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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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Fresh Stop Project (Louisville, Jefferson County, Kentucky)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Women, Men, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of the program is for communities to enjoy and have access to affordable fresh food year-round.

Impact: Fresh Stops has improved access to wholesome, local foods for urban residents. In addition, Fresh Stops has engaged community members in the food justice movement and has promoted the adoption of healthy lifestyle changes.

Gang Resistance Education and Training (G.R.E.A.T.) (Phoenix, AZ)

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

Goal: The objectives of the G.R.E.A.T program are to reduce gang activity, teach students about the negative consequences of gang involvement, and develop positive relations between students and law enforcement officials.

Georgia's Teenage and Adult Driver Responsibility Act (Georgia)

Filed under Evidence-Based Practice, Community / Public Safety, Teens

Goal: The goal of TADRA is to reduce fatal crashes among teenage drivers.

Impact: After the implementation of TADRA, speed-related fatal crashes were cut by 42%, and alcohol-related fatal crashes decreased nearly 60%.

Green and Healthy Homes through People United for Sustainable Housing (Buffalo, NY)

Filed under Good Idea, Environmental Health / Built Environment, Families, Racial/Ethnic Minorities, Urban

Goal: The mission of PUSH Buffalo is to mobilize residents to create strong neighborhoods with quality, affordable housing; to expand local hiring opportunities; and to advance economic and environmental justice in Buffalo.

Health and Wellness Outreach Initiative (Chicago, IL)

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

Goal: White Crane's health outreach model strives to reduce the incidence of risk factors for preventable disease, to motivate and educate seniors to take control of their health, and to make primary health care services accessible to vulnerable elders.

Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Racial/Ethnic Minorities

Goal: To evaluate the association of a “Housing First” intervention for chronically homeless individuals with severe alcohol problems with health care use and costs.

Impact: Total cost offsets for Housing First participants relative to controls averaged $2449 per person per month after accounting for housing program costs.

Healthy Love (Atlanta, GA)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Women, Racial/Ethnic Minorities, Urban

Goal: Healthy Love seeks to provide a safe, culturally tailored intervention for heterosexual black women to reduce their disproportionately high risk of transmitting and contracting HIV and other STDs. Healthy Love aims to encourage sexual abstinence, HIV testing, and receipt of test results; increase women's condom usage during vaginal sex with male partners; and reduce the number of women's sex partners and unprotected anal and vaginal sex with male partners. Healthy Love also seeks to improve HIV/STD knowledge, self-efficacy for using condoms, intentions to use condoms, and attitudes towards condoms.

Impact: Healthy Love increased participants' likelihood of using condoms, being tested for HIV, and receiving their test results. The intervention also reduced participants' self-described actions with male partners that can increase black women's risks for HIV infection.

Healthy Steps for Young Children: Palm Beach (Palm Beach, FL)

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

Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.

Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).

HIV Prevention Intervention for African American Adolescent Girls

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

Goal: The intervention aimed to reduce sexual risk behaviors, sexually transmitted diseases (STDs), and pregnancy, and enhance mediators of HIV-preventive behaviors.

HORIZONS (Atlanta, GA)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities

Goal: The goal of the HORIZONS program is to reduce sexually transmitted diseases (STDs), particularly HIV, by increasing condom use and partner communication about safer sex.

Impact: The HORIZONS program empowered African American female adolescents to pursue safer sex and reduced the number of STDs among those in the program.

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.