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

National Diabetes Prevention Program (USA)

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

Goal: The National Diabetes Prevention Program encourages collaboration among federal agencies, community-based organizations, employers, insurers, health care professionals, academia, and other stakeholders to prevent or delay the onset of type 2 diabetes among people with prediabetes in the United States.

Impact: The National Diabetes Prevention Program is a cost-effective method to reduce the risk of developing type 2 diabetes among individuals with prediabetes.

Natural Gas STAR (USA)

Filed under Effective Practice, Environmental Health / Air

Goal: Reduce methane emissions from natural gas operations by identifying and promoting the implementation of mitigation technologies and management practices.

Northern Manhattan Start Right Coalition (New York City, NY)

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

Goal: The goal of the Northern Manhattan Start Right Coalition is to increase the timely vaccination coverage rate for the 4:3:1:3:3 series for children ages 19 to 35 months.

Impact: The Start Right Coalition increased timely vaccination coverage from 63.0% in 2002 to 96.8% in 2007.

Nutrition and Physical Activity Self-Assessment for Child-Care (NAP SACC) (USA)

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

Goal: NAP SACC aims to improve policies, practices, and environments in childcare through better nutrition, increased exercise, and staff-child interactions.

Impact: Intervention centers are more likely to make significant changes in nutrition policies, environments, and practices. The intervention has been replicated in other states to help improve nutrition and physical activity policies and practices.

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.

Parent Connext: Parent Coaching in Pediatric Practices (Cincinnati)

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

Goal: The goal of Parent Connext is to support parents in reducing and/or preventing toxic stress in the family and help children develop critical life skills and coping skills. Recent studies have found that up to 50% of health outcomes are attributable to social and economic factors and that lifetime costs associated with child maltreatment are comparable to other costly healthcare conditions such as stroke or type 2 diabetes. Moreover, 4 in 5 physicians report lacking confidence in their ability to meet patients’ social needs, which can impede their ability to provide high quality medical care. As a result, interventions that target parents’ social needs may have important implications for reducing healthcare costs and have the added benefit of enabling physicians to provide high-quality care to their patients.

Parent Enrichment Program (Hamilton County, OH)

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

Goal: Parenting education programs are designed to teach and enhance skills and behaviors that enable parents to better understand their child, support their development, and provide a more stable and supportive family environment. Research supports the numerous benefits of such programs, finding that parenting education programs help parents to teach communication and social skills while reducing their stress and improving their sense of competence. Importantly, these positive program outcomes are true for families regardless of whether they are currently dealing with issues of maltreatment or are simply at risk for it.

The Parent Enrichment Program is for families who are at risk for having their children removed from the home or whose children have been removed from the home due to abuse or neglect. The goal of the program is to enhance existing parenting skills, connect participants to needed resources, and support their goals related to social and economic self-sufficiency. Specific program objectives are to improve skills related to positive parenting and financial stability, develop family protective factors that guard against abuse and neglect, and reduce safety threats.

References:
Charlop-Christy, M. H., & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2, 98–112.
Solomon, R., Necheles, J., Ferch, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism: The PLAY Project Home Consultation program. Autism, 11, 205–224.
Koegel, R. L., Bimbela, A., & Schreibman, L. (1996). Collateral effects of parent training on family interactions. Journal of Autism and Developmental Disorders, 26, 347–359.
Cowen, P. S. (2001). Effectiveness of a parent education intervention for at‐risk families. Journal for Specialists in Pediatric Nursing, 6(2), 73-82.

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.

Peers Reaching Out and Modeling Intervention Strategies (PROMISE) (Texas, Colorado, California, New York, Washington)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Urban

Goal: The goal of Community PROMISE is to encourage HIV prevention practices.

Impact: PROMISE leads to significant community-wide progress toward consistent HIV risk reduction.

Penn Resiliency Program (Pennsylvania)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children, Teens

Goal: The Penn Resiliency Program is a depression prevention program that seeks to reduce the longevity of symptoms exhibited and the severity of symptoms at onset of depression, through cognitive-behavioral therapy and problem-solving techniques.

Impact: The Penn Resiliency program shows that a group-based program seeking to prevent the initial onset of and decrease the exacerbation of depression children and teens by incorporating specific coping and problem-solving skills can reduce depressive symptoms over time.

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.