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

McNeil Island Corrections Center Family and Fatherhood Program (Tacoma, WA)

Filed under Effective Practice, Community / Social Environment

Goal: The goal of this program is to promote positive family relationships, help incarcerated fathers learn skills to be active and involved fathers, encourage incarcerated fathers to
provide financial support for their children, facilitate programs for offender families through community partnerships, and provide constructive opportunities for children to participate in special activities with their incarcerated father.

Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)

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

Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.

Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.

Mental Health: Universal School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends universal school-based cognitive behavioral therapy programs to prevent or reduce depression and anxiety symptoms among school-aged children and adolescents.
The CPSTF also recommends Targeted School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms for students who are assessed to be at increased risk for these conditions, and group and individual CBT to reduce psychological harm from traumatic events among children and adolescents.

New York State Smokers' Quitline (New York)

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

Goal: The New York State Smokers' Quitline is a free and confidential service that provides effective stop smoking services to New Yorkers who want to stop smoking.

North Carolina Fruits and Veggies Nutrition Coalition (North Carolina)

Filed under Effective Practice, Health / Physical Activity, Children, Teens, Adults, Families

Goal: The mission of the North Carolina Fruits and Veggies Nutrition Coalition is to build a healthier North Carolina by increasing access to and consumption of fruits and vegetables.

Nutrition and Physical Activity Self-Assessment for Child-Care (NAP SACC) (USA)

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

Goal: NAP SACC aims to improve policies, practices, and environments in childcare through better nutrition, increased exercise, and staff-child interactions.

Impact: Intervention centers are more likely to make significant changes in nutrition policies, environments, and practices. The intervention has been replicated in other states to help improve nutrition and physical activity policies and practices.

Obesity Prevention and Control: Digital Health Interventions for Adolescents with Overweight or Obesity

CDC

Filed under Evidence-Based Practice, Health / Weight Status, Teens

Pesticide Environmental Stewardship Program (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goal of PESP is to reduce the health and environmental risks associated with pesticide use.

Promoting Alternative THinking Strategies (PATHS)

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

Goal: The goal of this program is to promote social and emotional learning (SEL) and character development, to prevent bullying, and to build the problem-solving abilities and other life skills required for positive relationships throughout students' lives.

Impact: One study found that PATH students performed significantly better than their counterparts on the sociometric tests for aggression and hyperactivity-disruptive behavior according to peer sociometric reports. The PATH classrooms also received better observer ratings for their overall classroom atmosphere.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

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.