Table 2.

Most Common Policy, Systems, and Environmental (PSE) Change Strategies Implemented by Steps Communities, 2007-2010

Sector/PSE Change Strategy	No. per Strategy
Community
Fruit and vegetable promotion (nonspecific)	240
Access to community health facilities	87
New trails or walking paths	63
Walkability/bikeability assessments	61
Grocery food/restaurant menu labeling	60
Trail promotions	60
Smoke-free parks (policies and ordinances)	57
Farmers' markets	51
Community gardens	48
Parks/playground access	42
Food sustainability	38
Smoke-free housing	36
Safe Routes to School	36
Zoning projects/plans	29
Traffic calming measures	18
Healthy vending (not schools or worksites)	18
School
Nutrition education curriculum	196
Healthy cafeteria/vending food options	141
Physical education 3-5 days/week	114
Healthy food/beverage options at school events	76
Asthma management policies	72
Increased recess time (with physical activity options)	46
Tobacco-free campuses	31
School gardens	29
Diabetes management	25
Tobacco cessation programs	24
Worksite
Health risk assessment	49
Stairwell promotion	47
Healthy vending machine policy	45
Healthy meeting food policy	41
Tobacco-free worksite	33
Space for exercise on-site	32
Smoking cessation program	30
Reduced-price or free gym membership	23
Paid/flex work time for exercise	23
Insurance break for risk reduction	7
Breastfeeding policy	5
Health care
Counseling on risk factors (physical activity, nutrition, smoking)	112
Chronic care model	72
Tobacco cessation	41
Community health workers	34
Reimbursement of preventive care	10
Total	2,302