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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Safe in the City (Denver, Long Beach, and San Francisco)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

Safer Choices (California, Texas)

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of the Safer Choices program is to reduce the number of students engaging in unprotected sexual intercourse.

Impact: The program reduced the frequency of intercourse without a condom, reduced the number of sexual partners with whom students had intercourse without a condom, and increased use of condoms and other protection against pregnancy at last intercourse.

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.

SF Health Code Article 38: Enhanced Ventilation for Urban Sensitive Use Development (San Francisco, CA)

Filed under Good Idea, Community / Governance, Children, Teens, Adults, Older Adults, Families, Urban

Goal: The purpose of SF Health Code Article 38 is to protect residents from the effects of living in a poor air quality zone by requiring enhanced ventilation in new and renovated residential buildings.

Impact: The City of San Francisco implemented a law requiring enhanced ventilation in new and renovated residential buildings to protect residents from harmful particulate matter.

Shape Up SF (San Francisco, CA)

Filed under Good Idea, Health / Physical Activity, Racial/Ethnic Minorities, Urban

Goal: Shape Up SF aims to reduce health disparities by creating healthy eating and active living environments and improving physical activity and nutrition.

Impact: Shape Up SF implemented Safe Routes to School, Bayview HEAL Zone, PE4SF, Rethink Your Drink, Southeast Food Access (SEFA) Working Group, SEFA Food Guardians, and Walking Challenge, and increased physical activity and access to healthy foods in San Francisco.

Student Talking About Non-violent Dating (STAND) (San Francisco, CA)

Filed under Good Idea, Community / Domestic Violence & Abuse, Teens, Urban

Goal: The goal of the program is to provide education, support, and training to middle and high school students in San Francisco on how to address sexual violence.

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.

Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

Talking Parents, Healthy Teens (California)

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of Talking Parents, Healthy Teens is to help parents improve their communication skills with their adolescent children, promote healthy adolescent sexual development, and reduce risky adolescent sexual behaviors.

The Diabetes Self-Management Program (USA)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Older Adults, Racial/Ethnic Minorities

Goal: The Diabetes Self-Management Program is a group workshop that educates individuals with diabetes on techniques to help them manage their disease and live more active lives.

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.