and meal preparation classes, and family cooking classes. One Spanish-speaking group also emphasized the need to educate parents on family planning, as large families impact ability to buy food. |
 |  | X | Support Groups for Parents | Establish a group where parents can talk, network, and learn from each other about accessing community resources, preparing healthy food and budgeting. | |
 |  | X | Rewards Program | Create a program for children to earn rewards through the healthcare system for achieving healthy eating metrics. | |
 |  | X | Educational Handouts | Distribute educational handouts for healthy recipes or substitutions, including material for children with special health care conditions or dietary needs. |