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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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Living in the Face of Trauma (LIFT)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Women, Men

Goal: Eliminate or reduce sexual transmission risk behavior and to improve coping with the combined stressors of HIV infection and child sexual abuse.

Impact: LIFT intervention participants reported significantly fewer counts of unprotected vaginal and anal intercourse with all partners (p < .001) and with HIV-negative or unknown serostatus partners (p < .001), compared to support group participants.

Many Men, Many Voices (3MV)

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Men, Racial/Ethnic Minorities

Goal: Reduce unprotected insertive and receptive anal intercourse among HIV-negative black men who have sex with men (MSM) as well as to reduce the number of sex partners, increase consistent condom use during anal intercourse and increase testing for HIV and other sexually transmitted infections (STIs).

National Guard Youth ChalleNGe Program (USA)

Filed under Evidence-Based Practice, Education, Teens

Goal: The mission of the National Guard Youth ChalleNGe program is to intervene in the lives of high-school dropouts and provide them with the values, life skills, education, and self-discipline necessary to succeed.

Impact: The National Guard Youth ChalleNGe program resulted in participants succeeding in several aspects of their lives compared to their control group counterparts. Program participants were more likely to have a GED certificate, more likely to have started college, and more likely to be working.

New Directions for Youth (Los Angeles, CA)

Filed under Good Idea, Community / Public Safety, Teens, Families, Urban

Goal: The mission of New Directions for Youth is to provide comprehensive programs that help at-risk youth become productive, self-sufficient and healthy young adults, and create supportive family environments.

New Jersey "Save our Smiles" Fluoride Mouthrinse Program (New Jersey)

Filed under Good Idea, Health / Oral Health, Children

Goal: The goal of the New Jersey Department of Health's voluntary fluoride mouth rinse program, "Save Our Smiles" is to improve the oral health status of high need/risk children residing in areas where the water is not optimally fluoridated.

Parent Connext: Parent Coaching in Pediatric Practices (Cincinnati)

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

Goal: The goal of Parent Connext is to support parents in reducing and/or preventing toxic stress in the family and help children develop critical life skills and coping skills. Recent studies have found that up to 50% of health outcomes are attributable to social and economic factors and that lifetime costs associated with child maltreatment are comparable to other costly healthcare conditions such as stroke or type 2 diabetes. Moreover, 4 in 5 physicians report lacking confidence in their ability to meet patients’ social needs, which can impede their ability to provide high quality medical care. As a result, interventions that target parents’ social needs may have important implications for reducing healthcare costs and have the added benefit of enabling physicians to provide high-quality care to their patients.

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.

Positive Choice: Interactive Video Doctor

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: To eliminate or reduce sex risk behaviors and eliminate or reduce illicit drug use among HIV-positive clinic patients.

Project Graduation Really Achieves Dreams (GRAD) (USA)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Urban

Goal: The mission of Project GRAD is to provide quality public school education for at-risk children in low-income communities and to increase high school and college graduation rates among these populations.

Richland County Community Diabetes Project (Richland County, MT)

Filed under Good Idea, Health / Diabetes, Rural

Goal: The goal of this project is to build community support for persons with Type 2 diabetes living in frontier Eastern Montana.

An Effective Practice meets the following HCI criteria:

  1. 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.
  2. 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:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. 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:

  1. 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.
  2. 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.
  3. 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.