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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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Inner-City Asthma Intervention (San Antonio, TX)

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

Goal: Effective asthma control can improve quality of life, reduce medical costs, and reduce the number of asthma-related emergency department visits, hospitalizations, school and work days missed, days of restricted activity, and deaths each year.

Intervention to Reduce Coronary Heart Disease Risk Factors in Infants (Finland)

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

Goal: To decrease saturated fat consumption and thus reduce coronary heart disease risk factors in young children.

Impact: STRIP's intervention of diet counseling that began at a child's infancy favorably impacted the child's diet through childhood up to ages 8 or 10, but the goal of 2:1 unsaturated-saturated fatty acid ratio in a child's diet was not met for either intervention or control group.

Kartini Clinic (Portland, OR)

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

Goal: The overriding treatment goal of Kartini Clinic is to secure lasting remission of eating disorder symptoms, allowing patients and their families to return to their own communities. Using a holistic approach, embracing medical as well as psychological and social interventions, patients are treated with the belief that parents do not cause eating disorders and children do not choose to have them.

Impact: Since 1998, Kartini Clinic has treated more than 2,000 patients and their families for a range of eating disorders.

Keepin' it R.E.A.L. Mother-Adolescent HIV Prevention Program (Atlanta)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Urban

Goal: The goals of this intervention were to delay initiation of sexual intercourse for youth who are not sexually active, encourage the use of condoms among sexually active youth, and enhance communication about sex between youths and their mothers.

Impact: Keepin' It R.E.A.L. teen participants increased their condom-use during sexual activity while maternal participants reported feeling more comfortable when discussing sexual issues with their teens.

Latino Commission on AIDS (New York City, NY)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities

Goal: The Latino Commission on AIDS focuses its efforts on HIV/AIDS in the Latino community through health advocacy, promoting HIV education, developing model prevention programs for high-risk communities, and building capacity in community organization.

Impact: As the only provider of Spanish language HIV treatment, the Latino Commission on AIDS has created a model of public health that uses training, outreach, prevention and culturally sensitive care for Latinos living with HIV/AIDS.

Leading, Integrating, Networking for Kids (LINK) (Syracuse, NY)

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

Goal: The goal of Leading, Integrating, Networking for Kids is to provide mental health services for children in schools.

LifeSkills Training

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens

Goal: The goal of this program is to reduce substance abuse among adolescents.

Impact: Evaluations of LST showed significantly lower smoking, alcohol, and marijuana use 6 years after initial baseline assessment. Prevalence of use of these substances was 44% lower and weekly use of multiple drugs was 66% lower for those receiving LST than for the control students.

Lions Quest Skills for Adolescence

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens

Goal: The goal of the Lions Quest program is to promote healthy, safe, and drug-free behaviors in youth.

Little Ones, Big Questions (Palmer, AK)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Families

Goal: Little Ones, Big Questions is hosted by Mat-Su Regional Medical Center, with a mission of progressive, competent and quality health care for the growing community through the teamwork of families, doctors, employees and volunteers.

Man Therapy (Colorado)

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

Goal: The goal of Man Therapy is to change social norms regarding men's mental health and to encourage men to seek care.

Impact: Almost 60,000 "18-Point Head Inspections" or self-assessments were completed, and 19,586 people accessed the crisis information. Of the 7,933 visitors to the site surveyed, 51% agreed or strongly agreed they were more likely to seek help after visiting the site.

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.