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

Multisystemic Therapy (MST) for Juvenile Offenders

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Children

Goal: The ultimate goal of MST is to empower families to build a healthier environment through the mobilization of existing child, family, and community resources.

Impact: Compared to youth receiving usual-treatment services, those receiving MST were arrested about half as often in the post-treatment period. Recidivism rates were significantly less for MST-treated youth. Youth who received MST also had an average of 73 fewer days of incarceration.

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.

Network Therapy (New York, NY)

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

Goal: The goal of this program is to effectively treat substance abuse by using the patient's social support network to support abstinence.

Impact: Among Network Therapy clients, 64.5% of all samples submitted were negative for opioids, compared with 45.3% of all samples submitted by medication maintenance clients. Furthermore, 88% of urine samples were negative for cocaine for Network Therapy participants, compared with 66% of urine samples collected from treatment-as-usual clients.

New Beginnings (Intervention for Children of Divorce) (Arizona)

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

Goal: New Beginnings promotes resilience in children after parental divorce by providing mothers and their children with group and individual-based sessions.

Impact: The New Beginnings program improves post-divorce adjustment outcomes such as interparental conflict, mother-child relationships, and coping strategies by targeting predictive behaviors.

Not-On-Tobacco (N–O–T)

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

Goal: The goal of this program is to help teens quit smoking.

Impact: One study showed that the percentage of students who reportedly quit smoking 15 months after the intervention was higher for participants. Another study showed that a greater percentage of participants reported smoking cessation 5 months after the intervention than non-participants.

Nurse-Led Secondary Prevention in Coronary Heart Disease (Scotland)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of this nurse-led program is to improve secondary prevention among patients with coronary heart disease.

NutriActive (Iowa)

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

Goal: The goal of this intervention is to improve motor skills and fitness in young children. Fitness and motor skills development early in life can lay the foundation for successful lifelong physical activity participation.

Impact: A short-duration lifestyle intervention can have a lasting effect on children's fitness and motor skills development.

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.

Open Circle Curriculum

Filed under Effective Practice, Education / School Environment, Children

Goal: This program has three goals: (1) to strengthen students' social competency skills in communication, self-control, and interpersonal problem-solving; (2) to promote the creation of growth-fostering relationships among students and between students and the adults in their lives; and (3) to build a sense of community in classrooms and schools by providing a common "language" that fosters communication among students and between students and their teachers and other adults.

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.

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.