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

Keepin' it R.E.A.L. (Refuse, Explain, Avoid, Leave) (Phoenix, AZ)

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

Goal: The objective of this program is to increase life skills such as risk assessment, decision-making and drug resistance, while enhancing anti-drug norms and attitudes.

Impact: Evaluation findings suggest that Keepin' it R.E.A.L. succeeded in decreasing substance use, in reducing negative attitudes/behaviors, and in improving positive attitudes/behaviors.

Keepin' it R.E.A.L. Mother-Adolescent HIV Prevention Program (Atlanta)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Urban

Goal: The goals of this intervention were to delay initiation of sexual intercourse for youth who are not sexually active, encourage the use of condoms among sexually active youth, and enhance communication about sex between youths and their mothers.

Impact: Keepin' It R.E.A.L. teen participants increased their condom-use during sexual activity while maternal participants reported feeling more comfortable when discussing sexual issues with their teens.

Keepin' it REAL (USA)

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

Goal: Keepin' it REAL aims to reduce adolescent alcohol, marijuana, and tobacco use.

LifeSkills Training

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

Goal: The goal of this program is to reduce substance abuse among adolescents.

Impact: Evaluations of LST showed significantly lower smoking, alcohol, and marijuana use 6 years after initial baseline assessment. Prevalence of use of these substances was 44% lower and weekly use of multiple drugs was 66% lower for those receiving LST than for the control students.

Minnesota Family Investment Program (Minnesota)

Filed under Evidence-Based Practice, Economy / Government Assistance, Families

Goal: The goal of the Minnesota Family Investment Program (MFIP) is to help families transition to economic stability by providing financial incentives to work.

Impact: Although MFIP cost Minnesota more than the ADFC welfare program, MFIP overall increased employment and wage earnings of participants by supplementing low income with welfare supplements. Most encouragingly, there is evidence to suggest the effects of the program persist after the program ended for the most disadvantaged.

Mpowerment (San Francisco, CA)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Men, Urban

Goal: The goals of Mpowerment are to mobilize young gay and bisexual men to reduce sexual risk taking, encourage regular HIV testing, and build positive social connections with peers.

Impact: The Mpowerment intervention successfully developed a mechanism to socialize young gay men to safer sex. Since this intervention relies primarily on volunteers, it is relatively inexpensive for communities to maintain and can continue to be made available for future generations.

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 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.

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.

NutriActive (Iowa)

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

Goal: The goal of this intervention is to improve motor skills and fitness in young children. Fitness and motor skills development early in life can lay the foundation for successful lifelong physical activity participation.

Impact: A short-duration lifestyle intervention can have a lasting effect on children's fitness and motor skills development.

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.