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

Positive Family Support Program (PFS) (Eugene, OR)

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

Goal: The long-term goals of the program are to arrest the development of teen antisocial behaviors and drug experimentation. Intermediate goals are to improve parents' family management and communication skills.

Impact: Parents had improved feelings toward their children and were less likely to react negatively to their children's behavior and less likely to take a "lax" approach to their children after participating in the program. They also showed improvements in the skill areas of tracking and reinforcing behavior, setting expectations and defining problems, and remaining calm in stressful situations. Antisocial behaviors in their children decreased significantly, measures of child adjustment showed improvement, and total problem behavior decreased. Furthermore, the PFS intervention resulted in significantly less use of tobacco, alcohol, and marijuana.

Post-Assistance Self-Sufficiency (PASS) Program (Riverside, CA)

Filed under Evidence-Based Practice, Economy / Employment, Adults, Families

Goal: The goal of the PASS Program is to promote job retention and advancement among individuals leaving the Temporary Assistance for Needy Families (TANF) program.

Impact: The PASS program did not meet the goal of having its participants retain their initial jobs. However, PASS did result in PASS participants being more likely to find new jobs (occasionally with higher earnings) after having lost or moved on from previous jobs.

Reach Out and Read: Palm Beach (Palm Beach)

Filed under Effective Practice, Education / Literacy, Children, Families, Urban

Goal: The mission of Reach Out and Read is to help prepare young children to succeed in school, by partnering with physicians to encourage parents and children to read aloud together.

SALUD Campaign (Connecticut)

Filed under Effective Practice, Health / Physical Activity, Racial/Ethnic Minorities

Goal: To increase the awareness of healthy eating in Latino communities and deliver targeted nutrition information.

The Incredible Years®

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: The Incredible Years® Parents, Teachers, and Children Training Series has two long-range goals. The first goal is to develop comprehensive treatment programs for young children with early onset conduct problems. The second goal is the development of cost-effective, community-based, universal prevention programs that all families and teachers of young children can use to promote social competence and to prevent children from developing conduct problems in the first place.

Impact: Studies have shown that children who participate in the programs demonstrate significant improvements in school readiness, emotional regulation, and social skills, as well as reductions in behavior problems in the classroom.

The San Francisco Wraparound Project (San Francisco, CA)

Filed under Good Idea, Community / Crime & Crime Prevention, Children, Teens, Urban

Goal: The mission of The San Francisco Wraparound Project is to prevent violent injury and break the cycle of violence by addressing root causes and risk factors.

With All Families: Parents (Hamilton County, OH)

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

Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.

Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.

References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.

Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.

Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.

Women's Lifestyle Heart Trial (Eugene, OR)

Filed under Effective Practice, Health / Heart Disease & Stroke, Women

Goal: The goal of the Women's Lifestyle Heart Trial is to reduce cardiovascular risk factors among postmenopausal women with coronary heart disease through lifestyle changes.

A Matter of Degree (USA)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens

Goal: The goal of the A Matter of Degree program is to reduce student drinking and driving after drinking.

Adults and Children Together - Parents Raising Safe Kids (ACT-PRSK) (USA)

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

Goal: The goal of the program is to teach parents/caregivers effective parenting skills, create a support system for their children, and equip participants with non-violent techniques to encourage a safe environment at home and in the community.

Impact: ACT program has been shown to prevent child maltreatment and promote positive parenting skills, including reducing physical violence towards children, improving knowledge of appropriate discipline, and improving parent methods for teaching children nonviolent social skills.

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.