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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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LifeSkills Training

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

Goal: The goal of this program is to reduce substance abuse among adolescents.

Impact: Evaluations of LST showed significantly lower smoking, alcohol, and marijuana use 6 years after initial baseline assessment. Prevalence of use of these substances was 44% lower and weekly use of multiple drugs was 66% lower for those receiving LST than for the control students.

Lions Quest Skills for Adolescence

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

Goal: The goal of the Lions Quest program is to promote healthy, safe, and drug-free behaviors in youth.

Little Ones, Big Questions (Palmer, AK)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Families

Goal: Little Ones, Big Questions is hosted by Mat-Su Regional Medical Center, with a mission of progressive, competent and quality health care for the growing community through the teamwork of families, doctors, employees and volunteers.

Man Therapy (Colorado)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Men

Goal: The goal of Man Therapy is to change social norms regarding men's mental health and to encourage men to seek care.

Impact: Almost 60,000 "18-Point Head Inspections" or self-assessments were completed, and 19,586 people accessed the crisis information. Of the 7,933 visitors to the site surveyed, 51% agreed or strongly agreed they were more likely to seek help after visiting the site.

Many Men, Many Voices (3MV)

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Men, Racial/Ethnic Minorities

Goal: Reduce unprotected insertive and receptive anal intercourse among HIV-negative black men who have sex with men (MSM) as well as to reduce the number of sex partners, increase consistent condom use during anal intercourse and increase testing for HIV and other sexually transmitted infections (STIs).

Matrix Model

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

Goal: The mission of this program is to improve the lives of individuals and families affected by alcohol and other drug use through treatment, education, and research.

Impact: Matrix participants were 38% more likely to stay in treatment and 27% more likely to complete treatment compared to nonparticipants. Stimulant drug-use indicators were significantly reduced during treatment for Matrix participants. They also produced more drug-free urine samples compared to nonparticipants.

Media Detective (North Carolina)

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

Goal: To prevent or delay the onset of underage alcohol and tobacco use by encouraging healthy beliefs and attitudes about abstaining from substance use and by enhancing critical thinking skills to transform students into active media consumers.

Impact: Students who participated in the Media Detective program displayed a greater understanding of media deconstruction skills and persuasive intent. They also had greater self-efficacy to refuse substances compared to students who did not participate in the program.

Medical-Legal Partnership (Kansas City Metropolitan Area)

Filed under Good Idea, Health / Prevention & Safety, Children, Families, Urban

Goal: The goal of the medical-legal partnership is to improve health outcomes through quality legal services.

Impact: The Medical-Legal Partnership provides legal assistance to patients on issues that directly or indirectly affect health.

Medical-Legal Partnerships: Investing in Social Services as a Core Strategy for Healthcare (New York City)

Filed under Effective Practice, Health / Health Care Access & Quality, Children, Teens, Adults, Urban

Goal: New York City LegalHealth is a fruitful partnership that operates in 11 clinics of the city's public hospitals. One example is by supporting individuals in tenant-landlord disputes.

Impact: With an average of $225 per case, LegalHealth was able to effectively demand fixes in asthma patients' living conditions. This impact directly resulted in a 90% drop in emergency room visits and hospital admissions for this asthma patient group.

Minnesota Family Investment Program (Minnesota)

Filed under Evidence-Based Practice, Economy / Government Assistance, Families

Goal: The goal of the Minnesota Family Investment Program (MFIP) is to help families transition to economic stability by providing financial incentives to work.

Impact: Although MFIP cost Minnesota more than the ADFC welfare program, MFIP overall increased employment and wage earnings of participants by supplementing low income with welfare supplements. Most encouragingly, there is evidence to suggest the effects of the program persist after the program ended for the most disadvantaged.

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.