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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.

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Communities That Care (USA)

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

Goal: The goal of Communities That Care is to mobilize communities to prevent future substance abuse by reducing risk factors for children between the ages of 10 and 14.

Impact: Communities That Care reduces initiation of substance abuse behaviors in youth aged 10-14.

Community Action Model (San Francisco, CA)

Filed under Effective Practice, Health / Alcohol & Drug Use, Racial/Ethnic Minorities

Goal: The original goal of the Community Action Model has been to improve the health and environment of a community by reducing tobacco influences while building community capacity. It can be applied to a variety of health and welfare issues and has been used successfully in many communities with multiple topics of intervention.

Impact: The Community Action Model has resulted in new tobacco control policies within San Francisco, many of which serve as models for other communities.

Community Aging in Place - Advancing Better Living for Elders (CAPABLE) (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Older Adults, Adults, Older Adults, Urban

Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.

Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.

Community of Civano (Tuscon, AZ)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The overall mission of the Civano Community is:
- To create a sense of place that fosters community and connects people to one another and their natural environments
- To tread lighter on the land through innovative design, and
- To introduce sustainable construction materials and new technologies to advance the quality of life.

Specific performance targets include:
- Reduce energy consumption by 75%
- Reduce potable water consumption by 65%
- Reduce landfill-destined solid waste by 90%
- Reduce internal vehicle trip miles by 40%, and
- Create one community job for every 2 residences.

Complete Streets

Filed under Good Idea, Environmental Health / Built Environment

Goal: Complete Streets aims to increase physical activity and contribute to creating safer communities for all users of the road.

Impact: Complete Streets has contributed to safer communities and streets for all users of the road by working with community residents, policy-makers, and the development community.

Computers4Kids (Charlottesville, VA)

Filed under Effective Practice, Education / Student Performance K-12, Children, Urban

Goal: The overall goal of Computers4Kids is to empower disadvantaged children in the community by giving them computer skills and instilling in them self-confidence and a lifelong love of learning. C4K also strives to provide a safe, comfortable place for middle and high school students to explore their creative abilities.

Congenital Heart Disease Screening Program (Washington, D.C.)

Filed under Good Idea, Health / Children's Health, Children, Families

Goal: The Congenital Heart Disease Screening Program values early diagnosis of Congenital Heart Disease (CHD) with a goal of making screening for CHD a standard practice for all newborns.

Impact: The physicians at Children's National in the National Heart Institute created a toolkit that nurseries may use to start a screening program to improve detection of serious CHD.

Consumer Product Safety - Recalled Products in Child Care Settings (Idaho)

Filed under Effective Practice, Health / Children's Health, Children

Goal: The goal of this program is to improve the safety of child care centers in Idaho by making sure that recalled products are removed.

Cooperative Integrated Reading and Composition (Baltimore, MD)

Filed under Effective Practice, Education / Student Performance K-12, Children

Goal: The goal of this program is to help all students achieve at the highest levels.

Coordinated Approach To Child Health (CATCH) (USA)

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

Goal: The goal of Coordinated Approach to Child Health (CATCH) is to improve nutrition, increase physical activity, and reduce obesity in preschool, elementary, and middle school aged children.

Impact: CATCH is successful in improving participants' diet and physical activity, and the results lasted three years after participation.

An Effective Practice meets the following HCI criteria:

  1. 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.
  2. 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:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. 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:

  1. 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.
  2. 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.
  3. 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.