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.
Filed under Evidence-Based Practice, Community / Social Environment, Children, Adults, Families
Goal: The goal of this program is to provide parents with the necessary skills to improve their parent/child communication and overall family functioning.
Impact: STEP has been implemented in more than 1,000 schools, agencies, churches, and mental health treatment facilities since 1976, reaching more than 4 million parents. Outside the US, STEP has been implemented in Australia, Canada, Germany, Ireland, Mexico, New Zealand, the Philippines, Romania, and South Korea.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends school and organized child care center-located vaccination programs based on strong evidence of effectiveness in increasing vaccination rates, and in decreasing rates of vaccine-preventable disease and associated morbidity and mortality.
The updated CPSTF recommendation is based on findings from 27 studies in which vaccination programs in schools or child care centers:
-Provided vaccinations on site
-Were administered by a range of providers including school health personnel, health department staff, and other vaccination providers
-Were delivered in a variety of different school and organized child care settings
-Delivered one or more of a range of vaccines recommended for children and adolescents, and
-Included additional components such as education, reduced client out-of-pocket costs, and enhanced access to vaccination services
School- and organized child care center-located vaccination programs may be most useful in improving immunization rates among children and adolescents for new vaccines, and vaccines with new, expanded recommendations (such as the annual immunization for seasonal influenza) where background rates are likely to be very low and improvements in coverage are needed.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.
Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.
Filed under Evidence-Based Practice, Health / Physical Activity, Children
Goal: The project aims to promote a healthy lifestyle and reverse the trend of obesity among students and their families.
Impact: The ABC Fitness Program demonstrates the feasibility of bursts of structured physical activity for elementary school students with the beneficial effects on fitness and other health measures.
Filed under Effective Practice, Community / Social Environment, Children
Goal: The initiative's mission was to create a citywide system to support and sustain high-quality after-school programs.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens
Goal: To reduce the number of older adolescents who progress to established smoking.
Impact: The television component of the Massachusetts antismoking media campaign may have reduced the rate of progression to established smoking among young adolescents.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens
Goal: A.S.P.I.R.E aims to reduce teen tobacco use by helping current smokers to quit and preventing non-smokers from beginning to smoke.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens
Goal: The mission of the ATHENA (Athletes Targeting Healthy Exercise & Nutrition Alternatives) program is to promote healthy sports nutrition and discourage the use of body-enhancing substances among middle and high school female athletes.
Impact: Participation in the ATHENA program results in significant reductions in the use of performance-enhancing substances, recreational drugs, diet pills, tobacco, and alcohol among female teen athletes. Healthier eating and other health behaviors, and body image perceptions were also improved.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens
Goal: The goal of ATLAS is to reduce anabolic steroid, alcohol, and other illicit drug use by adolescent male athletes.
Impact: Student participants of ATLAS had significantly lower intent to use anabolic steroids at both the end of the athletic season and at the 1-year follow-up. Students in the intervention also significantly reduced illicit drug use and were significantly less likely to report drinking and driving.
Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens, Urban
Goal: To improve drinking water consumption among adolescents.
Impact: This study shows that provision of filtered, chilled drinking water in school cafeterias coupled with promotion and education is associated with increased consumption of drinking water at school.