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

Parenting With Love and Limits (Savannah, GA)

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

Goal: The goal of the Parenting with Love and Limits® (PLL) program is to improve behavioral problems in children by providing therapy and training to parents in order to restore a level of competent, effective parenting and create greater family connectedness.

Impact: Youth in the PLL group had significantly greater reductions in conduct disorder problem behaviors compared with youth in the control group. Specifically, they had greater improvements in anxiety/depression, withdrawn/depression, social problems, attention problems, rule-breaking problems, aggressive behaviors, internalizing problems, and externalizing problems.

Partnering with Community Health Centers to Prevent Early Childhood Carries (ECC) (Boston, MA)

Filed under Evidence-Based Practice, Health / Oral Health, Children, Families, Urban

Goal: The goal of this intervention was to involve pediatricians to help reduce rates of early childhood caries.

Impact: The multifaceted ECC intervention was associated with increased provider knowledge and counseling, and significantly attenuated incidence of ECC, showing that similar interventions could have the potential to make a significant public health impact on reducing ECC among young children.

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.

Portland SmartTrips (Portland, OR)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goal of SmartTrips is to reduce drive-alone trips and increase biking, walking, and public transit in targeted areas of the city.

Providing Professional Clothing to Low-Income Men and Women (Fargo, ND)

Filed under Good Idea, Economy / Employment, Adults

Goal: Clothing & Connections' mission is to provide interview and career clothing, information, and referrals to clients in need as they pursue new opportunities for advancement in self-sufficiency. Clients are referred to Clothing & Connections by a group of non-profit member organizations, which include homeless shelters, domestic violence centers, job training programs, and self-sufficiency programs. Clients are fitted with clothing specific to the job they are applying for. In addition, Clothing & Connections offers mini-seminars on topics such as preparing for the job interview, making a positive first impression, and dressing for success on a limited budget.

Reach Out and Read: Washington, D.C. (Washington, D.C.)

Filed under Evidence-Based Practice, Education / Literacy, Children, Adults, Families, Urban

Goal: Reach Out and Read prepares America's youngest children to succeed in school by partnering with doctors to encourage families
to read together.

Rochester AIDS Prevention Project (RAPP) (Rochester, NY)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities, Urban

Goal: The goals of the program are: 1) to promote abstinence maintenance among sexually abstinent students and encourage safer sex practices to sexually active students, 2) compare the effect of RAPP when taught by different providers, and 3) to explore the factors that impact a student's decision to engage in sexual activity.

Impact: Regular teacher-taught male (p=.001) and female students (p=.05) and peer-taught male students (p=.02) had the highest rates of delaying the onset of sexual activity.

Safe Streets / Strong Communities (New Orleans, LA)

Filed under Good Idea, Community / Crime & Crime Prevention, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: Safe Streets/Strong Communities is a community-based organization that campaigns for a new criminal justice system in New Orleans, one that creates safe streets and strong communities for everyone, regardless of race or economic status.

School-Based Asthma Therapy (Rochester, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

Strong Hearts, Healthy Communities (StrongPeople Healthy Hearts)

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

Goal: SHHC targets individual, social, and built environment levels of behavior change and is designed to improve diet and physical activity behaviors, assess and improve local food and physical environment resources, and shift social norms about active living and healthy eating through civic engagement and capacity building.

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.