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

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 to Women

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

Goal: Women to Women aims to provide social support for chronically ill rural women to positively affect social support, self-esteem, empowerment, self-efficacy in order to decrease stress, depression, and loneliness to improve one’s adaptation to living with a chronic disease.

The overall goal of WTW is to use technology to enhance the potential for rural women to more successfully adapt to their chronic illnesses through computer-based support and education research by providing support groups and health education via the Internet.

Impact: The WTW project shows that computer-based interventions can result in improved self-esteem, social support, and empowerment among rural women with chronic illness.

WomenVenture (Minneapolis-St. Paul, MN)

Filed under Effective Practice, Economy / Employment, Women, Racial/Ethnic Minorities, Urban

Goal: WomenVenture helps women of all ages, cultures, races and income levels achieve economic success.

Youth Uprising (Oakland, CA)

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

Goal: Youth UpRising aims to build youth leadership and affect positive community change by ensuring that youth and young adults are supported in the following key areas:
- Consciousness Raising that exposes them to a broader set of realities to develop their capacity to think critically about personal and community experiences;
- Personal Transformation that builds their capacity to transform experiences of trauma and oppression into opportunities for positive personal and community change; and
- Hard Skill/Leadership Development that increases their creativity, strengths, and skills as effective leaders who are competitive in the marketplace.

A Text Message-Based Intervention for Weight Loss (San Diego County, CA)

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

Goal: To reduce weight in overweight and obese patients using mobile-based text and multimedia messaging.

Impact: At the end of a 4-month period, participants in the text-message based intervention showed greater weight loss than the control group.

ACTIVE Louisville’s Healthy Eating Initiative (Louisville, KY)

Filed under Good Idea, Health / Physical Activity

Goal: The goal of this program is to promote healthy eating in lower-income areas of Louiville. The initiative is part of a larger program with the goal of redesigning low-income urban neighborhoods to promote active living.

Adventures in Learning (Greater Kansas City area)

Filed under Good Idea, Health / Older Adults, Adults, Older Adults, Urban

Goal: Shepherd's Center Central is a local leader in the regional effort to ensure that all people can age successfully with dignity, security, and respect.

Impact: In 2016, Adventures in Learning experienced attendance of 80 members per week and offered a total of 520 classes during the four 10-week sessions available.

Al's Pals

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

Goal: The goal of the Al's Pals program is to teach children how to practice positive ways to express feelings, relate to others, communicate, brainstorm ideas, solve problems, and differentiate between safe and unsafe substances and situations.

Impact: Studies have shown that the program resulted in higher degrees of positive change in the intervention groups, increases in prosocial behaviors and positive coping behaviors, and decreases in antisocial and negative coping behaviors.

Appalachian Violence Outreach Network (AVON) (Kentucky)

Filed under Effective Practice, Community / Domestic Violence & Abuse, Rural

Goal: The goal of the Appalachian Violence Outreach Network is to identify and provide services to women living in rural, underserved areas that have experienced interpersonal violence.

Asian American Diabetes Initiative

Filed under Good Idea, Health / Diabetes, Racial/Ethnic Minorities

Goal: Joslin's Asian American Diabetes Initiative has a mission to enhance the quality of life and health outcomes for Asian Americans living with diabetes through research, education, outreach and culturally appropriate treatments.

Impact: Joslin's Asian Clinic provides comprehensive and culturally appropriate diabetes care for Asian Americans.

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.