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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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Advancing Diabetes Self Management (Connecticut)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities

Goal: The goal of the Advancing Diabetes Self Management program at the Community Health Center was to improve the health outcomes of people with type 2 diabetes.

Impact: The diabetes self-management intervention showed patient improvements in glycemic control, blood pressure, and LDL cholesterol. The team was able to develop and adapt the program to meet the unique needs of the population to create an effective intervention.

Al's Pals

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

Goal: The goal of the Al's Pals program is to teach children how to practice positive ways to express feelings, relate to others, communicate, brainstorm ideas, solve problems, and differentiate between safe and unsafe substances and situations.

Impact: Studies have shown that the program resulted in higher degrees of positive change in the intervention groups, increases in prosocial behaviors and positive coping behaviors, and decreases in antisocial and negative coping behaviors.

All Stars (Greensboro, NC)

Filed under Good Idea, Health / Alcohol & Drug Use, Teens

Goal: The goal of All Stars programs is to prevent alcohol, tobacco and drug use, postpone sexual activity, and reduce fighting and bullying among adolescents.

Impact: When teachers implemented the program, there were significant reductions in the use of alcohol, cigarettes, smokeless tobacco, and inhalants. The program also had a significant effect in changing normative beliefs, lifestyle incongruence, commitment to school, impulsive decision-making, and sensation-seeking behavior.

ASPIRE (Houston)

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

Goal: A.S.P.I.R.E aims to reduce teen tobacco use by helping current smokers to quit and preventing non-smokers from beginning to smoke.

Assessment and Referral (Kansas City, MO)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Assessment and Referral is to help individuals struggling with a substance use disorder evaluate their needs and strengths and begin to make healthy choices that improve the overall quality of their lives.

Impact: First Call provided over 1,700 assessments in 2013, and more than half of clients showed improvements in their Addiction Severity Index (ASI) scores or a decrease in substance use.

Asthma Care Training (ACT) for Kids (Bronx, NY)

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.

Asthma Home Visiting Program (San Francisco, CA)

Filed under Effective Practice, Health / Respiratory Diseases, Children, Adults, Racial/Ethnic Minorities, Urban

Goal: The Asthma Home Visiting Program aims to reduce asthma triggers present in the home.

Impact: Home visiting can help reduce asthma triggers in the home, decreasing symptoms, missed days of work or school, and emergency room visits and hospitalizations.

Athletes Training and Learning to Avoid Steroids (ATLAS) (Portland, OR)

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

Goal: The goal of ATLAS is to reduce anabolic steroid, alcohol, and other illicit drug use by adolescent male athletes.

Impact: Student participants of ATLAS had significantly lower intent to use anabolic steroids at both the end of the athletic season and at the 1-year follow-up. Students in the intervention also significantly reduced illicit drug use and were significantly less likely to report drinking and driving.

Avian Flu Outbreak and Vaccination Drill (Yolo County, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The purpose of the exercise was to train health and emergency medical personnel in planning for and responding to large scale disease outbreaks. The most proven method to assure an effective response to a real event is to practice a well-coordinated multi-agency field exercise.

Baby, Be Safe (Washington D.C.)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Children, Families

Goal: The goal of Baby, Be Safe is to increase the use of child injury prevention measures.

Impact: Participants who received tailored educational materials reported greater adoption of home and car safety behaviors than those receiving generic information. This study offers promising findings to help prevent injuries to young children.

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.