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.

Submit a Promising Practice

Pregnancy Health: Exercise Programs to Prevent Gestational Hypertension

CDC

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends exercise programs for pregnant women to reduce the development of gestational hypertension.

Primary Project

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goals of this program are:
- Detect school adjustment difficulties
- Prevent social and emotional problems
- Enhance learning skills

Impact: One study demonstrated that participants made significant improvements in task orientation, specifically in working more independently and completing tasks faster. In behavior control, program students showed increased coping skills and lower levels of aggressiveness and produced fewer disruptions. In assertiveness, students had improved participation in activities, were better at expressing ideas, and showed increased leadership and decreased shyness. Improvements in peer sociability included increases in the quality of peer relationships and improved social skills. Several other evaluations of the Primary Project present evidence of improved school adjustment and decreases in problem behaviors for participants.

Promotores de la Salud de los Niños (King County, WA)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of the Promotores de la Salud de los Niños Program is to use volunteers from the Latino community to locate families in King County that are eligible for services and help families get connected to those services.

Providers And Teens Communicating for Health (PATCH) Program

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

Goal: PATCH envisions a supportive environment in which all adolescents are able to reach optimal health, safety, and economic security.

MISSION: To improve adolescent health and well being by engaging, educating, and empowering youth and adults as trusted partners in care.

Impact: Health care providers and teens who participate in the PATCH program show significant improvements in knowledge, self-efficacy, and behavioral intentions to seek and provide quality sexual health care.

Saving Smiles (Lafayette County, Missouri)

Filed under Good Idea, Health / Oral Health, Children, Families, Rural

Goal: The goal of Saving Smiles is to improve the oral health and in turn overall health of children in Lafayette County, especially for the poor and underserved.

Impact: Most students from the 11 participating schools in Lafayette County received a screening, fluoride varnish, and oral health education, and most of the children referred for dental care were seen by a dentist.

See You in School (Whatcom, WA)

Filed under Good Idea, Education / Student Performance K-12, Children, Teens

Goal: The goal of See You in School is to improve the grades, self confidence and engagement of high school students through mentor/mentee relationships. Decreasing the dropout rates in Whatcom County is a long term goal that begins with the mentor/mentee relationship and a network inside the schools.

Shape Up SF (San Francisco, CA)

Filed under Good Idea, Health / Physical Activity, Racial/Ethnic Minorities, Urban

Goal: Shape Up SF aims to reduce health disparities by creating healthy eating and active living environments and improving physical activity and nutrition.

Impact: Shape Up SF implemented Safe Routes to School, Bayview HEAL Zone, PE4SF, Rethink Your Drink, Southeast Food Access (SEFA) Working Group, SEFA Food Guardians, and Walking Challenge, and increased physical activity and access to healthy foods in San Francisco.

Something to Smile About Dental Program (Garrett County, MD)

Filed under Effective Practice, Health / Oral Health, Children, Women

Goal: The purpose of the "Something to Smile About" dental program is to improve dental outcomes for children in Garrett County, Maryland.

STOP-DWI (New York)

Filed under Effective Practice, Community / Transportation, Adults

Goal: The goal of the Broome County STOP-DWI comprehensive DWI countermeasure program is to improve highway safety by preventing drunk driving through increased certainty of arrest and conviction.

Tai Chi -- Moving for Better Balance

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

An Effective Practice meets the following HCI criteria:

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.
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:

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

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.
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.
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.