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

Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)

Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults

Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.

Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.

Prime Time Palm Beach County (Palm Beach, FL)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Urban

Goal: The goal of Prime Time Palm Beach County is to improve the quality of school-age afterschool programs through assessment, guidance, and support.

Impact: Based on the 2009 study findings, Prime Time's Quality Improvement System resulted in improvements made to afterschool programs which enhanced quality programming and important developmental learning experiences for youth.

Adults and Children Together - Parents Raising Safe Kids (ACT-PRSK) (USA)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Families, Urban

Goal: The goal of the program is to teach parents/caregivers effective parenting skills, create a support system for their children, and equip participants with non-violent techniques to encourage a safe environment at home and in the community.

Impact: ACT program has been shown to prevent child maltreatment and promote positive parenting skills, including reducing physical violence towards children, improving knowledge of appropriate discipline, and improving parent methods for teaching children nonviolent social skills.

Athletes Training and Learning to Avoid Steroids (ATLAS) (Portland, OR)

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

Goal: The goal of ATLAS is to reduce anabolic steroid, alcohol, and other illicit drug use by adolescent male athletes.

Impact: Student participants of ATLAS had significantly lower intent to use anabolic steroids at both the end of the athletic season and at the 1-year follow-up. Students in the intervention also significantly reduced illicit drug use and were significantly less likely to report drinking and driving.

Behavioral Couples Therapy for Alcoholism and Drug Abuse (BCT)

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

Goal: The goal of Behavioral Couples Therapy for Alcoholism and Drug Abuse is to improve success rates for treatment of alcoholism and drug abuse by involving intimate partners in the treatment process.

Impact: Numerous studies of the program have shown positive outcomes in five areas: substance abuse, quality of relationship with partner, treatment compliance, intimate partner violence, and children's psychosocial functioning. BCT clients also reported more relationship satisfaction than non-participants.

Brief Alcohol Screening and Intervention of College Students (BASICS) (Seattle, WA)

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

Goal: The aims of the BASICS program are 1) to reduce alcohol consumption and its adverse consequences, 2) to promote healthier choices among young adults, and 3) to provide important information and coping skills for risk reduction.

Impact: Students who received a brief individual preventive intervention had significantly greater reductions in negative consequences that persisted over a 4-year period than their control-group counterparts. For those individuals receiving the brief intervention, dependence symptoms were more likely to decrease and less likely to increase.

CDC Communities Putting Prevention to Work: San Antonio

Filed under Good Idea, Health / Physical Activity, Children, Adults

Goal: The mission of Communities Putting Prevention to Work: San Antonio is to promote environmental changes to prevent obesity and make San Antonio one of the healthiest and most active communities in the nation.

Impact: Communities Putting Prevention to Work: San Antonio aims to reduce obesity by building accessible walking trails, providing bike-share programs, organizing free fitness programs and highlighting healthy eating options for the residents of San Antonio.

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.

CDC COMMUNITY GUIDE: Promoting Health Equity, Education Programs and Policies: Full-Day Kindergarten (USA)

CDC

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

Goal: Children in low-income families often experience delays in language and other development by the age of three. Compensating for these delays before children begin regular schooling can be critical to providing them with equal opportunities for lifelong employment, income, and health.

Impact: Outcomes included self-confidence, ability to work or play with others, independence, and school attendance by the end of kindergarten or the beginning of first grade.

Focus on Youth (FOY) with Informed Parents and Children Together (ImPACT) (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Focus on Youth is to teach youth the skills and knowledge they need to protect themselves from HIV and other STDs.

Impact: The Focus on Youth intervention increased self-reported condom use and positively affected perceptions six months after the end of the program.

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.