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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School Lunch Initiative (Berkeley, CA)

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

Goal: The primary goal of the School Lunch Initiative is to transform the way Berkeley public school students eat lunch and to educate children about food, health, and the environment.

Impact: Three years after its conception, the program successfully eliminated nearly all processed foods from the school district dining halls and introduced fresh and organic foods to the daily menu. There was evidence that greater exposure to the School Lunch Initiative was significantly associated with higher nutrition knowledge scores among fourth graders and seventh graders. Furthermore, elementary school students from the schools with highly developed School Lunch Initiative components clearly expressed a higher preference for fruits and vegetables.

Seattle Municipal Sustainability Initiative (Seattle, WA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The overarching purpose of the SMSI is to improve the quality of life for all people living and working in Seattle, within the means of nature.

Senior Health and Resource Eligibility System (SHARES) (Florida)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: Both local and state governments face huge challenges in providing senior populations access to public, agency, professional and family caregivers, and community services that allow seniors to remain independent. The complex maze of constantly changing program and service eligibility rules challenge even the most knowledgeable senior service providers. Fragmentation within senior service agencies further results in duplication of services, unnecessary waiting lists, and caregiver and volunteer burnout. This resource attempts to address those problems by providing quick and easy access to a variety of programs.

Smile Alabama! (Alabama)

Filed under Effective Practice, Health / Oral Health, Children

Goal: The goal of the Smile Alabama! initiative is to improve oral health services for Medicaid-eligible children.

Social Determinants of Health: Permanent Supportive Housing with Housing First (Housing First Programs)

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition.

Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living with disabling conditions, including those with HIV infection. For clients living with HIV infection, these programs also improve clinical indicators and mental health and reduce mortality. Housing First programs also lead to reduced hospitalization and use of emergency departments for homeless persons with disabling conditions, including HIV infection.

The CPSTF finds the economic benefits exceed the intervention cost for Housing First Programs in the United States. Because homelessness is associated with lower income and is more common among racial and ethnic minority populations, Housing First Programs are likely to advance health equity.

Special Diabetes Program for Indians (USA)

Filed under Effective Practice, Health / Diabetes, Racial/Ethnic Minorities

Goal: The goal of the Special Diabetes Program for Indians is to provide diabetes education and services to Native Americans and Alaska Natives.

SPORT

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

Goal: To reduce substance abuse and motivate positive behaviors including physical activity in adolescents age 13-17.

Impact: SPORT integrates content targeting alcohol, tobacco and drug prevention with promotion of physical activity and other health enhancing habits in adolescents.

Sports, Play, and Active Recreation for Kids (SPARK) (USA)

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

Goal: The goal of SPARK is to promote physical activity among youth through school-based programs.

Impact: A health-related physical education curriculum can significantly increase physical activity for students in physical education classes.

Start Strong (USA)

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

Goal: To create and evaluate new ways to prevent teen dating violence and abuse.

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.

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.