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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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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.

Bienestar: A School-Based Diabetes and Obesity Prevention Program (Texas)

Filed under Evidence-Based Practice, Health / Diabetes, Children, Families, Racial/Ethnic Minorities

Goal: The objectives of Bienestar are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity among low-income Mexican-American elementary and middle school children.

Impact: The Bienestar Health Program statistically significantly increases fitness scores and dietary fiber intakes levels among low-income, Mexican-American fourth-graders. A second randomized control trial conducted from 6th to 8th grade showed reductions in various indexes of adiposity.

Blue Zones Vitality City Project: Albert Lea, MN (Albert Lea, MN)

Filed under Effective Practice, Health / Wellness & Lifestyle

Goal: To increase quality of life and longevity among members of a community through community-wide interventions which address community, social network, habitat, and inner self.

Bootheel Heart Health Project (Missouri)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Rural

Goal: The goal of the Bootheel Heart Health Project was to reduce risk factors for cardiovascular disease and decrease morbidity and mortality due to cardiovascular disease.

Boston Public Schools Snack and Beverage Policy (Boston, MA)

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

Goal: To decrease consumption of sugar-sweetened beverages in Boston public schools.

Impact: Data from Boston youth indicated that policy changes restricting the sale of sugar-sweetened beverages in schools can cause significant reductions in consumption of sugar-sweetened beverages and are promising strategies to reduce adolescents’ intake of unnecessary calories.

Broader Urban Involvement and Leadership Development Program (BUILD) (Chicago, IL)

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

Goal: BUILD's mission is to engage at-risk youth in the schools and on the streets, so they can realize their educational and career potential and contribute to the stability, safely and well being of your communities.

Children's Village (Washington)

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

Goal: Children's Village seeks to connect children with special needs and their families with supportive services.

Colorado on the Move (Colorado)

Filed under Good Idea, Health / Physical Activity, Racial/Ethnic Minorities

Goal: The goal of this program is to increase participants' physical activity.

Columbia County Healthy Neighborhoods Program (Columbia County)

Filed under Evidence-Based Practice, Environmental Health / Toxins & Contaminants, Families

Goal: The Healthy Neighborhoods program seeks to reduce housing related illness and injury through prevention and education.

Impact: In the past five years, the HNP visited 31,000 homes with 85,000 residents, and provided the asthma intervention to 11,000 adults and children with asthma. The assessments created a valuable data set about the health effects of housing hazards.

Communities Mobilizing for Change on Alcohol

Filed under Good Idea, Health / Alcohol & Drug Use, Teens

Goal: The goal of CMCA is to change policies and practices of major community institutions to reduce underage access to alcohol.

Impact: CMCA intervention significantly and favorably affected drinking behavior of 18- to 20-year olds and also significantly and favorably affected the practices of establishments serving alcohol. Alcohol merchants increased age-identification checking and reduced their sales to minors. Older teenagers (18 to 20 years old) reduced their provision of alcohol to other teens and were less likely to try to buy alcohol or drink in a bar. Arrests for driving under the influence of alcohol declined significantly among 18- to 20-year-olds.

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.