Promising Practices

The Promising Practices database informs professionals and community members about documented approaches to improving community health and quality of life.

The ultimate goal is to support the systematic adoption, implementation, and evaluation of successful programs, practices, and policy changes. The database provides carefully reviewed, documented, and ranked practices that range from good ideas to evidence-based practices.
Learn more about the ranking methodology.

Submit a Promising Practice

Pregnancy Health: Exercise Programs to Prevent Gestational Hypertension

CDC

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women, Families

Goal: The goal of exercise programs for pregnant women is to improve health and prevent gestational hypertension.

Impact: Exercise programs reduce the development of high blood pressure in pregnancy.

Prenatal Plus Program (Lake Worth, FL)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women, Urban

Goal: The overall goal of the Prenatal Plus Program, combined with the Partners for a Healthy Baby curriculum, is to improve birth outcomes, decrease rates of child abuse and neglect, and strengthen families.

Impact: Reduced low birth weight rate through risk reduction during pregnancy.

Primary Project

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goals of this program are:
- Detect school adjustment difficulties
- Prevent social and emotional problems
- Enhance learning skills

Impact: One study demonstrated that participants made significant improvements in task orientation, specifically in working more independently and completing tasks faster. In behavior control, program students showed increased coping skills and lower levels of aggressiveness and produced fewer disruptions. In assertiveness, students had improved participation in activities, were better at expressing ideas, and showed increased leadership and decreased shyness. Improvements in peer sociability included increases in the quality of peer relationships and improved social skills. Several other evaluations of the Primary Project present evidence of improved school adjustment and decreases in problem behaviors for participants.

Project Dulce (San Diego County, CA)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults, Racial/Ethnic Minorities

Goal: The goal of Project Dulce is to improve the lives of people with diabetes through culturally appropriate, community-based diabetes management, education, and support programs.

Re/Storing Nashville (Davidson)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Goal: Re/Storing Nashville seeks to end hunger through creating a healthy, just and sustainable food system.

Reconciliation Services Depression and Trauma Therapy Services (Kansas City/Jackson/Missouri)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Women, Men, Urban

Goal: The mission of Reconciliation Services is to cultivate a community seeking reconciliation to transform Troost from a dividing line into a gathering place, revealing the strength of all. Our mental health services are at the heart of how we strive to help clients see their own strength and work towards being reconciled to their own health and well-being.

Impact: Over the past three years, our therapy program participants reported a 71 percent decrease for depression and 79 percent decrease for PTSD.

Red Rock Ridge and Valley Trail System (Jefferson County, AL)

Filed under Good Idea, Environmental Health / Built Environment, Adults, Families

Goal: The Red Rock Ridge & Valley Trail System will be a complete network of bike lanes, sidewalks, and trails connecting communities across Jefferson County.

Impact: The master plan for over 200 miles of shared-use greenways and trails and over 600 miles of street-based bicycle and pedestrian pathways will improve alternative transportation and recreational opportunities.

Renewal House (Western Connecticut region)

Filed under Good Idea, Economy / Housing & Homes, Older Adults, Urban

Goal: The goal of renewal house is to reduce homelessness of older individuals in Greater Danbury Area, CT, by providing safe, secure housing, renewing a sense of hope, reinforcing self-worth and restoring dignity and confidence.

San Francisco Unified School District Healthy Food Policy (San Francisco)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Urban

Goal: SFUSD aimed to provide students with healthy and appealing food choices and to diminish the dependence of schools and school-related organizations on selling unhealthy foods.

Senior Wellness Program (St. Augustine, FL)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goal of this program is to improve the quality of life of residents of Northeast Florida by providing programs and services which raise the health, education and economic standards of citizens living at the lowest social and economic levels.

An Effective Practice meets the following HCI criteria:

The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success and/or promise in achieving the program goal in one or more localities.
The results from an evaluation of the program include quantitative measures of improvement in outcome of interest (i.e. increase in voter registration, not just delivery of voter registration drive) and/ or the outcome measure is increased or improved compared to the baseline measurement or the control group but the difference is not statistically significant.

A Good Idea meets the following HCI criteria:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
The program evaluation is limited to descriptive measure(s) of success/accomplishment (i.e., program participation rates, number of services/education sessions/radio messages provided). Note: oftentimes, the program has been newly implemented and a program evaluation has not yet been conducted. Programs that have not yet been evaluated, but which show promise in improving health or quality of life, are classified as Good Ideas until an evaluation is conducted.

An Evidence-Based Practice meets the following HCI criteria:

The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.