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

Bienestar: A School-Based Diabetes and Obesity Prevention Program (Texas)

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

Goal: The objectives of Bienestar are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity among low-income Mexican-American elementary and middle school children.

Impact: The Bienestar Health Program statistically significantly increases fitness scores and dietary fiber intakes levels among low-income, Mexican-American fourth-graders. A second randomized control trial conducted from 6th to 8th grade showed reductions in various indexes of adiposity.

Bingocize: Using Games to Improve Balance, Mobility and ADL's (Owensboro, KY)

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

Goal: The goal of Bingocize is to improve mobility, balance, and ADL's in older adult populations.

Birth and Beyond California Program (California)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health

Goal: The goal of Birth and Beyond California is to provide effective, evidence-based breastfeeding support to all mothers delivering babies in hospitals in California in order to increase the percentage of mothers who are able to breastfeed exclusively starting at birth.

Body Project (Dissonance Intervention)

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

Goal: The Body Project is a dissonance intervention designed to help women in high school and college resist societal and cultural pressures to conform to an idealized notion of what it means to be 'thin' and to help increase body acceptance. A reduction in thin-ideal internalization should result in reduced use of unhealthy weight-control behaviors, decreased eating disorder symptoms, and overall increase in mood and well-being.

Impact: The Body Project program has yielded numerous significant benefits at posttest and 6 months, 1 year, 2 years, and 3 years after program implementation. These include significant reductions in body dissatisfaction, bulimic symptoms and psychosocial impairment compared to control group participants.

Business Case for Breastfeeding (Kansas)

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

Goal: To improve the health and well-being of Kansans by working collaboratively to promote, protect and support breastfeeding.

Impact: Investing in nursing employee support services has proven to produce a 3 to 1 ROI through greater employee retention, increased productivity, lower health care costs and decreased sick days.

By My Side Birth Support Program (New York City, New York)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Women, Racial/Ethnic Minorities, Urban

Goal: The mission of the By My Side Birth Support Program is to provide birth support and encourage breastfeeding among low-income and immigrant mothers living in Brooklyn through the use of doula services.

Impact: By March 2012, the By My Side Birth Support Program successfully trained more than 30 women in the community. These doulas, along with those already working for By My Side, participated in more than 100 births.

Cardiovascular Risk Management by Community Pharmacists (Iowa)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Adults, Rural

Goal: The goal of the Cardiovascular Risk Management by Community Pharmacists program is to reduce cardiovascular risk factors through pharmacist provided case management.

Caring for Kids (Kansas City, MO)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Children, Teens, Urban

Goal: The goal of Caring for Kids is to provide youth impacted by a loved one's substance use with the tools they need to stay safe and build a healthy life, and to reduce the likelihood that impacted youth will abuse substances.

Impact: In 2013, more than 250 youth were impacted by Caring for Kids. 90% of youth participants showed a decreased likelihood of alcohol or other drug use, and 100% completed an action plan.

CDC COMMUNITY GUIDE: Assessment of Health Risks with Feedback to Change Employees' Health (USA)

CDC

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Adults

Impact: There is strong evidence that the use of assessments of health risks with feedback, combined with health education programs, improves outcomes regarding tobacco use, dietary fat intake, blood pressure, cholesterol, and number of days lost due to illness or disability.

CDC COMMUNITY GUIDE: Asthma Control: Home-Based Multi-Trigger, Multicomponent Environmental Interventions (USA)

CDC

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Teens

Goal: To improve overall quality of life and productivity for children and adolescents that suffer from asthma.

Impact: Home-based multi-trigger, multi-component interventions with a combination of minor or moderate environmental remediation with an education component provide good value based on improvement in symptoms free days.

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.