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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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Rhode Island’s Health Equity Zones: Addressing Local Problems with Local Solutions

Filed under Good Idea, Health

Goal: The goal of the program was to recognize and address the diversity of local health disparities by marshaling local community involvement in the place-based Health Equity Zones.

Impact: The framework established through the Health Equity Zones allows for the continued collaboration between governmental public health entities and stakeholders in the community to address health disparities.

Rural medical-legal partnership and advocacy: a three-year follow-up study. (southern Illinois)

Filed under Evidence-Based Practice, Economy, Rural

Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).

Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.

Safe Dates (North Carolina)

Filed under Evidence-Based Practice, Community / Domestic Violence & Abuse, Children, Teens

Goal: The goals of the program are to increase students’ awareness of what constitutes healthy versus abusive dating relationships; to increase students’ awareness of dating abuse as well as its causes and consequences; to equip students with the skills and resources to help themselves or friends in abusive dating relationships; and to equip students with the skills to develop healthy dating relationships, including positive communication, anger management, and conflict resolution.

Impact: Safe Dates educates and equips youth to identify, address, and mitigate abusive and violent dating relationships.

Safe Routes for Seniors (New York City)

Filed under Good Idea, Health / Older Adults, Older Adults, Urban

Goal: To improve cardiovascular health among seniors by improving the pedestrian environment in New York.

Safe Routes to School (USA)

Filed under Effective Practice, Community / Transportation, Children, Families

Goal: The goal of the Safe Routes to School program is to empower communities to make walking and bicycling to school a safe and routine activity.

School-Based Asthma Therapy (Rochester, NY)

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

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

Sister to Sister (Newark)

Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities

Goal: The goals of Sister-to-Sister are to eliminate or reduce sex risk behaviors, and to prevent new STD infections.

Smart Start (North Carolina)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Children

Goal: The goal of this program is to help all North Carolina children enter school ready to succeed.

SMARTteam (Students Managing Anger and Resolution Together)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Teens

Goal: The goal of this program is to teach conflict-resolution skills to middle-school students.

Impact: Studies showed a statistically significant increase in students' awareness of how their own behaviors contribute to the escalation of a conflict situation for students participating in SMARTteam when compared with the control group not receiving the intervention. Students in the intervention group were also less likely to value violence as an option in conflict situations than their peers in the control group.

An Effective Practice meets the following HCI criteria:

  1. 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.
  2. 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:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. 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:

  1. 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.
  2. 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.
  3. 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.