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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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Staying Alive Drug Overdose Prevention and Response Program (Baltimore, MD)

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

Goal: The goals of the Staying Alive program are to teach drug users about how to recognize opiate overdose signs and symptoms, how to respond to any overdose cases by calling 911, and how to use rescue breathing and naloxone administration to reduce life-threatening drug overdose.

Impact: Staying Alive reduces mortality due to opiate and heroin drug overdose.

Step By Step: Thoughtful Fall Prevention (Hartford, CT)

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

Goal: The goal of this program is to embed a sustainable evidence-based fall prevention program within greater Hartford senior centers by enhancing fall prevention-related knowledge and behavior, while also building or enhancing relationships between senior centers and relevant community and health care organizations.

Step It Up: Taking Steps to Healthy Success (Kansas City)

Filed under Effective Practice, Health / Children's Health, Children

Goal: Kansas’s Step It Up: Taking Steps to Healthy Success (Step It Up) Project aims to work towards making improvements to policies and practices in child care programs with regard to breastfeeding, child nutrition, physical activity, outdoor learning, and reductions in screen time. Step It Up is an extension of the National Early Care and Education Learning Collaboratives Project (ECELC) and uses a similar learning collaborative model.

Impact: Step It Up: Taking Steps to Healthy Success has made great improvements in promoting healthy eating and physical activity. The topics of Child Nutrition and Infant & Child Physical Activity had the highest number of increases in best practices. Breastfeeding & Infant Feeding had the highest percentage of best practices being met at pre-assessment (55%).

Steps to a Healthier Washington (Washington)

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

Goal: The mission of the Steps to a Healthier Washington program is to integrate existing chronic disease programs to achieve policy and systems changes.

Strengthening Families Program: For Parents and Youth 10-14 (Iowa)

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

Goal: The goals of this program are to (1) prevent teen substance abuse and other behavior problems; (2) strengthen parenting skills; and (3) build family strengths.

Impact: The evaluation demonstrated that youths who participated in the study had less substance use, fewer conduct problems, and better resistance to peer pressure and that program parents were better able to show affection and support and set appropriate limits for their children.

StrongPeople Strong Bodies

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

Goal: StrongPeople Strong Bodies is a community-based strength training program aimed at mid-life and older individuals. The benefits of strength training for older individuals have been studied extensively and include increased muscle mass and strength; improved bone density and reduced risk for osteoporosis and related fractures; reduced risk for diabetes, heart disease, arthritis, depression, and obesity; and improved self-confidence, sleep, and vitality.

Students for Nutrition and Exercise (SNaX)

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

Goal: The goal of Students for Nutrition and Exercise is to encourage healthy eating and daily physical activity in middle school students.

Impact: The SNaX program shows that programs which train peer advocates to encourage healthy eating and daily physical activity in students can serve to benefit those trained as peer advocates after the intervention.

Supermarket Recycling Program (Massachusetts)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of the Supermarket Recycling Program is to encourage supermarkets to develop programs to recycle and reuse organic waste and other materials.

Support Healthy Active Kids in Education (SHAKE) (Sonoma, CA)

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

Goal: The goal of the SHAKE program is to use elementary school-based programming to promote childhood health and fitness.

Sustainable Design Research Studio (Washington, DC)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goal of this project is to identify environmentally preferable building materials and products, to specify them in HOK's own projects, and to guide others in the profession in doing the same.

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.