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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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Project ALIVE: A Lifetime Intervention Via Email (California)

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

Goal: The goal of Project ALIVE is to encourage healthy eating and physical activity.

Project Angel Heart (Colorado)

Filed under Effective Practice, Health / Physical Activity

Goal: Project Angel Heart improves health and well-being for people with life-threatening illnesses by preparing and delivering medically tailored meals and promoting the power of food as medicine.

Impact: Survey data from Project Angel Heart clients show that this program has a positive impact on clients. Of clients surveyed in 2018: 82% report less stress, 69% report improved adherence to health care plans, 72% report improved quality of life, and 72% report improved ability to afford basic needs.

Project ECHO (Extension for Community Healthcare Outcomes) (New Mexico)

Filed under Effective Practice, Health / Health Care Access & Quality, Rural

Goal: The mission of Project ECHO is to develop the capacity to safely and
effectively treat chronic, common, and complex diseases in rural and
underserved areas, and to monitor outcomes of this treatment.

Project EX

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

Goal: The goal of this program is to reduce or stop smoking among adolescents.

Impact: At 3-month follow-up, 17% of youths in the treatment conditions reported having quit smoking for at least 30 days, compared with only 8% of those teens in the control condition. These positive effects were also demonstrated when moved from a clinic setting to the classroom, as students in the program condition experienced a greater reduction in weekly smoking and monthly smoking, at 6-and-12-month follow-ups.

Project Homeless Connect (San Francisco)

Filed under Effective Practice, Economy / Housing & Homes, Urban

Goal: The mission of Project Homeless Connect (PHC) is to connect homeless San Franciscans with the care they need to move forward. The goals of Project Homeless Connect are to:

- Improve access to services for homeless San Franciscans.
- Improve the system of care through collaboration and the sharing of best practices among San Francisco’s homeless service provider community.
- Engage and increase the involvement of the business, nonprofit community, and individual volunteers to work together to provide access to services for homeless San Franciscans.
- To leverage the private sector, corporations, and foundations to expand service capacity and funds.

Project Open Hand (San Francisco)

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: The goal of the study was to evaluate a community-based food support intervention in the San Francisco Bay Area for people living with HIV and/or type 2 diabetes mellitus (T2DM) to determine the feasibility, acceptability, and potential impact of the intervention on nutritional, mental health, disease management, healthcare utilization, and physical health outcomes.

Impact: Comprehensive, medically appropriate food support is feasible and may improve multiple health outcomes for food-insecure individuals living with chronic health conditions.

Project QUEST (San Antonio, TX)

Filed under Effective Practice, Education, Adults, Urban

Goal: Project QUEST strengthens the economy and transforms lives by preparing individuals for in-demand, living wage careers.

Project ReConnect (Sonoma, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Project ReConnect is to enable HIV-positive people to explore career, educational, and volunteer activities and to de-stigmatize HIV through education and advocacy.

Project SWAT (Share the Work to Alleviate the Threat) (Erie County, NY)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goal of Project SWAT is to reduce the population of mosquitoes potentially carrying West Nile Virus by applying larvicide to common breeding habitats.

Prolonged Exposure Therapy

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

Goal: The goal of this program is to improve treatment outcomes for patients with post-traumatic stress disorder.

Impact: PE Therapy is considered by expert consensus the treatment of choice for PTSD clients whose prominent symptoms include intrusive thoughts, flashbacks, and trauma-related fear and avoidance. One study demonstrated that the treatment group showed significant improvement in PTSD symptoms and depressive symptoms at posttest, and these treatment effects were maintained at 6-month follow-up.

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.