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

Nurses Improving Care for Health System Elders (NICHE)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goal of NICHE is to achieve systematic nursing change that will benefit hospitalized older patients. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care. The mission of NICHE is to import principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults.

Operation Ceasefire (Boston, MA)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Urban

Goal: The goals of the program are to carry out a comprehensive strategy to apprehend and prosecute offenders who carry firearms, to put others on notice that offenders face certain and serious punishment for carrying illegal firearms, and to prevent youths from following the same criminal path.

Opportunity Chicago (Chicago, IL)

Filed under Effective Practice, Economy / Employment, Adults

Goal: Opportunity Chicago's goal was to identify employment barriers within the system and to reduce those barriers by creating processes that would result in a smoother and more streamlined path to employment for CHA residents.

Impact: Of the 6,743 participants in an Opportunity Chicago program between 2006 and 2010, 5,185 (77%) were employed by the end of the project. Fifty-four percent retained employment for two or more years. Fifty-nine percent of participants saw an increase in quarterly earnings.

Orange County Juvenile Substance Abuse Treatment Court (Orange County, FL)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children

Goal: Florida started the drug court movement by creating the first treatment-based drug court in the nation in 1989. The drug court concept was developed in Dade County (Miami, Florida) stemming from a federal mandate to reduce the inmate population or suffer the loss of federal funding. The Supreme Court of Florida recognized the severity of the situation and directed Judge Herbert Klein to research the problem. Judge Klein determined that a large majority of criminal inmates had been incarcerated because of drug charges and were revolving back through the criminal justice system because of underlying problems of drug addiction. It was decided that the delivery of treatment services needed to be coupled with the criminal justice system and the need for strong judicial leadership and partnerships to bring treatment services and the criminal justice system together.

Peacemakers Program

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens, Urban

Goal: The goal of this program is to reduce aggressive behavior among children and adolescents.

Impact: An evaluation found significant, positive program effects on six of the seven variables assessed, including knowledge of psychosocial skills, self-reported aggression, and teacher-reported aggression, with a 41% decrease in aggression-related disciplinary incidents and a 67% reduction in suspensions for violent behavior.

Pediatric Weight Control Program (Palo Alto)

Filed under Effective Practice, Health / Children's Health

Goal: The goals of the Packard Pediatric Weight Control Program are to (1) help children improve their eating and exercise habits; (2) create a balanced diet; and (3) help participating children maintain or gradually lose weight.

Penn Resiliency Program (Pennsylvania)

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

Goal: The Penn Resiliency Program is a depression prevention program that seeks to reduce the longevity of symptoms exhibited and the severity of symptoms at onset of depression, through cognitive-behavioral therapy and problem-solving techniques.

Impact: The Penn Resiliency program shows that a group-based program seeking to prevent the initial onset of and decrease the exacerbation of depression children and teens by incorporating specific coping and problem-solving skills can reduce depressive symptoms over time.

Photovoice: A Youth Empowering Program (DeKalb County, GA)

Filed under Good Idea, Health / Adolescent Health, Teens

Goal: The goals of Photovoice are for Clarkston High School students to 1) document community health-related strengths and challenges through participatory research; 2) reflect, think critically, and dialogue about their research; 3) present their findings persuasively to pertinent stakeholders.

Pitless or Closed-loop Drilling (Texas)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goals and benefits of piltess drilling include:

-elimination of unsightly and hazardous pits
-a decrease in the need for cuts in sensitive and hilly areas
-a reduction in total surface disturbance associated with a well pad
-elimination of the risk of waterfowl and wildlife mortality related to pits
-elimination of the risk of damaging underground pipelines and utilities
-virtual elimination of drilling waste
-reduction of water consumption by as much as 80%
-elimination of soil segregation, which reduces wind erosion problems
-reduction of truck traffic associated with transporting drilling wastes by as much as 75%

Pool Cool (MA, HI)

Filed under Evidence-Based Practice, Health / Cancer, Children, Families

Goal: The main objective of Pool Cool is to increase awareness, motivation, and sun protection practices among children ages 5-10 who take swimming lessons.

Impact: The Pool Cool program had significant positive effects on children's use of sunscreen and overall sun-protection habits at swimming pools.

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.