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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.

Brief Alcohol Screening and Intervention of College Students (BASICS) (Seattle, WA)

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

Goal: The aims of the BASICS program are 1) to reduce alcohol consumption and its adverse consequences, 2) to promote healthier choices among young adults, and 3) to provide important information and coping skills for risk reduction.

Impact: Students who received a brief individual preventive intervention had significantly greater reductions in negative consequences that persisted over a 4-year period than their control-group counterparts. For those individuals receiving the brief intervention, dependence symptoms were more likely to decrease and less likely to increase.

Every Little Step Counts (Phoenix, AZ)

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

Goal: To create a culturally appropriate healthy lifestyle educational program for Latino adolescents at highest risk for Type 2 Diabetes.

Impact: The promising findings of this program suggest that a community-based diabetes prevention program for obese Latino youth is a feasible strategy for improving health in this high-risk population.

Hawaii Complete Streets Bill (Hawaii)

Filed under Good Idea, Community / Public Safety

Goal: The goal of this legislation is to build a safe and connected transportation systems to serve pedestrians, cyclists, motorists, elderly and disabled residents. This legislation aims to reduce pedestrian and cyclist fatalities.

Head Start & Early Head Start

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families

Goal: The goal of Early Head Start (EHS) is to promote healthy prenatal outcomes for pregnant women, enhance the development of very young children, and promote healthy family functioning. The goal of Head Start is to increase school readiness of young children in low-income families.

Impact: Studies have demonstrated positive effects of the program for both 3- and 4-year-old children on pre-reading, pre-writing, vocabulary, and parent reports of children’s literacy skills. For 3-year-olds, a greater number of parents reported improved access to health care and better health status.

Hope Street Family Center- Early Head Start Program (Los Angeles)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Children, Families, Urban

Goal: The program’s goal is to provide comprehensive child development and family support services to families with children 0–3 in order for parents to support and encourage their children’s early growth, development and school readiness.

Hope Street Family Center- Family Literacy Program (Los Angeles)

Filed under Effective Practice, Education / Literacy, Children, Families

Goal: The program's overall goal is to support parents in their role as their child's first teacher by providing parents with literacy training and children with early development skill building, including language skills.

Impact of Community Health Workers on Use of Healthcare Services in the United States: A Systematic Review

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study was to determine the effect Community Health Worker programs have on healthcare spending.

Impact: The studies show that CHW programs can help reduce emergency department visits and hospital use.

New York State Smokers' Quitline (New York)

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

Goal: The New York State Smokers' Quitline is a free and confidential service that provides effective stop smoking services to New Yorkers who want to stop smoking.

Northern Manhattan Start Right Coalition (New York City, NY)

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

Goal: The goal of the Northern Manhattan Start Right Coalition is to increase the timely vaccination coverage rate for the 4:3:1:3:3 series for children ages 19 to 35 months.

Impact: The Start Right Coalition increased timely vaccination coverage from 63.0% in 2002 to 96.8% in 2007.

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.