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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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Obesity: Meal or Fruit and Vegetable Snack Interventions to Increase Healthier Foods and Beverages Provided by Schools

CDC

Filed under Evidence-Based Practice, Health / Weight Status

Impact: The Community Preventive Services Task Force (CPSTF) recommends meal interventions and fruit and vegetable snack interventions to increase the availability of healthier foods and beverages provided by schools. This finding is based on evidence that they increase fruit and vegetable consumption and reduce or maintain the rate of obesity or overweight. Economic evidence shows that meal interventions and fruit and vegetable snack interventions are cost-effective.

Obesity: Multicomponent Interventions to Increase Availability of Healthier Foods and Beverages in Schools

CDC

Filed under Evidence-Based Practice, Health / Weight Status

Impact: The Community Preventive Services Task Force (CPSTF) recommends multicomponent interventions to increase availability of healthier foods and beverages in schools. This finding is based on evidence that they reduce or maintain the rate of obesity or overweight.

Opportunity Chicago (Chicago, IL)

Filed under Effective Practice, Economy / Employment, Adults

Goal: Opportunity Chicago's goal was to identify employment barriers within the system and to reduce those barriers by creating processes that would result in a smoother and more streamlined path to employment for CHA residents.

Impact: Of the 6,743 participants in an Opportunity Chicago program between 2006 and 2010, 5,185 (77%) were employed by the end of the project. Fifty-four percent retained employment for two or more years. Fifty-nine percent of participants saw an increase in quarterly earnings.

Opportunity NYC Demonstrations- Family Rewards (New York City)

Filed under Evidence-Based Practice, Economy / Poverty, Families, Urban

Goal: The goal of this program was to help poor families build up their “human capital” and avoid long-term poverty.

Opportunity NYC Demonstrations- Work Rewards (New York City)

Filed under Evidence-Based Practice, Economy / Poverty, Adults, Urban

Goal: The goal of this program was to increase the workforce efforts of low-income adults living in subsidized housing.

Options/Opciones Project (New Haven and Hartford, CT)

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

Goal: The goal of the Options/Opciones Project is to reduce or eliminate risky sexual and drug use behaviors of HIV-infected patients.

Impact: The Options/Opciones Project shows that a clinician-delivered HIV prevention intervention targeting HIV-infected patients can result in reductions in unprotected sex and that interventions of this kind should be integrated into routine HIV clinical care.

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.

Parent-Child Interaction Therapy (PCIT) (USA)

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

Goal: The goal of PCIT is to improve the behavior of children suffering from conduct disorders by strengthening the parent-child relationship and teaching parenting and discipline skills.

Parenting Wisely (Ohio)

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

Goal: The goal of this program is to reduce child behavior problems and delinquency and substance abuse among adolescents, to improve parenting knowledge and skills, and to strengthen the relationship between adolescent and parent.

Impact: Findings from studies show an association between Parenting Wisely participation and improvements in family problem solving, family roles, family involvement, parenting self-efficacy, parenting sense of competence, and decreased adolescent violent behavior.

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.