TABLE 1—

Summary of Healthy Eating & Active Living (HEAL) Actualized in Community Across 3 Neighborhood Environment Domains: Cleveland, OH, 2010–2013

	Neighborhood Environment
HEAL Priority	Physical	Resource	Social	Evaluation
Affordable accessible food	Gardening	Education	Support networks	Food retail scans
	Neighborhood garden network (192 backyard gardens, 13 community gardens, 1 urban farm and orchard, 3 school-based gardens)	Hands on gardening training and support led by residents and organizations	Garden mentor network	Food access surveys
	Retail		Garden leader network	Garden evaluation to assess change in skill, capacity, and diet
	Produce in corner store
Opportunities for active living that build relationships	Space	Group exercise activities	Leadership	Tracked repeat participation, retention, and growth of class size and number offered
	5 community centers, 1 church, 3 parks host free exercise activities	Year-round free exercise classes (≥ 40 volunteer-led activities/week for all ages)	Exercise classes and walking groups led by resident volunteer instructor (80% of instructors are from the neighborhood)
	Silver Sneakers gym
	3 marked walking routes
Hubs and safe spaces	Space		Connectedness	Resident surveys: change in community connectedness
	Established 6 community hubs		1 hub in each neighborhood
			Strong relationships between neighbors
			Safety in numbers
Opportunities to learn and practice healthy living skills	Space	Cooking classes	Resident-initiated efforts	Assessed satisfaction, change in knowledge, skill, and intent among participants
	Hands-on learning community kitchen	Year-round healthy cooking courses for adults and youths	Walking groups and events
	Neighborhood walking routes with route markers and maps	Adult and youth healthy weight, healthy lifestyle clinical coaching	Health forums in salons and barbershops
			Resident-led healthy cooking and snack demonstrations
Intraconnected and interconnected communities	Space	Communication	Leadership	Counts of reach and response rate for flyers, Web, etc.
	Kiosk at library	Multimedia neighborhood communications: flyers, mailers, Web, mobile application, video, and social media	Established HEAL Council with resident leaders from each neighborhood
			Cross-neighborhood community planning and workgroups
			Semiannual HEAL focused community planning and resource events
Branding and awareness	HEAL cobranding	Communication	HEAL events	Brand awareness survey
	Signage connecting partner programs and establishments	Interactive HEAL Web site and social media	HEAL and the arts  HEAL wristbands  HEAL partner events