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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Orange County Juvenile Substance Abuse Treatment Court (Orange County, FL)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children

Goal: Florida started the drug court movement by creating the first treatment-based drug court in the nation in 1989. The drug court concept was developed in Dade County (Miami, Florida) stemming from a federal mandate to reduce the inmate population or suffer the loss of federal funding. The Supreme Court of Florida recognized the severity of the situation and directed Judge Herbert Klein to research the problem. Judge Klein determined that a large majority of criminal inmates had been incarcerated because of drug charges and were revolving back through the criminal justice system because of underlying problems of drug addiction. It was decided that the delivery of treatment services needed to be coupled with the criminal justice system and the need for strong judicial leadership and partnerships to bring treatment services and the criminal justice system together.

Outdoor Air Quality Flag Program (San Joaquin Valley Air Pollution Control District)

Filed under Effective Practice, Environmental Health / Air, Children

Goal: The program aims to accomplish two things in Central California: (1) permanently change local policy with respect to existing operating procedures in school districts and schools to help reduce exposure of students, teachers, staff and nearly communities to outdoor environmental asthma triggers ;and (2) provide education on air quality and potential health effects from exposure to air pollutants.

PACE+: Counseling Adolescents for Exercise and Nutrition (California)

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

Goal: The goal of PACE+ for adolescents is to: decrease total dietary fat consumption; increase fruits & vegetable consumption; increase participation in moderate and vigorous physical activity; decrease sedentary habits among adolescents aged 11-15.

Parenting Management Training - The Oregon Model (PMTO) (Eugene, OR)

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

Goal: The goal of this program is to teach effective parenting practices in order to promote healthy child adjustment.

Impact: Immediate changes for parents include improved positive parenting practices and reduced family coercion. Benefits to these parenting practices, in turn, have been found to result in reductions in child behavior problems and parental depression.

Partnering with a Bakery to Provide Breakfast to Low-Income Schools (United Kingdom)

Filed under Good Idea, Health / Children's Health, Children, Urban

Goal: The goal of this partnership is to provide a healthy breakfast to low-income students to help them perform better in school.

Partnering with Community Health Centers to Prevent Early Childhood Carries (ECC) (Boston, MA)

Filed under Evidence-Based Practice, Health / Oral Health, Children, Families, Urban

Goal: The goal of this intervention was to involve pediatricians to help reduce rates of early childhood caries.

Impact: The multifaceted ECC intervention was associated with increased provider knowledge and counseling, and significantly attenuated incidence of ECC, showing that similar interventions could have the potential to make a significant public health impact on reducing ECC among young children.

Partnership for Health (California)

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

Goal: The goal of Partnership for Health is to reach HIV positive patients during regular doctor visits and increase their knowledge, skills, and motivations to practice safer sex.

Impact: Brief provider counseling emphasizing the negative consequences of unsafe sex can reduce HIV transmission behaviors in HIV-positive patients presenting with risky behavioral profiles.

Partnerships That Work: National Service and Business in Welfare to Work (USA)

Filed under Effective Practice, Economy / Employment, Teens, Families

Goal: This study addresses how to use national service to build effective welfare-to-work programs, and to encourage business collaborations. Two major suggestions are partnering with Employer Advisory Groups and generating national level support.

Pasos Adelante (Arizona)

Filed under Evidence-Based Practice, Health / Physical Activity, Racial/Ethnic Minorities

Goal: Pasos Adelante is a lifestyle intervention that aims to prevent and control chronic disease such as heart disease and diabetes in Mexican Americans by providing a supporting environment for improving nutrition and increasing walking activity in U.S.-Mexico border communities.

Patient and Physician Reminders to Promote Colorectal Cancer Screening (Massachusetts)

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

Goal: The goal of this program is to increase colorectal cancer screening rates among older primary care patients.

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.