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

Oklahoma Billboard Control and Removal Program (Oklahoma)

Filed under Good Idea, Community / Transportation, Adults

Goal: The goal of the Oklahoma Billboard Control and Removal Program is to comply with the requirements of the Oklahoma Highway Beautification Act by removing non-permitted billboards and regulating the installation of new billboards.

Options/Opciones Project (New Haven and Hartford, CT)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Urban

Goal: The goal of the Options/Opciones Project is to reduce or eliminate risky sexual and drug use behaviors of HIV-infected patients.

Impact: The Options/Opciones Project shows that a clinician-delivered HIV prevention intervention targeting HIV-infected patients can result in reductions in unprotected sex and that interventions of this kind should be integrated into routine HIV clinical care.

PACE+: Counseling Adolescents for Exercise and Nutrition (California)

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

Goal: The goal of PACE+ for adolescents is to: decrease total dietary fat consumption; increase fruits & vegetable consumption; increase participation in moderate and vigorous physical activity; decrease sedentary habits among adolescents aged 11-15.

Parent Connext: Parent Coaching in Pediatric Practices (Cincinnati)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Urban

Goal: The goal of Parent Connext is to support parents in reducing and/or preventing toxic stress in the family and help children develop critical life skills and coping skills. Recent studies have found that up to 50% of health outcomes are attributable to social and economic factors and that lifetime costs associated with child maltreatment are comparable to other costly healthcare conditions such as stroke or type 2 diabetes. Moreover, 4 in 5 physicians report lacking confidence in their ability to meet patients’ social needs, which can impede their ability to provide high quality medical care. As a result, interventions that target parents’ social needs may have important implications for reducing healthcare costs and have the added benefit of enabling physicians to provide high-quality care to their patients.

Parent Enrichment Program (Hamilton County, OH)

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban

Goal: Parenting education programs are designed to teach and enhance skills and behaviors that enable parents to better understand their child, support their development, and provide a more stable and supportive family environment. Research supports the numerous benefits of such programs, finding that parenting education programs help parents to teach communication and social skills while reducing their stress and improving their sense of competence. Importantly, these positive program outcomes are true for families regardless of whether they are currently dealing with issues of maltreatment or are simply at risk for it.

The Parent Enrichment Program is for families who are at risk for having their children removed from the home or whose children have been removed from the home due to abuse or neglect. The goal of the program is to enhance existing parenting skills, connect participants to needed resources, and support their goals related to social and economic self-sufficiency. Specific program objectives are to improve skills related to positive parenting and financial stability, develop family protective factors that guard against abuse and neglect, and reduce safety threats.

References:
Charlop-Christy, M. H., & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2, 98–112.
Solomon, R., Necheles, J., Ferch, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism: The PLAY Project Home Consultation program. Autism, 11, 205–224.
Koegel, R. L., Bimbela, A., & Schreibman, L. (1996). Collateral effects of parent training on family interactions. Journal of Autism and Developmental Disorders, 26, 347–359.
Cowen, P. S. (2001). Effectiveness of a parent education intervention for at‐risk families. Journal for Specialists in Pediatric Nursing, 6(2), 73-82.

Parenting With Love and Limits (Savannah, GA)

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.

Partnering with Community Health Centers to Prevent Early Childhood Carries (ECC) (Boston, MA)

Filed under Evidence-Based Practice, Health / Oral Health, Children, Families, Urban

Goal: The goal of this intervention was to involve pediatricians to help reduce rates of early childhood caries.

Impact: The multifaceted ECC intervention was associated with increased provider knowledge and counseling, and significantly attenuated incidence of ECC, showing that similar interventions could have the potential to make a significant public health impact on reducing ECC among young children.

Partnership for Health (California)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of Partnership for Health is to reach HIV positive patients during regular doctor visits and increase their knowledge, skills, and motivations to practice safer sex.

Impact: Brief provider counseling emphasizing the negative consequences of unsafe sex can reduce HIV transmission behaviors in HIV-positive patients presenting with risky behavioral profiles.

Partnership for Safe Water (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of this common sense cooperation is to provide a new measure of safety to millions of Americans by implementing prevention programs where legislation or regulation does not exist. The preventative measures are based around optimizing treatment plant performance and thus increasing protection against microbial contamination in America's drinking water supply.

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.

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.