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

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.

Working toward Wellness (Rhode Island)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Adults

Goal: The goal of the Working toward Wellness program was to encourage depressed parents who were receiving Medicaid to seek treatment from a mental health professional.

Impact: The Working toward Wellness program succeeded in increasing the likelihood that depressed Medicaid parents sought mental health services, particularly among the Hispanic population.

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.

Zoning for a Healthy Baltimore

Filed under Effective Practice, Environmental Health / Built Environment, Adults, Racial/Ethnic Minorities

Goal: The goal of Zoning for a Healthy Baltimore is to influence the final version of Baltimore’s new zoning code by informing stakeholders and decision-makers about the new zoning code’s potential to create healthy communities and decrease health disparities, with an emphasis on preventing obesity and crime.

Impact: Zoning for a Healthy Baltimore is an HIA of the Baltimore zoning code rewrite in order to maximize the potential to create healthier communities. Since publication, Baltimore has revised its zoning code to incorporate dispersal standards and other strategies related to placement of alcohol outlets.

¡Cuídate! (Philadelphia, PA)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Racial/Ethnic Minorities

Goal: The goal of Cuídate is to reduce HIV transmission among Latino youth through culturally tailored programming.

A Matter of Balance

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

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

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.

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.

A.I.R. Harlem (Harlem)

Filed under Effective Practice, Health / Children's Health, Children, Families, Racial/Ethnic Minorities, Urban

Goal: To improve the quality of life and academic achievement of asthmatic children, helping families break the revolving cycle of poverty that is worsened by chronic disease.

Impact: A reduction in ER visits by 64%, a reduction in overnight hospitalization by 85% and a reduction in school absences by 69%.

Acquaintance Rape Prevention Program (Athens, OH)

Filed under Effective Practice, Health / Prevention & Safety, Women

Goal: The goals of this program are to increase awareness of risk factors for sexual assault, provide women with practical strategies to prevent rape, and reduce the incidence of sexual assault among participants.

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.