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.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families
Goal: The goal of Early Head Start (EHS) is to promote healthy prenatal outcomes for pregnant women, enhance the development of very young children, and promote healthy family functioning. The goal of Head Start is to increase school readiness of young children in low-income families.
Impact: Studies have demonstrated positive effects of the program for both 3- and 4-year-old children on pre-reading, pre-writing, vocabulary, and parent reports of children’s literacy skills. For 3-year-olds, a greater number of parents reported improved access to health care and better health status.
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).
Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.
CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.
Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.
Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Women, Men
Goal: The goal of Healthy Relationships is to reduce the risk of HIV transmission by people who know they are HIV-positive by reducing the frequency with which they have unprotected sex.
Impact: Healthy Relationships seeks to develop decision making and problem making skills to reduce the risk and transmission of HIV through behavioral intervention. An intervention study resulted in significantly less unprotected intercourse and greater condom use with lower estimated HIV rates post-intervention.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Families, Urban
Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.
Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).
Filed under Evidence-Based Practice, Health / Children's Health, Children
Goal: To prevent or delay the onset of underage alcohol and tobacco use by encouraging healthy beliefs and attitudes about abstaining from substance use and by enhancing critical thinking skills to transform students into active media consumers.
Impact: Students who participated in the Media Detective program displayed a greater understanding of media deconstruction skills and persuasive intent. They also had greater self-efficacy to refuse substances compared to students who did not participate in the program.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Teens
Goal: The goals of this program are to establish a single application for school-based youth prevention programs; provide a common language and approach for parent, community, and student health programs; and reinforce prevention messages from a variety of sources.
Impact: Students who received the Michigan Model curriculum had significantly better health outcomes in several areas: social and emotional health, interpersonal skills, aggressive behavior, safety attitudes and skills, physical activity skills, nutrition behavior, drug refusal skills, recent alcohol and tobacco use, and intentions to use alcohol and smoke cigarettes.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens
Goal: The goal of this program is to help teens quit smoking.
Impact: One study showed that the percentage of students who reportedly quit smoking 15 months after the intervention was higher for participants. Another study showed that a greater percentage of participants reported smoking cessation 5 months after the intervention than non-participants.
Filed under Evidence-Based Practice, Community / Social Environment, Families
Goal: The goal of the Parenting with Love and Limits® (PLL) program is to improve behavioral problems in children by providing therapy and training to parents in order to restore a level of competent, effective parenting and create greater family connectedness.
Impact: Youth in the PLL group had significantly greater reductions in conduct disorder problem behaviors compared with youth in the control group. Specifically, they had greater improvements in anxiety/depression, withdrawn/depression, social problems, attention problems, rule-breaking problems, aggressive behaviors, internalizing problems, and externalizing problems.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens
Goal: The long-term goals of the program are to arrest the development of teen antisocial behaviors and drug experimentation. Intermediate goals are to improve parents' family management and communication skills.
Impact: Parents had improved feelings toward their children and were less likely to react negatively to their children's behavior and less likely to take a "lax" approach to their children after participating in the program. They also showed improvements in the skill areas of tracking and reinforcing behavior, setting expectations and defining problems, and remaining calm in stressful situations. Antisocial behaviors in their children decreased significantly, measures of child adjustment showed improvement, and total problem behavior decreased. Furthermore, the PFS intervention resulted in significantly less use of tobacco, alcohol, and marijuana.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens
Goal: The goal of this program is to reduce or stop smoking among adolescents.
Impact: At 3-month follow-up, 17% of youths in the treatment conditions reported having quit smoking for at least 30 days, compared with only 8% of those teens in the control condition. These positive effects were also demonstrated when moved from a clinic setting to the classroom, as students in the program condition experienced a greater reduction in weekly smoking and monthly smoking, at 6-and-12-month follow-ups.