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

Strengthening Families Program: For Parents and Youth 10-14 (Iowa)

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

Goal: The goals of this program are to (1) prevent teen substance abuse and other behavior problems; (2) strengthen parenting skills; and (3) build family strengths.

Impact: The evaluation demonstrated that youths who participated in the study had less substance use, fewer conduct problems, and better resistance to peer pressure and that program parents were better able to show affection and support and set appropriate limits for their children.

Strong Hearts, Healthy Communities (StrongPeople Healthy Hearts)

Filed under Evidence-Based Practice, Health / Older Adults, Adults, Women, Men, Older Adults

Goal: SHHC targets individual, social, and built environment levels of behavior change and is designed to improve diet and physical activity behaviors, assess and improve local food and physical environment resources, and shift social norms about active living and healthy eating through civic engagement and capacity building.

Student Talking About Non-violent Dating (STAND) (San Francisco, CA)

Filed under Good Idea, Community / Domestic Violence & Abuse, Teens, Urban

Goal: The goal of the program is to provide education, support, and training to middle and high school students in San Francisco on how to address sexual violence.

Students for the Advancement of Global Entrepeneurship (SAGE) (Chico, CA)

Filed under Effective Practice, Community / Civic Engagement, Children, Teens

Goal: The overall goal of the Students for the Advancement of Global Entrepreneurship (SAGE) program is to establish a collaboration among high school students, college mentors, and local business leaders as the high school students complete experiential learning projects related to global entrepreneurship.

Support Healthy Active Kids in Education (SHAKE) (Sonoma, CA)

Filed under Good Idea, Health / Children's Health, Children

Goal: The goal of the SHAKE program is to use elementary school-based programming to promote childhood health and fitness.

Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

Talking Parents, Healthy Teens (California)

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of Talking Parents, Healthy Teens is to help parents improve their communication skills with their adolescent children, promote healthy adolescent sexual development, and reduce risky adolescent sexual behaviors.

Teddy Bear Clinic

Filed under Good Idea, Health / Children's Health, Children, Families, Rural

Goal: The mission of the Teddy Bear Clinic is to decrease fear of medical professionals and the hospital environment, and to teach healthy habits at a young age.

Impact: The program has been highly regarded throughout the community, and we have had requests from parents outside the community to offer it to their schools as well. We are considering hosting two clinics for other schools to join.

TelePsych (Waco, Texas)

Filed under Good Idea, Health / Mental Health & Mental Disorders

Goal: Baylor Scott & White started TelePsych because many of its hospitals do not have any psychologists or psychiatrists on staff. The Hillcrest hospital in particular has seen an increase in patients needing acute mental health care. Its location next to the highway and the dearth of other trauma centers means that the hospital receives 1-2 patients per day with acute mental health needs. Hillcrest has licensed medical social workers in the Emergency Department but struggled without an actual psychologist or psychiatrist available. Their goal in implementing TelePsych was to move mental health patients through the continuum of care efficiently and with empathy.

Impact: The hospital staff at Baylor Scott & White Hillcrest has been very impressed with the implementation and ease of use of the TelePsych process and system. Patient satisfaction has increased and staff are able to move patients through the next level of care more efficiently.

Text4Diet: A Text Message-based Intervention for Weight Loss

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: To facilitate behavior change among overweight adults that leads to sustained weight loss.

Impact: Those who use Text4Diet are exposed to customized advice regarding healthy behavior changes. Participants on average saw an average 6-pound weight loss during a four-month use period. This is a statistically significant difference from weight loss in the usual care comparison group.

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.