Implementing CDC's Active Communities Tool and Action Planning Guide With Local Health Departments in New York State:...

Local health departments (LHDs) can promote physical activity and prevent chronic diseases by applying Public Health 3.0, which calls on them to serve as chief health strategists in their communities, engage community stakeholders, and use actionable, local-level data. In 2023, the New York State Department of Health supported 58 LHDs through a statewide initiative focused on built environment improvements using the Centers for Disease Control and Prevention's (CDC) Active Communities Tool (ACT) and action planning guide. This project aimed to assess whether the initiative led to (1) the convening of new or existing cross-sector partnerships in priority communities; (2) effective use of the ACT assessment tool in local communities; and (3) the creation of meaningful action plans. LHDs received training, prioritized disadvantaged communities, and completed ACT assessments and action plans. Of the 58 eligible LHDs, 46 (81%) participated. Most selected communities were on the state's priority list. All teams convened diverse partners, most frequently including public health, planning, public works, and residents. The most commonly completed ACT modules addressed pedestrian and bicycle infrastructure, street design, and parks and recreation. All teams developed action plans with at least three specific, measurable, achievable, relevant, and time-bound (SMART) goals, most commonly to improve access to parks and trails, enhance infrastructure, and support safe routes to schools. Findings suggest the ACT, when implemented through a structured, incentive-based program, can guide LHDs and partners in assessing local conditions and creating actionable plans. The project offers a scalable model for state-local collaboration and demonstrates how structured training, priority-setting, and use of existing tools can help address health inequities and promote active living.