The following examples illustrate how interventions designed for a single setting, such as schools, can differ
based on the targeted individuals and groups.
Individuals at greater risk of becoming obese, such as those who are overweight.
of School Nurses, SCOPE program
School nurses receive training in the most recent assessment techniques for high risk students.
Examples of organizations that have succeeded in reaching high risk individuals include:
- Community health clinics
- Regional offices of the USDA Cooperative Extension Service
- Area Health Education Centers (AHEC)
- Tribal councils
- School-based health centers
Sub-groups of the Population that are at High Risk
Certain groups at greater risk of obesity and associated conditions than the rest of the population.
- Cherokee Choices: A Diabetes
Prevention Program for American Indians
A Native American community with high rates of childhood obesity and Type-2 diabetes implemented a
school-based program to improve well-being and reduce the risk of diabetes. Paid community mentors worked
with students and school staff to: increase awareness, promote physical activity, enhance knowledge of
nutrition, teach stress-management skills, and develop teachers as role models.
All individuals within a population.
- California Project LEAN: Leaders Encouraging Activity and
A school district and its board work to enact policies elevating the importance of physical activity and
physical education before, during, and after school. Interventions targeting entire populations differ from
those targeting high-risk individuals or sub-groups in that they are designed to change policies, systems,
and environments (PSE) rather than behavior. A mix of strategies is needed. While many evidence-based models
target individual-level change, they have a high cost for every person reached.