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

Poder Latino: Community AIDS Prevention Program for Inner-City Latino Youth (Boston, MA)

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

Goal: The goal of the Community AIDS Prevention Program is to educate inner city Latino adolescents about how to reduce risk related to HIV/AIDS, and to encourage sexually active teens to use condoms.

Impact: This program shows that prevention programs targeting HIV/AIDS risk-reduction strategies and condom use encouragement can delay male initiation of sexual intercourse, reduce females' number of sexual partners, and increase likelihood of possessing a condom among sexually active youth.

Portland Fruit Tree Project (Portland)

Filed under Good Idea, Health / Physical Activity, Families, Urban

Goal: To increase equitable access to healthy food and strengthen communities by empowering neighbors to share in the harvest and care of city-grown produce.

Portland JOBS Training Program (Portland, OR)

Filed under Effective Practice, Economy, Adults, Urban

Goal: The program’s main focus was on moving welfare recipients quickly into the workforce.

Impact: There was a sizable increase in employment rates and job earnings, reduction in welfare dependency, and savings to the government.

Positive Action

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens

Goal: The goal of this program is to improve academic success, behavior, and character development.

Impact: Multiple studies have consistently found PA effective for improving achievement scores, attendance, and self-concept and for reducing drug use, violence, and other problem behaviors. Results were often better in more disadvantaged schools.

Project ALERT

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

Goal: The main goals of the program are to prevent adolescent non-users from experimenting with drugs and to prevent youths who are already experimenting from becoming more regular users.

Impact: Project Alert participants were 30% less likely than other students to begin using marijuana and analyses showed that the program significantly dampened pro-drug beliefs about cigarette and marijuana use.

Project Graduation Really Achieves Dreams (GRAD) (USA)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Urban

Goal: The mission of Project GRAD is to provide quality public school education for at-risk children in low-income communities and to increase high school and college graduation rates among these populations.

Project Live Active in Yancey (PLAY) (Yancey)

Filed under Effective Practice, Health / Physical Activity, Children, Teens, Adults, Families

Goal: The mission of Project Live Active in Yancey is to enhance the built environment in the community in order to prevent obesity and encourage community members to be physically active.

Project Northland

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

Goal: The program’s goal is to delay the age when young people begin drinking and to reduce drinking among those who have already started.

Impact: Studies have shown that by the end of the intervention, participating students were significantly less likely to drink alcohol than nonparticipants. Also, students who did not use alcohol before participating in the program were less likely to use alcohol after the intervention than similar youth who did not participate.

Project PREVENT (Massachusetts and North Carolina)

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

Goal: The goal of Project PREVENT is to reduce behavioral risk factors for colorectal cancer among individuals with positive screenings.

Impact: A significantly greater proportion of Project PREVENT participants reduced their multiple risk factor score when compared to the control group (47% vs. 35%). Intervention participants also had significantly greater multivitamin intake and significantly reduced red meat consumption.

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.

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.