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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Creating Lasting Family Connections

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

Goal: The goal of this program is to reduce drug and alcohol use among teenagers.

Impact: Evaluations found significant increases in knowledge and healthy beliefs about alcohol, tobacco, and other drug abuse by parents. Youth in the program significantly increased their use of community services and delayed onset of ATOD use. Families participating in the program significantly increased youth involvement in setting and following family ATOD rules.

Critical Time Intervention

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

Goal: The goal of the Critical Time Intervention is to prevent homelessness among people with severe mental illness.

Impact: Evaluations of this program have found sizable reductions (24-67%) in average number of nights spent homeless over the 18-month follow-up period and more than a 60% reduction in likelihood of being homeless in the final weeks of the 18-month follow-up. Cost offsets and savings have been shown.

Cultivando la Salud (USA)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Women, Racial/Ethnic Minorities

Goal: The goal of Cultivando la Salud is to increase breast and cervical cancer screening among low-income Hispanic women.

DARE to be You

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

Goal: The goals of DTBY are to improve parents' self-esteem, enhance decision-making skills, increase communication between parents and children, teach effective stress management, and strengthen peer support.

Impact: Several studies have demonstrated increases in parental self-efficacy and self-esteem among DTBY parents. Also, the use of harsh punishment decreased and effective discipline and limit-setting increased. Children involved in DTBY programming had greater average increases in developmental level.

Drinker's Check-up (Albuquerque, NM)

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

Goal: Drinker's Check-up is designed to help problem drinkers reduce their alcohol use and alcohol-related consequences.

Impact: Study participants had a significant reduction in alcohol use, alcohol-related consequences, symptoms of alcohol dependence, and a decrease in ambivalence about reducing alcohol use.

Drug User Intervention Trial (DUIT) (USA)

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

Goal: The goal of this peer-education intervention is to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users.

Early Literacy Skills Builder (ELSB) (USA)

Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education, Children, Rural

Goal: The goal of ELSB is to help moderately to severely disabled children develop the skills and behaviors they need to succeed in a standard reading program.

Impact: ELSB demonstrates that reading skills curriculum adapted to alternative instructional needs of cognitively disabled children can more effectively improve literacy as compared to sight-word-only programs.

Emergency Room Intervention for Suicidal Adolescent Females

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens, Racial/Ethnic Minorities

Goal: The Emergency Room Intervention for Suicidal Adolescent Females focuses on changing the conceptualization of suicidal behavior and expectations for therapy, thereby increasing attendance at outpatient therapy and decreasing future suicide risk.

Impact: The intervention increases the likelihood of follow-up treatment in an outpatient clinic and reduces suicide risk among adolescent females who have visited an emergency room due to a suicide attempt.

ENERGY STAR (USA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Families

Goal: The goal of this program is to reduce energy usage in order to save on energy costs, increase energy reliability, prevent greenhouse gas emissions, and improve national energy security. It is also an essential strategy for reducing natural gas prices and ensuring a balanced energy future in a growing economy.

EnhanceFitness (Seattle, WA)

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

Goal: The goal of EnhanceFitness is to encourage older adults to engage in regular physical activity to improve their health and well-being.

Impact: EnhanceFitness participants reported a 13% improvement in social function, a 52% improvement in depression, and a 35% improvement in physical functioning. Additionally, participants' healthcare costs were 21% less than those of non-participants after one year.

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.