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

Flex Your Power Case Study: Central Contra Costa Sanitary District (Contra Costa County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program was to reduce energy usage by 10 to 20 percent.

Health Equity: Tenant-Based Housing Voucher Programs

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).

Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.

CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.

Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.

Health Plan of San Mateo Housing Supports Pilot (San Mateo County, CA)

Filed under Effective Practice, Health, Older Adults, Urban

Goal: The goal of the program was to target the housing support needs of its members with the objective of reducing institutionalization, improving quality of life, and reducing total costs of care.

Impact: The large majority of participants surveyed indicated that their quality of life was maintained or increased during the pilot and that they were satisfied with the program.

San Francisco Organics Recycling Program (San Francisco, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program is to redistribute food waste to food banks, farmers, and compost.

San Francisco Unified School District Healthy Food Policy (San Francisco)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Urban

Goal: SFUSD aimed to provide students with healthy and appealing food choices and to diminish the dependence of schools and school-related organizations on selling unhealthy foods.

Sonoma County Healthy Retail Project (Sonoma County, CA)

Filed under Effective Practice, Health / Physical Activity, Adults, Racial/Ethnic Minorities

Goal: The goal of the Healthy Retail Project is to increase access to healthier foods and beverages; decrease the availability of unhealthy products; increase compliance with alcohol, tobacco, and food safety laws; and increase customer loyalty and store profits.

Impact: Over 60% of stores assessed in 2014 met Healthy Retail Project Standards and all participating stores increased their food environment score over baseline.

Domestic Violence Emergency Response Teams for Zero Tolerance (DVERT/ZT) (Santa Barbara County, CA)

Filed under Effective Practice, Community / Domestic Violence & Abuse, Families, Urban

Goal: The program works to counsel and assist domestic violence victims by providing them with information about available resources and services, as well as their legal and other options. They also offer medical assistance and emergency shelter, including transportation to the shelter. Through legal advocacy and education, DVERT teams work to reduce domestic violence in Santa Barbara County.

Germ Fighters Student Illness Prevention Program (Johnson County, IA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Children

Goal: The overall objective of the program is to reduce student absence due to communicable illness.

The Westside Prevention Project Low Rider Bike Club (San Bernardino, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Urban

Goal: The goal of this program is to educate high-risk youth in San Bernardino about issues such as gangs, violence, and substance abuse. The program encourages participation by appealing to the low rider bike subculture, which neighborhood teens readily relate to.

A Text Message-Based Intervention for Weight Loss (San Diego County, CA)

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

Goal: To reduce weight in overweight and obese patients using mobile-based text and multimedia messaging.

Impact: At the end of a 4-month period, participants in the text-message based intervention showed greater weight loss than the control group.

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.