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

Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME) (WA, OR)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: The PHLAME Study had four primary goals: (1) Increase physical activity to 30 minutes each day; (2) Reduce percent calories from fat to less than 30%; (3) Increase servings of fruits and vegetables to at least 5 per day; and (4) Improve energy balance and normalize body fat.

Smile Programs... the mobile dentists (USA)

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

Goal: The Smile Programs... the mobile dentists mission is to bring state-of-the-art, dental care to those students in need in the most comfortable and effective way possible.

Impact: Smile Programs provides mobile dental care to children in schools in over a dozen states.

The Bright Beginnings Infant Mortality Reduction Program (Prince George's County, MD)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Teens, Adults, Women, Families, Racial/Ethnic Minorities, Urban

Goal: Bright Beginnings seeks to prevent poor pregnancy outcomes among Prince George's low-income, medically underserved women and children.

Impact: Bright Beginnings has provided services to thousands of women to help reduce infant mortality and prevent adverse pregnancy outcomes. The program has been noted as a promising practice by the Maryland Department of Health and Mental Hygiene since 2010.

Care-A-Van Mobile Medical Clinic (Kern County, CA)

Filed under Effective Practice, Health / Health Care Access & Quality, Families

Goal: The goal of Care-A-Van is to provide access to medical care for uninsured and impoverished working families.

CDC COMMUNITY GUIDE: Restricting Minors’ Access to Tobacco Products: Community Mobilization with Additional Interventions (USA)

CDC

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens, Racial/Ethnic Minorities

Impact: The Community Preventive Services Task Force (CPSTF) recommends community mobilization combined with additional interventions —such as stronger local laws directed at retailers, active enforcement of retailer sales laws, and retailer education with reinforcement—on the basis of sufficient evidence of effectiveness in reducing youth tobacco use and access to tobacco products from commercial sources.

Countywide Concussion Program (Miami Concussion Model) (Miami-Dade County, FL)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens

Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.

Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.

Eat Smart, Move More, Weigh Less (North Carolina)

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: To reverse the rising tide of obesity and chronic disease among North Carolinians by helping them to eat smart, move more and achieve a healthy weight.

Impact: ESMMWL teaches healthy lifestyle behaviors surround diet and exercise so that participants may incorporate them into their lives in a sustained manner and sustain weight loss.

Healthy Moves

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

Goal: The mission of the program is to shape the evolving health system by developing and spreading high-value models of community-based care and self-management for diverse populations with chronic conditions.

Kentucky Mountain Housing Development Corporation (KMHDC) (Clay and Jackson Counties, KY)

Filed under Effective Practice, Economy / Housing & Homes, Rural

Goal: The goal of this program is to provide safe and affordable low-income housing in Clay and Jackson Counties.

Matrix Model

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

Goal: The mission of this program is to improve the lives of individuals and families affected by alcohol and other drug use through treatment, education, and research.

Impact: Matrix participants were 38% more likely to stay in treatment and 27% more likely to complete treatment compared to nonparticipants. Stimulant drug-use indicators were significantly reduced during treatment for Matrix participants. They also produced more drug-free urine samples compared to nonparticipants.

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.