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

Girls' Circle (USA)

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

Goal: The goal of Girls' Circles is to enhance girls' abilities so they are able to take full advantage of their talents, academic interests, career pursuits, and potential for healthy relationships.

Impact: The program has shown statistically significant improvements for girls in Girls Circle programs with the following outcomes: increases in self-efficacy, attachment to school, positive body image, and social support, and decreases in self-harming behavior and alcohol use rates.

Health and Safety Intervention with First-Time Mothers

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women

Goal: The goal of CBFRS is to advance the health and development of first-time mothers and infants through a home visit program.

Impact: The findings indicate positive health and safety outcomes for first-time mothers and infants in the program: higher household safety levels, higher use of birth control methods, lower smoking behavior, higher knowledge of the effects of smoking on child development, and higher use of county clinics.

Health Equity: Center-Based Early Childhood Education

CDC

Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education

Impact: The Community Preventive Services Task Force (CPSTF) recommends center-based early childhood education programs (ECE) to improve educational outcomes that are associated with long-term health as well as social- and health-related outcomes. Economic evidence indicates there is a positive return on investment in early childhood education. The benefits from students' future earnings gains alone exceed program costs.

If targeted to low-income or racial and ethnic minority communities, ECE programs are likely to reduce educational achievement gaps, improve the health of these student populations, and promote health equity.

Health Equity: Full Day Kindergarten Programs

CDC

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

Goal: The goal of full-day kindergarten programs is to prepare children academically, socially, and emotionally for effective participation in the educational system.

Impact: Children who enroll in full-day kindergarten programs see improved scores on standardized tests and assigned grades than those enrolled in half-day kindergarten programs. Those enrolled in full-day programs also see increased social-emotional health.

Healthier Options for Public Schoolchildren (HOPS) (Osceola)

Filed under Evidence-Based Practice, Health / Physical Activity, Children

Goal: The goal of the HOPS program was to improve overall health status and academic achievement using replicable strategies.

Impact: The HOPS intervention helped students who qualified for free or reduced price meals both stay within the normal BMI percentile and score higher on their state math achievement test.

Housing for Health Permanent Supportive Housing Program (Los Angeles County)

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban

Goal: Housing for Health program goals are to improve patients’ health, reduce costs to the public health system, and demonstrate DHS’s commitment to addressing homelessness within Los Angeles County.

Impact: The average public service utilization cost per participant for the year prior to housing totaled $38,146; in the year after receiving housing, it totaled $15,358. When taking into account PSH costs, RAND observed a 20-percent net cost savings, suggesting a potential cost benefit of the program.

IMMUNITY Campaign (San Francisco, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Adults, Women, Men, Urban

Goal: The goal of the IMMUNITY campaign is to increase awareness around the importance of adults receiving vaccinations for commonly preventable diseases.

Improving African American Participation Rates in Health Intervention Research (Minnesota)

Filed under Effective Practice, Health / Physical Activity, Teens, Racial/Ethnic Minorities, Urban

Goal: To improve participation of African Americans in health promotion and intervention research.

Influenza Vaccination Program (Henderson County, NC)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: In 2002, the health department changed the clinic site and operation to accomplish the following three goals: 1) to conduct a mass vaccination involving other community agencies, businesses and health providers; 2) to distribute influenza vaccination in the community for greater equity and accountability; and 3) to introduce the citizens to the concept and process of a mass vaccination drill.

Keep It Up (New York, NY)

Filed under Good Idea, Health / Health Care Access & Quality, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Keep It Up is to provide health screening and preventative care to Black men to promote HIV prevention and other health problems.

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.