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

Reducing Health Disparities: Diversity and Cultural and Linguistic Competence in Contra Costa (Contra Costa County, CA)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: The goal of this program is to eliminate health disparities among the diverse patient population in Contra Costa County by improving access to services for people who are not comfortable speaking English, and by increasing the cultural and linguistic competence of staff in order to have a workforce capable of working effectively with diverse patients, clients, customers and communities.

Residential Student Assistance Program

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

Goal: The goal of this program is to prevent and reduce substance use and abuse among high risk, multi-problem adolescents placed in residential child care facilities.

Impact: One evaluation showed that adolescents participating in RSAP showed significant reductions in their use of alcohol, marijuana, and tobacco from pretest to posttest measures.

Responding in Peaceful and Positive Ways (RiPP)

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

Goal: The goal of this program is to prevent violence among middle school students.

Impact: Rates of violence-related violations among 6th graders were 2.2 times lower in classrooms using RiPP than in non-participating classrooms. In-school suspension rates among 6th graders were also 5.0 times higher in the non-participating classrooms.

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 in the City (Denver, Long Beach, and San Francisco)

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

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

Safe Passages, The Middle School Strategy (Alameda County)

Filed under Effective Practice, Health / Adolescent Health, Teens, Urban

Goal: The main goal of the Middle School strategy is to reduce the incidence of violence among youth measured by the reduction in suspensions for violence and to improve the perception of safety at school.

Safe Sidewalks and Safe Routes to School

Filed under Good Idea, Environmental Health / Built Environment

Goal: Safe Routes to School programs aim to make it safer for students to walk and bike to school and encourage more walking and biking where safety is not a barrier.

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.

Safer Choices (California, Texas)

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of the Safer Choices program is to reduce the number of students engaging in unprotected sexual intercourse.

Impact: The program reduced the frequency of intercourse without a condom, reduced the number of sexual partners with whom students had intercourse without a condom, and increased use of condoms and other protection against pregnancy at last intercourse.

Safer Sex (Boston, MA)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Women, Urban

Goal: The goal of the Safer Sex project is to increase condom use, prevent recurrent STDs, and eliminate or reduce risky sexual behaviors among adolescent females that have been diagnosed with an STD.

Impact: The Safer Sex project shows that individualized safer sex interventions may improve condom use and decrease the number of partners among adolescent girls who have had an STD.

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.