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

Parent Connext: Parent Coaching in Pediatric Practices (Cincinnati)

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

Goal: The goal of Parent Connext is to support parents in reducing and/or preventing toxic stress in the family and help children develop critical life skills and coping skills. Recent studies have found that up to 50% of health outcomes are attributable to social and economic factors and that lifetime costs associated with child maltreatment are comparable to other costly healthcare conditions such as stroke or type 2 diabetes. Moreover, 4 in 5 physicians report lacking confidence in their ability to meet patients’ social needs, which can impede their ability to provide high quality medical care. As a result, interventions that target parents’ social needs may have important implications for reducing healthcare costs and have the added benefit of enabling physicians to provide high-quality care to their patients.

Parent Enrichment Program (Hamilton County, OH)

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

Goal: Parenting education programs are designed to teach and enhance skills and behaviors that enable parents to better understand their child, support their development, and provide a more stable and supportive family environment. Research supports the numerous benefits of such programs, finding that parenting education programs help parents to teach communication and social skills while reducing their stress and improving their sense of competence. Importantly, these positive program outcomes are true for families regardless of whether they are currently dealing with issues of maltreatment or are simply at risk for it.

The Parent Enrichment Program is for families who are at risk for having their children removed from the home or whose children have been removed from the home due to abuse or neglect. The goal of the program is to enhance existing parenting skills, connect participants to needed resources, and support their goals related to social and economic self-sufficiency. Specific program objectives are to improve skills related to positive parenting and financial stability, develop family protective factors that guard against abuse and neglect, and reduce safety threats.

References:
Charlop-Christy, M. H., & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2, 98–112.
Solomon, R., Necheles, J., Ferch, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism: The PLAY Project Home Consultation program. Autism, 11, 205–224.
Koegel, R. L., Bimbela, A., & Schreibman, L. (1996). Collateral effects of parent training on family interactions. Journal of Autism and Developmental Disorders, 26, 347–359.
Cowen, P. S. (2001). Effectiveness of a parent education intervention for at‐risk families. Journal for Specialists in Pediatric Nursing, 6(2), 73-82.

Peer-Assisted Learning Strategies (PALS) (Nashville, TN)

Filed under Effective Practice, Education / Student Performance K-12, Children

Goal: The goal of PALS is to ensure that all students succeed in reading and math.

Peers Reaching Out and Modeling Intervention Strategies (PROMISE) (Texas, Colorado, California, New York, Washington)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Urban

Goal: The goal of Community PROMISE is to encourage HIV prevention practices.

Impact: PROMISE leads to significant community-wide progress toward consistent HIV risk reduction.

Prolonged Exposure Therapy

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

Goal: The goal of this program is to improve treatment outcomes for patients with post-traumatic stress disorder.

Impact: PE Therapy is considered by expert consensus the treatment of choice for PTSD clients whose prominent symptoms include intrusive thoughts, flashbacks, and trauma-related fear and avoidance. One study demonstrated that the treatment group showed significant improvement in PTSD symptoms and depressive symptoms at posttest, and these treatment effects were maintained at 6-month follow-up.

Providing Education by Bringing Learning Environments to Students (PEBBLES)

Filed under Good Idea, Education / School Environment, Children

Goal: This program uses technology and innovative design to help hospitalized children stay involved with their classrooms and other students.

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.

Residential Student Assistance Program

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

Goal: The goal of this program is to prevent and reduce substance use and abuse among high risk, multi-problem adolescents placed in residential child care facilities.

Impact: One evaluation showed that adolescents participating in RSAP showed significant reductions in their use of alcohol, marijuana, and tobacco from pretest to posttest measures.

Rochester AIDS Prevention Project (RAPP) (Rochester, NY)

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

Goal: The goals of the program are: 1) to promote abstinence maintenance among sexually abstinent students and encourage safer sex practices to sexually active students, 2) compare the effect of RAPP when taught by different providers, and 3) to explore the factors that impact a student's decision to engage in sexual activity.

Impact: Regular teacher-taught male (p=.001) and female students (p=.05) and peer-taught male students (p=.02) had the highest rates of delaying the onset of sexual activity.

Safe in the City (Denver, Long Beach, and San Francisco)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

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.