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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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Boston Public Schools Snack and Beverage Policy (Boston, MA)

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

Goal: To decrease consumption of sugar-sweetened beverages in Boston public schools.

Impact: Data from Boston youth indicated that policy changes restricting the sale of sugar-sweetened beverages in schools can cause significant reductions in consumption of sugar-sweetened beverages and are promising strategies to reduce adolescents’ intake of unnecessary calories.

Car Heaven (Canada)

Filed under Effective Practice, Environmental Health / Air, Adults

Goal: The Car Heaven program aims to help Canadians reduce their personal impact on the environment by providing car retirement services for their old, higher-polluting vehicles.

CDC COMMUNITY GUIDE: Breast Cancer Prevention & Control, Provider-Oriented Screening Interventions: Provider Reminder & Recall Systems (USA)

CDC

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

Goal: The goal of incorporating multicomponent interventions for cancer screenings is to increase breast cancer screenings in communities.

Impact: Multicomponent interventions that include strategies that reduce and address structural barriers increase cancer screening rates by the largest margins.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket Costs: Breast Cancer (USA)

CDC

Filed under Evidence-Based Practice, Health / Cancer, Adults, Women

Goal: The goal of the interventions is to reduce client out-of-pocket costs to minimize or remove economic barriers that make it difficult for clients to access cancer screening services.

Impact: Costs can be reduced through a variety of approaches, including vouchers, reimbursements, reduction in co-pays, or adjustments in federal or state insurance coverage. Efforts to reduce client costs may be combined with client education, information about programs, or measures to reduce barriers.

CDC COMMUNITY GUIDE: Colorectal Cancer Prevention & Control, Provider-Oriented Screening Interventions: Provider Reminder & Recall Systems (USA)

CDC

Filed under Evidence-Based Practice, Health / Cancer

Goal: The goal of incorporating multicomponent interventions for cancer screenings is to increase colorectal cancer screenings, colonoscopies, and FOTB in communities.

Impact: Multicomponent interventions that include strategies that reduce and address structural barriers increase colorectal cancer screening rates by the largest margins and evidence shows that these interventions are also cost-effective.

Cognitive Behavioral Intervention for Trauma in Schools (CBITS)

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

Goal: The goal of this program is to relieve symptoms of PTSD, depression, and general anxiety among children exposed to trauma.

Impact: Studies have found significant reductions in PTSD and depression symptoms for treatment children in CBITS when compared with a control group. Additionally, the program demonstrated effectiveness at reducing parent-reported psychosocial dysfunction among participating children.

Cognitive Behavioral Social Skills Training (San Diego, CA)

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

Goal: The goal of this program is to reduce disability in middle-aged and older people with schizophrenia.

Impact: At the end of treatment, CBSST participants had significantly greater cognitive insight scores, indicating more objectivity in reappraising psychotic symptoms relative to treatment as usual. At 1-year follow-up, participants in CBSST showed greater skill acquisition and significant improvements in social functioning relative to participants receiving treatment as usual.

DARE to be You

Filed under Evidence-Based Practice, Community / Social Environment, Children

Goal: The goals of DTBY are to improve parents' self-esteem, enhance decision-making skills, increase communication between parents and children, teach effective stress management, and strengthen peer support.

Impact: Several studies have demonstrated increases in parental self-efficacy and self-esteem among DTBY parents. Also, the use of harsh punishment decreased and effective discipline and limit-setting increased. Children involved in DTBY programming had greater average increases in developmental level.

Diamond Youth Shelter (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Children, Teens, Urban

Goal: To provide emergency shelter to homeless or runaway youth aged 12 to 17.

Driving Decisions Workbook (Ann Arbor, MI)

Filed under Effective Practice, Community / Public Safety, Older Adults

Goal: The goal of the Driving Decisions Workbook is to increase self-awareness of driving skills in older adults.

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.