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

Prenatal Plus Program (Lake Worth, FL)

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

Goal: The overall goal of the Prenatal Plus Program, combined with the Partners for a Healthy Baby curriculum, is to improve birth outcomes, decrease rates of child abuse and neglect, and strengthen families.

Impact: Reduced low birth weight rate through risk reduction during pregnancy.

Project Towards No Drug Abuse

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

Goal: The goal of this program is to decrease alcohol, tobacco, and drug use and to decrease violence and weapons-carrying among high school students.

Impact: At 2-year follow-up, students in Project TND schools were about half as likely to use tobacco when compared with students in control schools. Students in Project TND schools were about one-fifth as likely to use hard drugs relative to similar students in control schools.

Project Ujima (Milwaukee County, WI)

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

Goal: The goal of Project Ujima is to stop the cycle of violent crimes by reducing the number of repeat victims of violence.

Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME) (WA, OR)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: The PHLAME Study had four primary goals: (1) Increase physical activity to 30 minutes each day; (2) Reduce percent calories from fat to less than 30%; (3) Increase servings of fruits and vegetables to at least 5 per day; and (4) Improve energy balance and normalize body fat.

Promoting Heart Health in Women Municipal Workers (Birmingham, AL)

Filed under Effective Practice, Health / Women's Health, Women, Racial/Ethnic Minorities

Goal: The goal of the Promoting Heart Health in Women Municipal Workers program is to improve women’s knowledge of and perceived susceptibility to heart disease.

Promotores de Salud (community health workers) (Georgia)

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

Goal: The goal of Promotores de Salud is to improve the delivery of healthcare to under-served Latinos by using trained community members (Promotores) to bridge the gap between Latinos and healthcare providers.

Providers And Teens Communicating for Health (PATCH) Program

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

Goal: PATCH envisions a supportive environment in which all adolescents are able to reach optimal health, safety, and economic security.

MISSION: To improve adolescent health and well being by engaging, educating, and empowering youth and adults as trusted partners in care.

Impact: Health care providers and teens who participate in the PATCH program show significant improvements in knowledge, self-efficacy, and behavioral intentions to seek and provide quality sexual health care.

Publication: Best Practices for Chiropractic (Lexington, SC)

Filed under Good Idea, Health / Alternative Medicine

Goal: The publication will address the disparity of best practices information for certain types of spinal and neuromusculoskeletal conditions.

Reconciliation Services Depression and Trauma Therapy Services (Kansas City/Jackson/Missouri)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Women, Men, Urban

Goal: The mission of Reconciliation Services is to cultivate a community seeking reconciliation to transform Troost from a dividing line into a gathering place, revealing the strength of all. Our mental health services are at the heart of how we strive to help clients see their own strength and work towards being reconciled to their own health and well-being.

Impact: Over the past three years, our therapy program participants reported a 71 percent decrease for depression and 79 percent decrease for PTSD.

Rural medical-legal partnership and advocacy: a three-year follow-up study. (southern Illinois)

Filed under Evidence-Based Practice, Economy, Rural

Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).

Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.

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.