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

Assisting in Rehabilitating Kids (ARK) (Mississippi)

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

Goal: The goal of Assisting in Rehabilitating Kids (ARK) is to increase abstinence and safer sex behaviors among substance-dependent adolescents.

Impact: The ARK program successfully increased sexual abstinence among those who received all components: health information, behavior skills training, and risk-sensitization manipulation, with the inclusion of the latter being more resistant to decay over time.

CDC COMMUNITY GUIDE: Interventions to Reduce Sexual Risk Behaviors or Increase Protective Behaviors to Prevent Acquisition of HIV in Men Who Have Sex with Men: Individual-, Group-, and Community-Level Behavioral Interventions (USA)

CDC

Filed under Evidence-Based Practice, Health / Men's Health, Men

Goal: The goal of the HIV behavioral interventions program is to reduce unprotected anal intercourse among men who have sex with men.

Impact: The Community Preventive Services Task Force (CPSTF) recommends individual-level HIV behavioral interventions for adult men who have sex with men to reduce unprotected anal intercourse. Related findings recommend HIV behavioral interventions at the group level and community level.

Checkpoints Program (Connecticut)

Filed under Evidence-Based Practice, Community / Public Safety, Teens

Goal: The goal of the Checkpoints Program is to encourage parental limits on teen driving, and decrease risky teen driving.

Impact: The Checkpoints Program increased the rate at which parents placed greater limits on high-risk teen driving conditions and decreased traffic violations among teens.

Coping and Support Training (CAST) (USA)

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

Goal: The goal of CAST training is to deliver life-skills training to high-risk high school students in order to increase mood management skills, improve school performance, and decrease drug involvement.

Impact: CAST participants in several NIH-funded studies saw significant and sustained reduction of suicide risk behaviors, reduction of drug use, reduction in depression, increase in personal control, increase in problem-solving, and increase in family support.

Early Risers 'Skills for Success' Program (Minneapolis, MN)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children

Goal: The goal of this program is to prevent behavior problems and substance abuse.

Elizabeth River Project (Virginia)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Children, Teens, Adults

Goal: To restore the Elizabeth River to the highest practical level of environmental quality through government, business and community partnerships.

Emergency Department Means Restriction Education

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

Goal: The goal of Emergency Department Means Restriction Education is to help parents and adult caregivers of at-risk youth recognize the importance of taking immediate action to restrict access to firearms, alcohol, and prescription and over-the-counter drugs in the home in order to lessen the risk of self harm.

Impact: The Means Restriction program shows that ED-based programs and provided practical information can help parents and adult caregivers of at-risk youth recognize the importance of taking immediate, new action to restrict access to dangers in the home.

Evaluating Risk and Promoting Public Advocacy (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of the "Environmental Scorecard" is to compare the risks of different chemical releases through a combination of raw data on toxic releases and environmental and human health data.

Franklin County Infant Safe Sleep and SIDS Risk Reduction Initiative (Franklin County)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health

Goal: The initiative’s goal is to reduce infant sleep-related deaths by promoting safe sleep environments and SIDS risk reduction techniques among healthcare professionals, childcare providers, and all individuals responsible for caring for infants.

Healthy Relationships

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Women, Men

Goal: The goal of Healthy Relationships is to reduce the risk of HIV transmission by people who know they are HIV-positive by reducing the frequency with which they have unprotected sex.

Impact: Healthy Relationships seeks to develop decision making and problem making skills to reduce the risk and transmission of HIV through behavioral intervention. An intervention study resulted in significantly less unprotected intercourse and greater condom use with lower estimated HIV rates post-intervention.

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.