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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.

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Border Binge-Drinking Reduction Program (Tijuana, Mexico)

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

Goal: The goal of this program is to reduce public health and safety problems related to U.S. teen & binge drinking in Mexico.

Impact: With IPS leadership, there was a reduction in youth nighttime crashes by 45% and 37% fewer nighttime crossers with a blood alcohol content of 0.08 or higher.

California Main Street (California)

Filed under Effective Practice, Economy / Economic Climate

Goal: The purpose of California Main Street is to educate and provide assistance to California communities about how they can revitalize their downtowns or core commercial districts using the self-help Main Street Four-Point Approach. Through this education on how traditional downtowns and neighborhood commercial districts can become and remain vital economic, social, and cultural centers, the community's development leads to livable and sustainable practices that ultimately improve its quality of life.

Caring School Community Program

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

Goal: The goal of the Caring School Community program is to build classroom and school communities in order to support learning, academic success, positive relationships and character formation.

Impact: After 3 years, CSC students, relative to their comparison school counterparts, showed a greater sense of the school as a caring community, more fondness for school, stronger academic motivation, more frequent reading of books outside of school, a higher sense of efficacy, stronger commitment to democratic values, better conflict-resolution skills, more concern for others, more frequent altruistic behavior, and less use of alcohol.

CDC COMMUNITY GUIDE: Breast Cancer Prevention & Control, Provider-Oriented Screening Interventions: Provider Reminder & Recall Systems (USA)

CDC

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

Goal: The goal of incorporating multicomponent interventions for cancer screenings is to increase breast cancer screenings in communities.

Impact: Multicomponent interventions that include strategies that reduce and address structural barriers increase cancer screening rates by the largest margins.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Client Reminders (USA)

CDC

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

Goal: The goal of the Client Reminders is to increase screening for breast cancers.

Impact: The Community Preventive Services Task Force (CPSTF) recommends the use of client reminders to increase screening for breast cancers on the basis of strong evidence of effectiveness.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket Costs: Breast Cancer (USA)

CDC

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

Goal: The goal of the interventions is to reduce client out-of-pocket costs to minimize or remove economic barriers that make it difficult for clients to access cancer screening services.

Impact: Costs can be reduced through a variety of approaches, including vouchers, reimbursements, reduction in co-pays, or adjustments in federal or state insurance coverage. Efforts to reduce client costs may be combined with client education, information about programs, or measures to reduce barriers.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket Costs: Cervical Cancer (USA)

CDC

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

Goal: The goal of the interventions is to reduce client out-of-pocket costs to minimize or remove economic barriers that make it difficult for clients to access cancer screening services.

Impact: Consistently favorable results for interventions that reduce costs for breast cancer screening and several other preventive services suggest that such interventions are likely to be effective for increasing cervical cancer screening as well.

An Effective Practice meets the following HCI criteria:

  1. 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.
  2. 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:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. 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:

  1. 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.
  2. 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.
  3. 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.
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