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

Linking Learning to Life (Chittenden County, VT)

Filed under Effective Practice, Economy / Employment, Children, Teens

Goal: The mission of LLL is to improve the educational performance and advancement, and the employment and career prospects of all Chittenden County students.

Lions Quest Skills for Adolescence

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

Goal: The goal of the Lions Quest program is to promote healthy, safe, and drug-free behaviors in youth.

Living in the Face of Trauma (LIFT)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Women, Men

Goal: Eliminate or reduce sexual transmission risk behavior and to improve coping with the combined stressors of HIV infection and child sexual abuse.

Impact: LIFT intervention participants reported significantly fewer counts of unprotected vaginal and anal intercourse with all partners (p < .001) and with HIV-negative or unknown serostatus partners (p < .001), compared to support group participants.

Managing Multiple Chronic Conditions with a Community Health Worker Intervention (Philadelphia, PA)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Older Adults

Goal: To assess whether an Individualized Management for Patient-Centered Targets (IMPaCT), delivered by community health workers improved patients' chronic disease management and self-rated physical and mental health.

Impact: Individuals with multiple chronic conditions when paired with a community health worker will perceive that their care is higher quality and may have fewer hospitalizations.

Maryland WIC 5-A-Day (MD)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women, Families

Goal: To increase daily fruits and vegetables servings by half in women served by WIC participants with the long term goal of reducing risk of cancer.

Impact: The Maryland WIC 5-A-Day Program shows that while multi-faceted community based interventions can effectively promote and sustain dietary change among low-income populations in order to reduce the risk of cancer, many obstacles remain in implementing such programs.

MatchBridge (San Francisco, CA)

Filed under Good Idea, Economy / Employment, Teens, Adults, Urban

Goal: The goal of MatchBridge is to diversify the future's workforce and reduce poverty by helping youth develop the skills that they need to secure employment.

Matrix Model

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

Goal: The mission of this program is to improve the lives of individuals and families affected by alcohol and other drug use through treatment, education, and research.

Impact: Matrix participants were 38% more likely to stay in treatment and 27% more likely to complete treatment compared to nonparticipants. Stimulant drug-use indicators were significantly reduced during treatment for Matrix participants. They also produced more drug-free urine samples compared to nonparticipants.

Medical Legal Partnerships: Embedding Civil Legal Aid Services in Care for High-Utilizing Patients (Lancaster, PA)

Filed under Effective Practice, Community / Governance, Children, Teens, Adults, Families, Urban

Goal: The goal of the pilot was to assess the impact on health care use of addressing patients’ civil legal problems – the social, financial, or environmental problems that require assistance from lawyers to remedy. The lawyer was embedded in the health care team and present during case management discussions to identify specific civil legal problems and to help the team better understand how to address them. Additionally, this partnership provided civil legal aid services to patients when needed in a community health care system.

Impact: This pilot shows a medical-legal partnership for the super-utilizers of healthcare can lead to efficiencies within the health care system, reduce costs, and improve health outcomes among the most vulnerable patients.

Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management in primary care clinics for older adults with major depression or chronic low levels of depression (dysthymia) on the basis of sufficient evidence of effectiveness in improving short-term depression outcomes.

Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Home-Based Depression Care Management

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management at home for older adults with depression on the basis of strong evidence of effectiveness in improving short-term depression outcomes.

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.