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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CDC COMMUNITY GUIDE: Environmental and Policy Approaches to Increase Physical Activity: Community-Scale Urban Design Land Use Policies (USA)

CDC

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Impact: Design and land use policies that encourage physical activity in urban areas can help increase overall physical activity in bikers and walkers.

CDC COMMUNITY GUIDE: Interventions to Reduce Sexual Risk Behaviors or Increase Protective Behaviors to Prevent Acquisition of HIV in Men Who Have Sex with Men: Individual-, Group-, and Community-Level Behavioral Interventions (USA)

CDC

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

Goal: The goal of the HIV behavioral interventions program is to reduce unprotected anal intercourse among men who have sex with men.

Impact: The Community Preventive Services Task Force (CPSTF) recommends individual-level HIV behavioral interventions for adult men who have sex with men to reduce unprotected anal intercourse. Related findings recommend HIV behavioral interventions at the group level and community level.

CDC COMMUNITY GUIDE: Reducing Alcohol-Impaired Driving: Ignition Interlocks (USA)

CDC

Filed under Evidence-Based Practice, Health / Prevention & Safety, Adults

Impact: The Community Preventive Services Task Force (CPSTF) recommends the use of ignition interlocks for people convicted of alcohol-impaired driving based on evidence that they reduce re-arrest rates while the interlocks are installed.

Public health benefits of ignition interlock interventions are currently limited by the small proportion of offenders who install interlocks in their vehicles. More widespread and sustained use of interlocks among this population could have a greater impact on alcohol-related crashes.

Clinician-Based Cognitive Psychoeducational Intervention for Families (Family Talk)

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

Goal: The goal of this program is to provide information about mood disorders to parents, equip parents with skills they need to communicate this information to their children, and open dialogue in families about the effects of parental depression.

Impact: Parents in the program scored better in their reports of child-related behavior and attitude changes of parental illness than parents who received a group-format presentation. Children in the program scored higher on measures of improved understanding of parental mood disorder than children who received a group-format lecture.

Community Nutrition and Urban Gardening (Riverdale, MD)

Filed under Good Idea, Education / School Environment, Children, Urban

Goal: The goal of the program is to build sustainable, local, urban gardens, in order to deliver more reliable and better nutrition to today’s youth and urban communities.

Community-Based Secondary Stroke Prevention (Hong Kong, China)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of this program is to increase knowledge of stroke, encourage self-monitoring, and maintain healthy lifestyle changes to prevent secondary stroke.

EnLace (Leadership and Civic Engagement)

Filed under Good Idea, Community / Public Safety, Families, Racial/Ethnic Minorities, Rural

Goal: In an effort to prepare and engage community residents to take a more participatory role in their communities, Monterey County Health Department (MCHD) developed and has offered since 2014 a leadership and civic engagement program (enLACE) that addresses the social determinants of health, community engagement and their relationship to the health of the community.

Evaluating Undoing Racism and Health Equity Training with a State Health Department

Filed under Good Idea, Health

Goal: In this particular instance, the goal of the Undoing Racism Workshops was to enhance the capacity of the Michigan Department of Community Health's Bureau of Family, Maternal & Child Health to reduce racial disparities in infant mortality.

Impact: The Undoing Racism workshop helped to increase competency in the following topics:
-Racial prejudice and racism
-Racial privilege and power
-Institutional, cultural, and internalized racism
-Instiutional norms and practices
-Racial health disparities
-Social determinants of racial health disparities

Examining Health Care Costs Among MANNA Clients and a Comparison Group

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: MANNA uses nutrition to improve health for people with serious illnesses who need nourishment to heal. By providing medically tailored meals and nutrition education, we empower people to improve their health and quality of life.

Impact: MANNA members report significant health care cost reductions due to improved health.

Families And Schools Together (FAST) (USA)

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

Goal: The overall goal of the FAST program is to intervene early to help at-risk youth succeed in the community, at home, and in school and thus avoid problems such as adolescent delinquency, violence, addiction, and dropping out of school.

Impact: FAST has generally improved aggressive behaviors and increased positive behaviors amongst participants as reported by teachers and parents.

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.