Evidence Tools
MCHbest. Physical Activity.

Strategy. Open Streets
Approach. Implement open streets activities to encourage physical activity

Overview. Open Streets initiatives allow community members to gather, socialize, walk, run, bike,[1] skate, dance, or participate in other activities on selected local streets by temporarily closing streets to motorized traffic.[2, 3] Some initiatives operate regularly in the same location while others change locations within an area; approach depends on the social, political, economic, and physical context of the city and neighborhood where the event will take place. Local governments, non-profits, or coalitions can undertake these events, with funding from a variety of sources, including public funds, private investments, and charitable donations.[4] Open streets events can be held regularly (e.g., weekly or monthly) or once or twice a year.[5]
Evidence. Expert Opinion. Strategies backed by expert opinion are recommended by professionals and are aligned with established frameworks. These approaches are consistent with field observations and national guidelines, but lack formal validation. Implement with robust evaluation to confirm impact.
Access the peer-reviewed evidence through the MCH Digital Library or related evidence source.
Potential Data Sources. Data to support this strategy can be accessed through:
- Event planning and logistic records
- Activity programming and participation logs
- Volunteer and staff feedback/debriefing reports
Outcome Components. This strategy has shown to have impact on the following outcomes (Read more about these categories):
- Environmental Health. This strategy improves the impact of physical, chemical, and biological factors in the environment on health.
- Health and Health Behaviors/Behavior Change. This strategy improves individuals' physical and mental health and their adoption of healthy behaviors (e.g., healthy eating, physical activity).
Detailed Outcomes. For specific outcomes related to each study supporting this strategy, access the peer-reviewed evidence and read the Intervention Results for each study.
Intervention Type. Policy Development and Enforcement (Read more about intervention types and levels as defined by the Public Health Intervention Wheel).
Intervention Level. Community-Focused
Examples from the Field. Access descriptions of ESMs that use this strategy or aligned components.
Sample ESMs. Here are sample ESMs to use as models for your own measures using the RBA framework (see The Role of Title V in Adapting Strategies).
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Quadrant 1:
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Quadrant 2:
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Quadrant 3:
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Quadrant 4:
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Note. When looking at your ESMs, SPMs, or other strategies:
- Move from measuring quantity to quality.
- Move from measuring effort to effect.
- Quadrant 1 strategies should be used sparingly, when no other data exists.
- The most effective measurement combines strategies in all levels, with most in Quadrants 2 and 4.
Learn More. Read how to create stronger ESMs and how to measure ESM impact more meaningfully through Results-Based Accountability.
References
1 Eyler AA, Hipp A, Lokuta J. Moving the barricades to physical activity: A qualitative analysis of Open Streets initiatives across the United States. American Journal of Health Promotion. 2015;30(1):e50-e58. https://journals.sagepub.com/doi/abs/10.4278/ajhp.131212-QUAL-633
2 Hipp J, Eyler AA, Zieff SG, Samuelson MA. Taking physical activity to the streets: The popularity of ciclovía and open streets initiatives in the United States. American Journal of Health Promotion. 2014;28(3):114-116. https://pubmed.ncbi.nlm.nih.gov/24380455/
3 Kuhlberg JA, Hipp JA, Eyler AA, Chang G. Open Streets initiatives in the United States: Closed to traffic, open to physical activity. Journal of Physical Activity and Health. 2014;11(8):1468-1474. https://journals.humankinetics.com/view/journals/jpah/11/8/article-p1468.xml
4 Montes F, Sarmiento OL, Zarama R, et al. Do health benefits outweigh the costs of mass recreational programs? An economic analysis of four ciclovía programs. Journal of Urban Health. 2011;89(1):153-170. https://pubmed.ncbi.nlm.nih.gov/22170324/
5 Open Streets – Open Streets Project