Reducing Heart Disease - Physical Activity Chart, Channels and Types of Interventions

This table of interventions was developed from the following resources: Reducing Risk for Chronic Disease: An Action Planning Guide for Community - Based Initiatives, Work Group of Health Promotion & Community Development, University of Kansas and How to Promote Physical Activity in Your Community, A Publication of A Project to Promote Partnering on Physical Activity.

PHYSICAL ACTIVITY(PA)
Channels and Types of Interventions

LEVEL	SCHOOLS	HEALTH CARE SETTINGS (HCS)	WORKPLACE	BROADER COMMUNITY
AWARENESS (Informs the public about health issues, concerns, and/or solutions)	Mark trails, stairs, and hallways to encourage walking in schools Sponsor community PA campaigns	Provide signs that encourage use of stairs and trails in and around HCS Sponsor community PA campaigns	Provide signs that encourage use of stairs, hallways and marked trails in and around worksite Sponsor community PA campaigns	Provide info about public PA facilities Establish an "idea column" in local paper on how to incorporate PA into daily lives
KNOWLEDGE/ SKILLS (Educates the public about causes, symptoms, strategies, etc., of public health issues)	Increase variety of physical activities offered in PE classes Train PE teachers on lifetime skills per Instructional Goals *Train teachers on incorporating wellness across curriculum per Instructional Goals	Sponsor walking clinics in the community Sponsor community wide education and skill building exercise programs	Sponsor walking clinics in the community Sponsor community education programs Support a lunchtime walking program Provide activity breaks	*Hold educational trainings on PA in local churches, senior centers, etc.
SUPPORTIVE ENVIRONMENTS (Educates the public about causes, symptoms, strategies, etc., of public health issues)	Expand access to gyms and playgrounds Mark out walking trails around or in the school Increase PA opportunities (expand intramurals, subsidized dance classes, weekend activity events, etc.) Provide incentives for PA participation with friends, families and teachers	Mark out walking trails in or around HCS Sponsor walking clubs Encourage patients to walk while waiting for appointments Prescribe PA to patients *Sponsor teams that encourage PA among men, women and families	Offer flex time for PA Establish rewards for employees who progress toward PA goals Sponsor teams that encourage PA among men, women and families Establish a worksite garden Mark walking trails in and around worksite Allow employees to use stairs and hallways for walking during breaks	Mark walking trails Increase number of community events that promote PA Increase number of sidewalks and bike paths Increase lighting, proximity, attractiveness of public parks Provide recognition for programs that promote PA Support walking clubs *Support community coalitions that support & promote PA
POLICIES/ REGULATIONS (Establishes and enforces policies and/or laws that promote healthy behaviors)	Support & encourage daily PE & PA Integrate PE & PA into K-12 curriculum per Instructional Goals *Enact policies which support health promotion and rewards improved health	Include PA assessments as part of the patient intake protocol Support reimbursement for PA counseling Enact lower health insurance rates for employees who exercise Provide incentives for employees who exercise *Establish PA programs into health profession training	Reduce health insurance premiums for employees who exercise regularly Provide incentives for employees to walk or cycle to work	Provide zoning, tax rebates and other incentives to encourage use of land for recreation Subsidize cost of recreational facilities and opportunities (such as dance, swim or gymnastics lessons)

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LEVEL	SCHOOLS	HEALTH CARE SETTINGS (HCS)	WORKPLACE	BROADER COMMUNITY
AWARENESS (Informs the public about health issues, concerns, and/or solutions)	Mark trails, stairs, and hallways to encourage walking in schools Sponsor community PA campaigns	Provide signs that encourage use of stairs and trails in and around HCS Sponsor community PA campaigns	Provide signs that encourage use of stairs, hallways and marked trails in and around worksite Sponsor community PA campaigns	Provide info about public PA facilities Establish an "idea column" in local paper on how to incorporate PA into daily lives
KNOWLEDGE/ SKILLS (Educates the public about causes, symptoms, strategies, etc., of public health issues)	Increase variety of physical activities offered in PE classes Train PE teachers on lifetime skills per Instructional Goals *Train teachers on incorporating wellness across curriculum per Instructional Goals	Sponsor walking clinics in the community Sponsor community wide education and skill building exercise programs	Sponsor walking clinics in the community Sponsor community education programs Support a lunchtime walking program Provide activity breaks	*Hold educational trainings on PA in local churches, senior centers, etc.
SUPPORTIVE ENVIRONMENTS (Educates the public about causes, symptoms, strategies, etc., of public health issues)	Expand access to gyms and playgrounds Mark out walking trails around or in the school Increase PA opportunities (expand intramurals, subsidized dance classes, weekend activity events, etc.) Provide incentives for PA participation with friends, families and teachers	Mark out walking trails in or around HCS Sponsor walking clubs Encourage patients to walk while waiting for appointments Prescribe PA to patients *Sponsor teams that encourage PA among men, women and families	Offer flex time for PA Establish rewards for employees who progress toward PA goals Sponsor teams that encourage PA among men, women and families Establish a worksite garden Mark walking trails in and around worksite Allow employees to use stairs and hallways for walking during breaks	Mark walking trails Increase number of community events that promote PA Increase number of sidewalks and bike paths Increase lighting, proximity, attractiveness of public parks Provide recognition for programs that promote PA Support walking clubs *Support community coalitions that support & promote PA
POLICIES/ REGULATIONS (Establishes and enforces policies and/or laws that promote healthy behaviors)	Support & encourage daily PE & PA Integrate PE & PA into K-12 curriculum per Instructional Goals *Enact policies which support health promotion and rewards improved health	Include PA assessments as part of the patient intake protocol Support reimbursement for PA counseling Enact lower health insurance rates for employees who exercise Provide incentives for employees who exercise *Establish PA programs into health profession training	Reduce health insurance premiums for employees who exercise regularly Provide incentives for employees to walk or cycle to work	Provide zoning, tax rebates and other incentives to encourage use of land for recreation Subsidize cost of recreational facilities and opportunities (such as dance, swim or gymnastics lessons)