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TRT Reviewed Physical Activity Interventions

ABC Grow Healthy (South Carolina)

Once enrolled in ABC Quality, legally operating centers can opt to participate in the ABC Child Care Voucher System to serve families receiving child care vouchers. Families who meet income qualifications based on gross family income and are working, in school, or in training may choose a child care provider enrolled in the ABC Child Care Voucher System. For entrance to the program, the income criteria are no more than 150% of the federal poverty level. Once enrolled, when the gross family income exceeds 175% of the federal poverty level, the family is no longer eligible for a child care voucher. Children served by these centers statewide range in age from birth through 12 years (up through age 18 for children with special needs). There are no restrictions based on gender, race/ethnicity, or urban/rural location. Priority of funding is based partially on socioeconomic status, but in South Carolina, child care subsidy is extremely limited. Other priorities include those who have child protective services or foster care cases, and special needs children. ABC Quality standards are applied program wide; all children attending a child care center enrolled in the quality rating and improvement system are impacted by the ABC Grow Healthy Standards.

Arkansas Healthy Employees Lifestyle Program (AHELP)

The intent of the Arkansas Healthy Employees Lifestyle Program (AHELP) is to increase healthy behaviors among Arkansas state employees.   AHELP was passed by the Arkansas legislature as a voluntary policy giving state agency heads the authority to grant their full-time state employees the opportunity to participate in the program.   Center TRT evaluated the results of the project's pilot phase (2005-2008), which had 200 county-based offices and two central offices participating, with the potential to reach 10,000 state health and human services employees.   The fall of 2009, AHELP was launched statewide, increasing its reach significantly.

Color Me Healthy

Color Me Healthy (CMH) is designed to improve fruit and vegetable intake and increase physical activity among 4 and 5 year old children in child care, home day care, Head Start, and preschool settings by increased exposure to nutrition education and opportunities for physical activity.   Early dissemination of Color Me Healthy was funded by the Supplemental Nutrition Assistance Program — Education (SNAP-Ed) and implemented in low-income, under-resourced childcare centers participating in the Child and Adult Care Food Program (CACFP) and the Expanded Food and Nutrition Education Programs (EFNEP). Color Me Healthy has been adopted in many North Carolina counties and by the Eastern Band of the Cherokee Indian Nation.   Additionally, it has been implemented in numerous states, including a research study in Boise, Idaho.

Color Me Healthy materials are available in English and Spanish.

Eat Well Play Hard in Child Care Settings

Eat Well Play Hard in Child Care Settings (EWPHCCS) is a multi-component intervention that focuses on improving the nutrition and physical activity behaviors of pre-school age children and their parents/caregivers and influencing food and activity practices in child care settings. The primary audiences for EWPHCCS are families with pre-school age children (3-4 years), participating in or eligible for the Supplemental Nutrition Assistance Program (SNAP) and children enrolled in child care centers participating in the Child and Adult Care Food Program (CACFP). Eligible centers are those in which 50% or more of enrolled families qualify for free or reduced-price meals.   EWPHCCS is implemented in New York state and participating children and families were racially, ethnically, and geographically diverse.

Faithful Families Eating Smart and Moving More

Faithful Families Eating Smart and Moving More (FFESMM) is a practice-tested intervention that focuses on healthy environmental and policy changes within faith communities.   Faithful Families Eating Smart and Moving More was evaluated with faith communities serving predominantly limited resource and African American members. For the 737 individuals providing data, 10.2% had less than a high school education, 46.6% were at or below 200% of federal poverty level, 72.2% were African American, and 76.4% were overweight or obese.

Hawaii Complete Streets Policy

The Hawaii legislature amended state statutes to require the Hawaii Department of Transportation (HDOT) and Hawaii's four county transportation departments to adopt complete streets policies that accommodate all users of the roadways, including pedestrians, bicyclists, transit users, motorists and persons of all ages and abilities. The state-level policy seeks to change the built environment to affect as many people as possible creating a population-level impact. New or redeveloped state and county roads that include sidewalks, crosswalks with ADA crossing signals and curb cuts provide people with physical disabilities access and opportunities not previously legally required.

KaBOOM! Community Builds

The KaBOOM! program changes community environments by improving or building new playgrounds and play spaces for youth ages 2 to 12. There are KaBOOM! play spaces in all 50 states, the District of Columbia, Puerto Rico, Mexico, and Canada. There are more than 1,700 KaBOOM-led community-built play spaces, serving approximately four million children.

Kids in Parks

Kids in Parks reaches kids and families who live in the region(s) of public land site(s), or who visit the sites where one of the TRACK Trails is installed. The KIP program collects data about its users through its website where kids register their hikes and earn incentives. These data indicate that the average age of registered kids is 7.5 years for standard hiking TRACK Trials and 15.5 years for the Nature Trail Disc Golf Course Trails. Some adults have also registered their hikes.   Kids answer 12-15 questions about their trail experience; however, they are not asked to provide demographic information (i.e. race, ethnicity, social status, etc).

