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Policy, Systems, & Environments
A New Approach to Creating Healthy Communities
Casey M. Coombs RD, CD
You can’t make positive choices for the rest of your life without an
environment that makes those choices easy, natural, and
enjoyable
-Deepak Chopra
Environmental Factors•Homes, schools, work, rec facilities, food service, retail establishments, etc.
Sectors of Influence•Government, health care systems, agriculture, marketing/media, community design & safety, etc.
Social & Cultural Norms and Values•Belief Systems, heritage, religion, priorities, lifestyle, body image
Individual Factors•Awareness, knowledge, attitudes, beliefs, values, & preferences
SNAP-Ed Socio-Ecological Model
1. Work WITH direct nutrition education 2. Collaboration3. Evaluation
Improved Nutrition
Increased Physical Activity
Maintenance of a normal body weight
pol·i·cy /ˈpäləsē/ noun
a course or principle of action adopted or proposed by a government, party, business, or individual.
synonyms: plans, strategy, stratagem, approach, code, system, guidelines, theory;
REPRESENT Be the voice of our target population
Policy Examples:
• School policy regulating items sold at bake sale.
• Early childcare policy limiting screen time during the day.
• Senior living facility policy to increase whole grains served in dining hall.
sys·tem/ˈsistəm/ noun
a set of connected things or parts forming a complex whole
synonyms: structure, organization, arrangement, complex, network; informal setup
System change: An organization adopting a new intervention, reallocating resources, or reaching a new population.
EDUCATE Individualize the system change
System Examples:
• Afterschool program evaluates if participants would prefer granola bars or yogurt parfaits as part of their new healthy snack initiative.
• Senior living facilities nutrition director accesses farm-to-fork program and includes local produce in menu.
• Local Cooperative Extension office replaces energy dense foods with nutrient dense options in break room vending machine.
en·vi·ron·ment/inˈvīrənmənt/ noun
the surroundings or conditions in which a person, animal, or plant lives or operates.
synonyms: habitat, territory, domain
PROMOTEIncrease awareness of environmental changes
Environment Examples:
• Signage at point of purchase, point of decision making
• School garden used for increased physical activity opportunities
• Financial incentives to encourage a behavior
• Nutrition information in hospital cafeterias for staff workers
Resources:• SNAP-Ed Grant Program with PSE implementation:
http://snap.nal.usda.gov/snap/Guidance/FinalFY2015SNAP-EdGuidance.pdf
• SNAP-Ed Toolkit using PSEs: http://snap.nal.usda.gov/snap/SNAP-EdInterventionsToolkit.pdf
• Understanding PSE to improve community health: http://www.health.state.mn.us/healthreform/ship/techassistance/pse02222012.pdf