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

Be a Star (St Louis, MO)

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

Goal: The Be a Star program was developed to help preadolescents gain the knowledge and skills necessary to resist drugs.

Impact: During the third year of the evaluation, very strong differences emerged between intervention and control groups. The treatment groups scored significantly higher on the scales rating family bonding, pro-social behavior, self-concept, self-control, decision-making, emotional awareness, assertiveness, cooperation, attitudes toward drugs and alcohol, self-efficacy, attitudes toward African-American culture, and school bonding.

Behavioral Couples Therapy for Alcoholism and Drug Abuse (BCT)

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

Goal: The goal of Behavioral Couples Therapy for Alcoholism and Drug Abuse is to improve success rates for treatment of alcoholism and drug abuse by involving intimate partners in the treatment process.

Impact: Numerous studies of the program have shown positive outcomes in five areas: substance abuse, quality of relationship with partner, treatment compliance, intimate partner violence, and children's psychosocial functioning. BCT clients also reported more relationship satisfaction than non-participants.

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.

Boston Public Schools Snack and Beverage Policy (Boston, MA)

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

Goal: To decrease consumption of sugar-sweetened beverages in Boston public schools.

Impact: Data from Boston youth indicated that policy changes restricting the sale of sugar-sweetened beverages in schools can cause significant reductions in consumption of sugar-sweetened beverages and are promising strategies to reduce adolescents’ intake of unnecessary calories.

Boys and Girls Club Project Learn

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

Goal: The goal of this program is to improve the educational performance of economically disadvantaged adolescents.

Impact: After 30 months, program youths reported significantly greater enjoyment and engagement in reading, verbal skills, writing, and tutoring. They also had better overall averages in reading, spelling, history, science, social studies, and school attendance compared with comparison and control youths.

Brief Strategic Family Therapy (Miami, FL)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Families

Goal: The goal of BSFT is to improve a youth's behavior problems by improving family interactions that are presumed to be directly related to the child's symptoms, thus reducing risk factors and strengthening protective factors for adolescent drug abuse and other conduct problems.

Impact: Adolescents who participated in BSFT showed a significantly greater reduction in conduct problems than adolescents in the comparison condition, who received a participatory-learning group intervention. BSFT participants also showed a significantly greater reduction in socialized aggression.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Structural Barriers: Cervical Cancer (USA)

CDC

Filed under Effective Practice, Health / Cancer, Adults

Impact: Interventions to reduce structural barriers can increase cancer screenings.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Structural Barriers: Colorectal Cancer (USA)

CDC

Filed under Effective Practice, Health / Cancer, Adults

Impact: Interventions to reduce structural barriers can increase cancer screenings.

Coded Text Messages for Chlamydia and Gonorrhea Results (Clay, FL)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Urban

Goal: The goal of the program is to reduce the spread of STDs/STIs in high risk populations under 25 years old by decreasing the length of time from diagnosis to treatment.

Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care (Chicago, Illinois)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Urban

Goal: To assess the costs of a housing and case management program in a novel sample: homeless adults with chronic medical illnesses.

Impact: Compared to usual care, the intervention group generated an average annual cost savings of (−)$6,307 per person (95 percent CI: −16,616, 4,002; p = .23). Subgroup analyses of chronically homeless and those with HIV showed higher per person, annual cost savings of (−)$9,809 and (−)$6,622.

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.