To encourage economic activity in less prosperous areas, the N.C. Department of Commerce, ranks the state's 100 counties based on economic well-being and assigns each a tier designation. The 40 most distressed counties are designated as Tier 1, the next 40 as Tier 2 and the 20 least distressed as Tier 3. A review of North Carolina's 28+ TRACK Trails reveals that approximately one-third are located in Tier 1 counties, another third in Tier 2 and the remaining third are in Tier 3.   Some of the city/county parks in Tier 1 have received their trails for free through KIP's partnership with the North Carolina Recreation and Parks Association. The financial assistance they receive is the installation of the trail for free. Many of these park sites are underfunded, and would not have been able to complete a project of this nature without the aid of the KIP program.

Trail users can go to the Kids In Parks website to learn which trails comply with the Americans with Disabilities Act.  

Nashville Area Metropolitan Planning Organization's (MPO) Active Transportation Funding Policy

Approximately 1.5 million people reside in the 5+ county area covering 2,800 square miles for which the MPO does transportation planning. The population is racially diverse (African American, White, Hispanic, American Indian/Alaska Native, Asian, and Native Hawaiian or Pacific Islander).The region includes urban, suburban and rural areas and has residents of all ages, genders, and socioeconomic levels.

MPO Region: Davidson, Rutherford, Sumner, Williamson, Wilson,  
Maury (part), and Robertson (part)












American Indian/
Alaska Native







Native Hawaiian or  
other Pacific Islander




Some other race



Two or more races



Hispanic or Latino  
(of any race)





Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC)

The Nutrition and Physical Activity Self-Assessment for Child Care (NAP SACC) program targets child care policy, practice and environmental influences on nutrition and physical activity behaviors in young children.   NAP SACC was tested in a randomized control trial in childcare centers located in both urban and rural areas of North Carolina.   Children attending centers in the study were ages 3, 4, and 5.   Childcare centers in the study served a diversity of children (35-40% were nonwhite), the majority of whom were low-income.   Seventy-seven percent (77%) of the children participated in the USDA's Child and Adult Care Food Program, which provides nutritious meals and snacks to children from low-income families as a regular part of their childcare.

Policy Regulations for Day Care in New York City

New York City amended its Child Care Services regulations, part of the City's Health Code, to improve the physical activity and nutrition practices in NYC group day care facilities. This amendment included specific guidelines for outdoor play and physical activity, limits on television viewing, and requirements for food and food areas. As a public policy, it affects children from birth to age five attending group day care centers. The NYC day care policy reaches approximately 116,000 children in 2000 group day care center sites.

Safe Routes to School — PedNet Coalition

PedNet's Safe Routes to School program is implemented in Columbia, MO public and private schools. In 2011-12, the racial breakdown of the Columbia School District student population was 63% White, 20% Black, 6% Hispanic, 5% Asian, and 6% Multi. The racial/ethnic representation of students participating in the SRtoS program is unclear. However, PedNet intentionally reaches out to low-income schools and neighborhoods and partners with the Columbia Housing Authority to provide the Walking School Bus to children living in public housing.

TrailNet-Healthy Active Vibrant Communities

Trailnet's Healthy, Active, & Vibrant Communities Initiative (HAVC) is a model that uses community engagement and community development principles to empower communities to support and promote healthy eating and active lifestyles. The intent of this intervention is to build communities' capacity to implement policy and environmental changes and build healthy social networks to address obesity. The HAVC Initiative is focused in low-income and at-risk communities.   HAVC activities are tailored to complement the unique assets, needs, and interests of each community. The citizens in the communities engaged in the initiative are economically, racially, and ethnically diverse. The HAVC Initiative has been implemented in three Missouri communities: rural De Soto, suburban Ferguson, and the urban neighborhood Old North St Louis.

VERB™ Scorecard

VERB™ Scorecard is designed to increase activity levels of tweens (9-13 year olds) through a community-wide campaign effort. This includes promoting physical activity opportunities and utilizing a "passport" (scorecard) system of tracking physical activity during a designated time period. VERB Scorecard was evaluated in a community-wide pilot project in Lexington—Fayette County, Kentucky.   Since the conclusion of the pilot study, VERB Scorecard has been adopted in other communities in Kentucky and in other states, each project adapting it to their local data, resources and needs.

Print materials are an important part of the intervention and new adopters will need to culturally adapt them and translate them into Spanish or other languages.  


Weight-Wise is a behavioral weight management program designed to help women lose weight. Center TRT reviewed the Weight-Wise pilot research study, which was conducted in one North Carolina county. Pilot study participants were midlife women (ages 40-64), low income, almost all lacked health insurance, and 38% were African-American. Subsequent to the pilot study, a multi-county research study was conducted (not yet reviewed by Center TRT).   Study participants demographic data include 53% of women were African-American, 20% reported an annual household income of less than $10,000 and 43% did not have health insurance.   Intervention sites were located in both urban and rural areas.

The University of Rochester Prevention Research Center in Rochester, NY has adapted Weight-Wise for deaf adults, both men and women, ages 40-70 years