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.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens, Urban
Goal: ASSIST aims to develop a diverse group consisting of young people that will then influence their peers to defy the idea of smoking thus reducing the number of adolescent smokers and reducing its health effects.
Impact: A peer-led intervention reduced smoking among adolescents at a modest cost: the ASSIST program cost of £32 ($42 USD) (95% CI = £29.70–£33.80) per student. The incremental cost per student not smoking at 2 years was £1,500 ($1984 USD) (95% CI = £669–£9,947).
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.
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.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Women, Men, Racial/Ethnic Minorities, Urban
Goal: The goal of the Baltimore Needle Exchange Program is to reduce HIV, hepatitis, and other infections by reducing the use of unclean needles and to help individuals overcome substance abuse by connecting them to harm reduction services and drug treatment programs. The experimental case manager intervention program at the Baltimore NEP looked to increase the percentage of intravenous drug users who enrolled in city sponsored substance abuse programs following referral at the Baltimore NEP sites.
Impact: The intervention program through Baltimore NEP was effective in increasing entry of intravenous drug users into drug drug treatment programs and highlights the need for more accessible treatment programs and harm-reduction services, such as mobile treatment facilities.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children
Goal: The Be a Star program was developed to help preadolescents gain the knowledge and skills necessary to resist drugs.
Impact: During the third year of the evaluation, very strong differences emerged between intervention and control groups. The treatment groups scored significantly higher on the scales rating family bonding, pro-social behavior, self-concept, self-control, decision-making, emotional awareness, assertiveness, cooperation, attitudes toward drugs and alcohol, self-efficacy, attitudes toward African-American culture, and school bonding.
Filed under Evidence-Based Practice, Health / Family Planning, Teens, Racial/Ethnic Minorities
Goal: The goals of this intervention include: increasing information and skills to make sound choices, increasing abstinence, and eliminating or reducing sex risk behaviors.
Impact: Among teens who participated, there was a decrease in sexual activity compared to those who did not participate in the program. Also among participants, there was an increase in sexual intercourse occasions that were condom-protected.
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.
Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities, Urban
Goal: The goal of the study was to prevent STDs in high-risk minority women through three culture-specific small group education and counseling sessions, delivered over time.
Impact: Reinfection rates of chlamydia and gonorrhea were significantly lower at each follow-up among participants in the small-group counseling sessions than in the control group. Integration of behavior-change theory with extensive qualitative data collected in target communities enabled the study to create culturally meaningful strategies to promote the recognition of risk and to stimulate motivation to effect personal change.
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.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens
Goal: To significantly reduce depressive symptoms and to reduce the rates of future major depressive disorder onset among adolescents.
Impact: The Blues Program has been shown to decrease depressive symptoms, decrease rates of major depression onset, decrease rates of substance use, and increase factors that are protective against depression.