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

A Matter of Balance

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

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

Advancing Diabetes Self Management: La Clinica de La Raza (Oakland, CA)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Advancing Diabetes Self Management at La Clinica de La Raza was to improve health outcomes of those suffering from type 2 diabetes.

Alcohol and Other Drug Death Review (Humboldt County, CA)

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The goal of this program is to involve community partners in reviewing individual deaths, generating recommendations for improved community collaboration, and initiating new practices.

Antismoking Media Campaign (Massachusetts)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens

Goal: To reduce the number of older adolescents who progress to established smoking.

Impact: The television component of the Massachusetts antismoking media campaign may have reduced the rate of progression to established smoking among young adolescents.

Athletes Targeting Healthy Exercise & Nutrition Alternatives (ATHENA) (USA)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens

Goal: The mission of the ATHENA (Athletes Targeting Healthy Exercise & Nutrition Alternatives) program is to promote healthy sports nutrition and discourage the use of body-enhancing substances among middle and high school female athletes.

Impact: Participation in the ATHENA program results in significant reductions in the use of performance-enhancing substances, recreational drugs, diet pills, tobacco, and alcohol among female teen athletes. Healthier eating and other health behaviors, and body image perceptions were also improved.

Athletes Training and Learning to Avoid Steroids (ATLAS) (Portland, OR)

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

Goal: The goal of ATLAS is to reduce anabolic steroid, alcohol, and other illicit drug use by adolescent male athletes.

Impact: Student participants of ATLAS had significantly lower intent to use anabolic steroids at both the end of the athletic season and at the 1-year follow-up. Students in the intervention also significantly reduced illicit drug use and were significantly less likely to report drinking and driving.

Be a Blue Buddy (Jacksonville, FL)

Filed under Good Idea, Health / Cancer, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Goal: The mission of the Be a Blue Buddy campaign is to educate the community about colorectal cancer, to raise awareness about the importance of screening and early detection, to give hope to newly diagnosed patients, and to save lives.

Impact: Be a Blue Buddy has helped raise awareness and create a dialogue for colorectal cancer. Grace De La Rosa began Be a Blue Buddy in 2014 and has reached several thousand people in her community and nationwide.

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.

Bootheel Heart Health Project (Missouri)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Rural

Goal: The goal of the Bootheel Heart Health Project was to reduce risk factors for cardiovascular disease and decrease morbidity and mortality due to cardiovascular disease.

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.

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.