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.

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CDC COMMUNITY GUIDE: Interventions to Reduce Sexual Risk Behaviors or Increase Protective Behaviors to Prevent Acquisition of HIV in Men Who Have Sex with Men: Individual-, Group-, and Community-Level Behavioral Interventions (USA)

CDC

Filed under Evidence-Based Practice, Health / Men's Health, Men

Goal: The goal of the HIV behavioral interventions program is to reduce unprotected anal intercourse among men who have sex with men.

Impact: The Community Preventive Services Task Force (CPSTF) recommends individual-level HIV behavioral interventions for adult men who have sex with men to reduce unprotected anal intercourse. Related findings recommend HIV behavioral interventions at the group level and community level.

Community-based Diabetes and Hypertension Preventive Program (Honolulu)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities, Urban

Goal: The purpose of this project was to develop rapport with a Chinese Community Association and then establish preventive diabetic and hypertension programs with the Chinese in Chinatown, Hawaii.

Georgia's Teenage and Adult Driver Responsibility Act (Georgia)

Filed under Evidence-Based Practice, Community / Public Safety, Teens

Goal: The goal of TADRA is to reduce fatal crashes among teenage drivers.

Impact: After the implementation of TADRA, speed-related fatal crashes were cut by 42%, and alcohol-related fatal crashes decreased nearly 60%.

HIV/STD Risk Reduction Interventions for African American and Latino Adolescent Girls (Philadelphia)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of this intervention was to reduce self-reported unprotected sexual intercourse among African American and Latino adolescent girls.

Impact: Skill-based HIV/STD interventions can improve condom-use and reduce sexual risk behaviors, along with STD rates, among African American and Latino teen girls in clinical settings.

Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban

Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.

Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.

MoodGym and Blue Pages: An Internet Depression Intervention (Australia)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Adults, Urban

Goal: The MoodGYM and Blue Pages websites aim to alleviate depression symptoms and increase understanding of depression using the Internet.

Nevada’s Reemployment and Eligibility Assessment Program (Las Vegas, NV)

Filed under Evidence-Based Practice, Education, Adults

Goal: The goal of the program is to enhance services to unemployment insurance (UI) claimants and connecting to reemployment opportunities by collaborating efforts between Employment Services (ES) and Unemployment Insurance to be provided at the same time. This collaborative helps customer service by making follow-up easier and build rapport with the customers. Additionally, it sought to save time by cutting out the middle man and saving money by combining both the National Reemployment Services (RES) and Reemployment and Eligibility Assessment (REA) initiatives.

Impact: REA participants received 3.13 fewer weeks of benefits compared to control group peers and received $536 less in regular UI benefits. Program participants were 20 times more likely to obtain employment in the first 2 quarters after program entry.

PACE+: Counseling Adolescents for Exercise and Nutrition (California)

Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Families

Goal: The goal of PACE+ for adolescents is to: decrease total dietary fat consumption; increase fruits & vegetable consumption; increase participation in moderate and vigorous physical activity; decrease sedentary habits among adolescents aged 11-15.

Parenting With Love and Limits (Savannah, GA)

Filed under Evidence-Based Practice, Community / Social Environment, Families

Goal: The goal of the Parenting with Love and Limits® (PLL) program is to improve behavioral problems in children by providing therapy and training to parents in order to restore a level of competent, effective parenting and create greater family connectedness.

Impact: Youth in the PLL group had significantly greater reductions in conduct disorder problem behaviors compared with youth in the control group. Specifically, they had greater improvements in anxiety/depression, withdrawn/depression, social problems, attention problems, rule-breaking problems, aggressive behaviors, internalizing problems, and externalizing problems.

Staying Alive Drug Overdose Prevention and Response Program (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Urban

Goal: The goals of the Staying Alive program are to teach drug users about how to recognize opiate overdose signs and symptoms, how to respond to any overdose cases by calling 911, and how to use rescue breathing and naloxone administration to reduce life-threatening drug overdose.

Impact: Staying Alive reduces mortality due to opiate and heroin drug overdose.

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.