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

Winning With Wellness (Tennessee)

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

Goal: The goal of the Winning With Wellness (WWW) project is to promote physical activity and healthier eating habits in order to reduce and prevent childhood obesity.

Impact: School wellness programs that are acceptable to teachers and utilize some already existing resources can create impact for rural youth by improving nutrition offerings in school and increasing physical activity during the school day.

Withdrawal.org

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The purpose of Withdrawal.org is to help people who are suffering from addictions get past the hurdle of withdrawal and regain control of their lives.

Worcester Goods for Guns Buyback (G4G) Program (Worcester, MA)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Teens, Adults, Families, Urban

Goal: The goals of this program are three-fold: first, to remove unwanted improperly stored guns from homes; second, to educate the community about the increased risk of gun-related injuries in the home and the importance of safe gun storage; and third, to identify individuals possessing improperly stored guns at home and provide them with safety information and alternatives.

Impact: This program shows a strong collaboration between health care providers and public safety offices and showcases a low-cost means of removing unwanted firearms from the community. Additionally, most participants felt their homes were safer after turning in their firearm(s).

A Matter of Balance

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

Accelerated Benefits (AB) Demonstration (USA)

Filed under Evidence-Based Practice, Health / Disabilities, Adults

Goal: The program's goal was to eliminate the waiting period for access to health care benefits for newly entitled SSDI beneficiaries, and see if this investment has long-term benefits.

Impact: The AB Demonstration project successfully increased the use of health care services and reduced the reported unmet health care needs of participants in the program.

Acupuncturists Without Borders (Sandia Park, NM)

Filed under Good Idea, Health / Alternative Medicine

Goal: The mission of Acupuncturists Without Borders is to help alleviate suffering of people worldwide through community acupuncture treatment and training.

Addressing Health Equity in Evaluation Efforts (Boston, MA)

Filed under Good Idea, Community / Governance, Racial/Ethnic Minorities, Urban

Goal: The Boston Public Health Commission worked to ensure their efforts were effective in reaching the populations experiencing obesity and tobacco-related health inequities.

Impact: Boston Public Health Commissions' strategic evaluation design allowed the department to make mid-course adjustments and enhanced their ability to contribute to the evidence-base regarding the influence of their initiative on advancing health equity.

Adolescents Living Safely (New York City, NY)

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

Goal: The goal of Adolescents Living Safely is to prevent HIV infection and AIDS among runaway adolescents.

Impact: Adolescents Living Safely changes youth sexual behavior to reduce transmission of HIV among runaways.

Advancing Diabetes Self Management (Connecticut)

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

Goal: The goal of the Advancing Diabetes Self Management program at the Community Health Center was to improve the health outcomes of people with type 2 diabetes.

Impact: The diabetes self-management intervention showed patient improvements in glycemic control, blood pressure, and LDL cholesterol. The team was able to develop and adapt the program to meet the unique needs of the population to create an effective intervention.

Antismoking Media Campaign (Massachusetts)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens

Goal: To reduce the number of older adolescents who progress to established smoking.

Impact: The television component of the Massachusetts antismoking media campaign may have reduced the rate of progression to established smoking among young adolescents.

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.