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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Text4Diet: A Text Message-based Intervention for Weight Loss

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: To facilitate behavior change among overweight adults that leads to sustained weight loss.

Impact: Those who use Text4Diet are exposed to customized advice regarding healthy behavior changes. Participants on average saw an average 6-pound weight loss during a four-month use period. This is a statistically significant difference from weight loss in the usual care comparison group.

The Bay-Friendly Landscaping & Gardening Coalition (Bay Area, CA)

Filed under Good Idea, Environmental Health / Built Environment, Urban

Goal: Goals of the Bay-Friendly Landscaping & Gardening Coalition include:

- Reduce waste & help meet recycling goals.
- Reduce water use on landscapes by 50% or more.
- Nurture healthy soils while reducing fertilizer use.
- Use integrated pest management to minimize chemical use.
- Prevent or reduce storm water pollution to our local creeks and bay.
- Lower maintenance associated with mowing and shearing.
- Reduce greenhouse gas emissions.
- Create wildlife habitat.

The Buffalo Healthy Communities Initiative (Buffalo, NY)

Filed under Good Idea, Community / Transportation

Goal: The goal of this project is to make the streets more pedestrian friendly and supportive of active living.

The Connect Project (USA)

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

Goal: The Connect Project is a community-based youth suicide prevention program that works to develop a shared knowledge and understanding of suicide prevention within a community.

The Developmentally Supportive Care: Newborn Individualized Developmental Care & Assessment Program (Boston, MA)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Children, Families

Goal: The goal of NIDCAP is to maximize physical, mental, and emotional growth, health, and other positive outcomes for infants in NICUs.

The Effect of Guided Care Teams on the Use of Health Services

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults

Goal: The goal of this study was to determine the effect of interdisciplinary primary care teams on health care utilization by patients with multiple chronic conditions.

Impact: This study concluded that guided care models can significantly impact home health care episodes.

The Fenway Alliance: Walkability in a Commerical District (Fenway District, Boston, MA)

Filed under Good Idea, Health / Physical Activity, Children, Adults, Families, Urban

Goal: To achieve an improved physical environment, sense of community, and quality of life for members, residents and patrons of the Fenway Cultural District in Boston, Massachusetts.

The Healthy Diabetes Plate (Idaho)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Families, Urban

Goal: The goal of the Healthy Diabetes Plate was to increase understandability and accessibility of diabetes nutrition education for people living with diabetes.

Impact: The Healthy Diabetes Plate curriculum solves two problems encountered in diabetes education — understandability and accessibility. Participants were able to correctly plan breakfast, lunch, and dinner meals and improved their intake of fruit and vegetables.

The Incredible Years®

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

Goal: The Incredible Years® Parents, Teachers, and Children Training Series has two long-range goals. The first goal is to develop comprehensive treatment programs for young children with early onset conduct problems. The second goal is the development of cost-effective, community-based, universal prevention programs that all families and teachers of young children can use to promote social competence and to prevent children from developing conduct problems in the first place.

Impact: Studies have shown that children who participate in the programs demonstrate significant improvements in school readiness, emotional regulation, and social skills, as well as reductions in behavior problems in the classroom.

The Key Clubhouse of South Florida (Miami-Dade County, FL)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Adults, Urban

Goal: The mission of The Key Clubhouse is to afford people who have been disrupted by mental illness the opportunity to recover meaningful and productive lives through reintegration in the workplace and the community.

Impact: Individuals who participate in a Clubhouse program have been found to have higher rates of employment, reduced hospitalization, reduced incarceration, and improved well-being as compared with other mental health programs.

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.