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.

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Asthma: School-Based Self-Management Interventions for Children and Adolescents with Asthma

New CDC

Filed under Evidence-Based Practice, Health / Respiratory Diseases

Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based asthma self-management interventions to reduce hospitalizations and emergency room visits among children and adolescents with asthma. Evidence shows interventions are effective when delivered by trained school staff, nurses, and health educators in elementary, middle, and high schools serving diverse populations.
When implemented in schools in low-income or minority communities, interventions are likely to promote health equity.

Athletes Targeting Healthy Exercise & Nutrition Alternatives (ATHENA) (USA)

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.

Availability, Responsiveness, and Continuity (ARC)

Filed under Evidence-Based Practice, Community / Social Environment, Children

Goal: Through a 2- to 3-year process, ARC is designed to improve organizational culture and climate, increase job satisfaction and commitment, support the adoption and success of evidence-based practices (EBPs), reduce staff turnover, and improve clients’ outcomes.

Avon Park Youth Academy and Street Smart Program (Florida)

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

Goal: The program’s goal is to provide specialized, remedial education and intensive vocational training to moderate risk youth committed to Florida’s Department of Juvenile Justice.

AZTech Intelligent Transportation System (Maricopa County, AZ)

Filed under Effective Practice, Community / Transportation

Goal: The AZTech Executive Committee set the following objectives:

1. Integrate the existing Intelligent Transportation Infrastructure (ITI) into a regional system.
2. Establish a regional integrated traveler information system for the multi-modal travelers.
3. Demonstrate the benefits of integrated community-based transportation systems to achieve system efficiencies.
4. Provide a showcase of how technology can improve the overall quality of life, conserve energy and reduce pollution.
5. Set a worldwide standard of excellence for deployment of ITS in a major economy.

Behavior Management Through Adventure

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

Goal: The goal of Behavior Management through Adventure is to address the needs of at-risk youth in therapeutic settings.

Impact: Behavior Management Through Adventure was successful in lowering rearrest rates, decreasing the time period from release until rearrest, improving depression symptoms, increasing family self-concept, and lowering social introversion.

Better Choices, Better Health (USA)

Filed under Evidence-Based Practice, Health / Other Conditions, Adults, Older Adults

Goal: Better Choices, Better Health^TM gives people with chronic conditions the skills to coordinate all the things needed to manage their heath, as well as to help them keep active in their lives.

BetterU (USA)

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

Goal: The goal of the BetterU intervention is to increase knowledge of heart disease, increase physical activity, and improve nutrition among women aged 25 years and older.

Bienestar: A School-Based Diabetes and Obesity Prevention Program (Texas)

Filed under Evidence-Based Practice, Health / Diabetes, Children, Families, Racial/Ethnic Minorities

Goal: The objectives of Bienestar are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity among low-income Mexican-American elementary and middle school children.

Impact: The Bienestar Health Program statistically significantly increases fitness scores and dietary fiber intakes levels among low-income, Mexican-American fourth-graders. A second randomized control trial conducted from 6th to 8th grade showed reductions in various indexes of adiposity.

Birth and Beyond California Program (California)

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

Goal: The goal of Birth and Beyond California is to provide effective, evidence-based breastfeeding support to all mothers delivering babies in hospitals in California in order to increase the percentage of mothers who are able to breastfeed exclusively starting at birth.

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.