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

Baby-Friendly Hospital Initiative (Boston, MA)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families, Urban

Goal: The goal of the project was to increase breastfeeding initiation rates through the implementation of Baby-Friendly policies.

Baltimore Healthy Carryout Project (Baltimore, MD)

Filed under Effective Practice, Health / Physical Activity, Teens, Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of the Baltimore Healthy Carryout project was to increase healthy food options at carryout facilities and restaurants in Baltimore's low-income neighborhoods.

Impact: The BHC project reached 36.8% more customers during the intervention period than at baseline when comparing intervention carryouts to comparison carryouts. Customers reported purchasing specific foods due to the presence of a photo on the menu board (65.3%) or menu labeling (42.6%).

Baton Rouge Partnership for the Prevention of Juvenile Gun Violence (Baton Rouge, LA)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Urban

Goal: The partnership uses a comprehensive strategy with four specific goals:

1. Carry out a multi-agency law enforcement (suppression) strategy to reduce gun-related and other violent crimes committed by youths 17 and older.
2. Operate an intensive intervention program to reduce the risk factors for the highest risk youths, their families, and the community.
3. Mobilize the community at the grassroots level to address the problems of hard-to-reach families and the highest risk youths.
4. Operate a long-range prevention program that identifies, links, and strengthens existing resources to serve youths who may be at risk.

Be a Star (St Louis, MO)

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

Goal: The Be a Star program was developed to help preadolescents gain the knowledge and skills necessary to resist drugs.

Impact: During the third year of the evaluation, very strong differences emerged between intervention and control groups. The treatment groups scored significantly higher on the scales rating family bonding, pro-social behavior, self-concept, self-control, decision-making, emotional awareness, assertiveness, cooperation, attitudes toward drugs and alcohol, self-efficacy, attitudes toward African-American culture, and school bonding.

Becoming a Responsible Teen (BART) (Jackson, Mississippi)

Filed under Evidence-Based Practice, Health / Family Planning, Teens, Racial/Ethnic Minorities

Goal: The goals of this intervention include: increasing information and skills to make sound choices, increasing abstinence, and eliminating or reducing sex risk behaviors.

Impact: Among teens who participated, there was a decrease in sexual activity compared to those who did not participate in the program. Also among participants, there was an increase in sexual intercourse occasions that were condom-protected.

Behavior Management Through Adventure

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

Goal: The goal of Behavior Management through Adventure is to address the needs of at-risk youth in therapeutic settings.

Impact: Behavior Management Through Adventure was successful in lowering rearrest rates, decreasing the time period from release until rearrest, improving depression symptoms, increasing family self-concept, and lowering social introversion.

Being Alive (West Hollywood, CA)

Filed under Good Idea, Health / Alternative Medicine, Urban

Goal: Being Alive is a nonprofit membership organization created and operated by and for people living with HIV/AIDS that aims to build a healthier and more powerful community of HIV-positive people.

BetterU (USA)

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

Goal: The goal of the BetterU intervention is to increase knowledge of heart disease, increase physical activity, and improve nutrition among women aged 25 years and older.

BLAST Lyme Disease Prevention Program (Ridgefield, CT)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The goal of the program is to raise awareness of the most effective Lyme disease prevention practices, to educate the community about the early signs and symptoms of Lyme and other tick-borne diseases, and to promote timely diagnosis and treatment.

Impact: The BLAST program has raised awareness of the most effective Lyme disease prevention practices through various outlets and has been recommended by the CDC.

Blues Program (Cognitive Behavioral Group Depression Intervention)

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

Goal: To significantly reduce depressive symptoms and to reduce the rates of future major depressive disorder onset among adolescents.

Impact: The Blues Program has been shown to decrease depressive symptoms, decrease rates of major depression onset, decrease rates of substance use, and increase factors that are protective against depression.

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.