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

Community-based Exposure Study and Development of a Community-First Communication Model (San Francisco)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Rural

Goal: The goal of this study was to address the health effects of PFOA pollution, with a strong desire to implement a community-driven communication strategy to communicate the study results.

Starting Right Initiative

Filed under Good Idea, Health / Physical Activity, Children, Families

Goal: The Starting Right Initiative works to prevent, treat and reverse childhood obesity and malnutrition in low-income communities.

Impact: The Starting Right Initiative aims to encourage healthy eating habits in children and their families and works to reduce childhood obesity and malnutrition at seven project locations nationwide.

Steps to a Healthier Washington (Washington)

Filed under Effective Practice, Health / Prevention & Safety, Adults

Goal: The mission of the Steps to a Healthier Washington program is to integrate existing chronic disease programs to achieve policy and systems changes.

The Berkeley Charleston Dorchester Regional Bicycle and Pedestrian Action Plan (Berkeley-Charleston-Dorchester, SC)

Filed under Good Idea, Community / Transportation

Goal: The Berkeley Charleston Dorchester Regional Bicycle and Pedestrian Action Plan is based on three principles:

(1) Children should be able to safely walk and bike to school if they and their parents so choose.

(2) Roadways should equally accommodate pedestrians, bicyclists, and motorists.

(3) Bicycling and walking should become a routine part of daily activity in the BCD region.

The Duluth, Minnesota, Domestic Abuse Intervention Project (DAIP) Advocacy Response (Duluth, MN)

Filed under Effective Practice, Community / Domestic Violence & Abuse, Families

Goal: The mission of DAIP is to provide advocacy on behalf of battered women. DAIP staff provide information and assess the women's safety regardless of the situation, but they also offer advocacy at three key time periods: immediately after police intervention and arrest, throughout the court proceedings, and after case disposition. The advocates offer support and information about available community resources, explain the criminal court process, describe the civil court remedies available, and obtain information from the women in order to serve as their liaisons to the legal system and to ascertain the level of danger that each woman is in.

The Strategies for Workforce Inclusion and Family Training (SWIFT) Project (Minneapolis, MN)

Filed under Effective Practice, Economy / Employment

Goal: Since Project SWIFT was not a direct service program, the major goal was for youth to receive direct services from partner agencies. Toward this aim, the project educated parents and staff from partner agencies to better meet the needs of youth with disabilities.

CDC Communities Putting Prevention to Work: King County, WA (King County, WA)

Filed under Effective Practice, Health / Physical Activity, Children, Teens

Goal: The King County Communities Putting Prevention to Work initiative goals are to reduce obesity and tobacco use.

Impact: Communities Putting Prevention to Work in King County is associated with reducing obesity prevalence among students in participating school districts and has made substantial progress towards decreasing tobacco use.

Hospital Diversion Initiative (Kansas City, MO)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the Hospital Diversion Initiative is to connect individuals who chronically utilize the inpatient and emergency rooms with outpatient care.

Impact: After three months in the program, participants showed a 66% reduction in ER visits, 68% reduction in inpatient hospital stays, a 72% decrease in homelessness, an 18% reduction in unemployment, and a 66% decrease in past 30 day arrests. More than 350 individuals have been served so far.

Metropolitan Region I Cardiovascular Disease Risk Screening and Education (Region I, LA)

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The objectives of the Cardiovascular Disease Risk Screening and Education program are as follows:

-To identify and provide early intervention for those with or at risk for untreated or uncontrolled hypertension
-To screen and identify those at risk for cardiovascular and renal disease
-To educate those found at risk for CVD
-To provide early chronic disease intervention
-To facilitate access for long term chronic disease care with partner sites

The JAUNT Program: A Regional Transportation System (Charlottesville, VA)

Filed under Effective Practice, Community / Transportation

Goal: The goal of this program is to provide affordable public transportation in central Virginia.

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.