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

Santa Monica Urban Runoff Recycling Facility (Los Angeles)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Children, Teens, Adults, Older Adults, Urban

Goal: SMURRF aims to mitigate the pollution affecting Santa Monica Bay from urban runoff and raise public awareness of Santa Monica Bay pollution. We have reviewed the SMURRF system and began an investigation of installing a RO system to produce potable water in the coming years. This goal is to contribute to the city’s new sustainable master water plan to become self-reliant on local water by 2020

School Lunch Initiative (Berkeley, CA)

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

Goal: The primary goal of the School Lunch Initiative is to transform the way Berkeley public school students eat lunch and to educate children about food, health, and the environment.

Impact: Three years after its conception, the program successfully eliminated nearly all processed foods from the school district dining halls and introduced fresh and organic foods to the daily menu. There was evidence that greater exposure to the School Lunch Initiative was significantly associated with higher nutrition knowledge scores among fourth graders and seventh graders. Furthermore, elementary school students from the schools with highly developed School Lunch Initiative components clearly expressed a higher preference for fruits and vegetables.

School-Based Intervention to Promote Tooth Brushing (Scotland)

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

Goal: The goal of this intervention was to reduce dental caries among children by promoting twice daily tooth brushing.

Impact: Supervised tooth brushing and positive reinforcement in a school setting decreased the rate of dental caries in participating children.

Seeking Safety

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders

Goal: The goal of this program is to help clients move beyond trauma and substance abuse.

Impact: Multiple evaluations of the Seeking Safety program in various settings have shown positive outcomes for substance abuse/addiction, substance abuse disorder, and post-traumatic stress disorder.

Septic Systems (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: Septic systems serve approximately 25 percent of the U.S. population and about 40 percent of new developments. The U.S. Census Bureau has indicated that at least 10 percent of septic systems have stopped working. Some communities report failure rates as high as 70 percent! The goal of this program is to improve the performance of decentralized septic systems.

SF Health Code Article 38: Enhanced Ventilation for Urban Sensitive Use Development (San Francisco, CA)

Filed under Good Idea, Community / Governance, Children, Teens, Adults, Older Adults, Families, Urban

Goal: The purpose of SF Health Code Article 38 is to protect residents from the effects of living in a poor air quality zone by requiring enhanced ventilation in new and renovated residential buildings.

Impact: The City of San Francisco implemented a law requiring enhanced ventilation in new and renovated residential buildings to protect residents from harmful particulate matter.

Students for Nutrition and Exercise (SNaX)

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

Goal: The goal of Students for Nutrition and Exercise is to encourage healthy eating and daily physical activity in middle school students.

Impact: The SNaX program shows that programs which train peer advocates to encourage healthy eating and daily physical activity in students can serve to benefit those trained as peer advocates after the intervention.

Study of Cardiovascular Risk Intervention by Pharmacists (SCRIP) (Canada)

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

Goal: The goal of SCRIP is to improve cholesterol risk management among patients at risk for coronary heart disease events.

Sustainable Stapleton (Denver, CO)

Filed under Good Idea, Economy / Economic Climate

Goal: The result of hundreds of community meetings and thousands of volunteer hours, The Green Book describes the three legs, or goals, of sustainability that guide development at Stapleton:

- Economic Opportunity: Develop as a regional center for job creation in diverse fields with an emphasis on new technologies and emerging industries.
- Environmental Responsibility: Demonstrate the economic and community benefits of a long-term commitment to reducing consumption of natural resources and impacts on the natural environment.
- Social Equity: Provide broad access to social, cultural and economic opportunities for all segments of the community.

The Diabetes Self-Management Program (USA)

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

Goal: The Diabetes Self-Management Program is a group workshop that educates individuals with diabetes on techniques to help them manage their disease and live more active lives.

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.