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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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Kaiser Permanente Heart Healthy: Cardiovascular tools and protocols (California)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Older Adults

Goal: To reduce death from heart disease among their members in Northern California.

Oregon Tobacco Prevention and Education Program (Oregon)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Adults

Goal: The goal of this program is to reduce tobacco use in Oregon.

Prompting and Reminding at Encounters for Prevention (PREP) (Michigan)

Filed under Effective Practice, Health / Cancer, Adults, Rural

Goal: The goal of the PREP computerized reminder system is to increase colorectal cancer screening.

Reaching Educators, Children, and Parents (RECAP) (Nashville, TN)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Children

Goal: The primary goal of the program is to reduce the level of children's psychological problems, as well as preventing the development of more serious problems among children who are not referred for formal mental health services.

Vaccination Programs: Provider Reminders

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends provider reminders—when used alone or when combined with additional interventions—to increase vaccination rates among people of all ages from different populations or settings.

Accelerated Benefits (AB) Demonstration (USA)

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

Goal: The program's goal was to eliminate the waiting period for access to health care benefits for newly entitled SSDI beneficiaries, and see if this investment has long-term benefits.

Impact: The AB Demonstration project successfully increased the use of health care services and reduced the reported unmet health care needs of participants in the program.

Active Choices (San Francisco)

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

Goal: The goal of this promising practice is to increase physical activity in a diverse older adult population.

Impact: Participants in the Active Choices program showed significant increases in physical activity and a greater satisfaction with their body appearance and function. Participants of the program also showed decreases in their BMI.

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.

ASSIST: A Stop Smoking in Schools Trial (United Kingdon)

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

Goal: ASSIST aims to develop a diverse group consisting of young people that will then influence their peers to defy the idea of smoking thus reducing the number of adolescent smokers and reducing its health effects.

Impact: A peer-led intervention reduced smoking among adolescents at a modest cost: the ASSIST program cost of £32 ($42 USD) (95% CI = £29.70–£33.80) per student. The incremental cost per student not smoking at 2 years was £1,500 ($1984 USD) (95% CI = £669–£9,947).

Bootheel Heart Health Project (Missouri)

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

Goal: The goal of the Bootheel Heart Health Project was to reduce risk factors for cardiovascular disease and decrease morbidity and mortality due to cardiovascular disease.

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.
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