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

Supporting Healthy Marriage (USA)

Filed under Good Idea, Community / Social Environment

Goal: The goal of Supporting Healthy Marriage is to improve marriage education programs for low-income couples.

Tailoring Family Planning Services to the Special Needs of Adolescents (Central Pennsylvania)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Teens, Women, Rural

Goal: The goal of the study was to address the special psychosocial needs of adolescents and increase contraception use, equip adolescents with the education needed to make responsible decisions related to family planning matters, and decrease unintended pregnancies.

Impact: After a one-year follow-up, teens were less likely to be pregnant. Intermediate findings at six months showed that teens in the experimental group were more likely to continue using a birth control method and less likely to experience difficulty in dealing with contraceptive-related problems.

Teams-Games-Tournaments Alcohol Prevention (Georgia)

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

Goal: The goal of this program is to educate students about alcohol and to prevent alcohol abuse.

Impact: Evaluations showed significant gains in alcohol-related knowledge, significantly better attitudes toward drinking and driving, and reductions in alcohol consumption.

Teen Outreach Program (TOP)

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

Goal: The program aims to develop healthy behaviors, life skills, and a sense of purpose in order to prevent problem behaviors.

Impact: Studies have shown that adolescents in the Teen Outreach Program are at 52% lower risk of school suspension, 60% lower risk of course failure, and 53% lower risk of teenage pregnancy.

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.

The Aban Aya Youth Project (AAYP) (Chicago)

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

Goal: The goal of this intervention is to reduce high-risk behavior among African American youth as measured by student self-reports of violence, provocative behavior, school delinquency, substance use, and sexual behaviors (intercourse and condom use).

Impact: AAYP reduced rates of risky behaviors among male African American youth.

The AIMS Model

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

Goal: The Ambulatory Integration of the Medical and Social (AIMS) model aims to address social and environmental factors patients face that may prevent them from following their plan of care, thus impacting their health.

Impact: The AIMS model helps create better supported, less stressed, and better informed consumers and caregivers. There is also evidence to suggest that this model reduces ED usage and 30-day readmissions in participants.

The Effect of Guided Care Teams on the Use of Health Services

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults

Goal: The goal of this study was to determine the effect of interdisciplinary primary care teams on health care utilization by patients with multiple chronic conditions.

Impact: This study concluded that guided care models can significantly impact home health care episodes.

The Green House Project (USA)

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

Goal: The mission of the Green House Project is to partner with organizations, advocates, and communities to lead the transformation of institutional long-term care by creating viable homes where elders and others enjoy excellent quality of life and quality of care.

Impact: Studies showed that Green House homes are likely to reduce hospitalization rates among residents, and Medicare and Medicaid costs per resident, when compared to residents in traditional nursing homes. Also, nurses are more likely to spend more hours in Green House homes.

The Incredible Years®

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: The Incredible Years® Parents, Teachers, and Children Training Series has two long-range goals. The first goal is to develop comprehensive treatment programs for young children with early onset conduct problems. The second goal is the development of cost-effective, community-based, universal prevention programs that all families and teachers of young children can use to promote social competence and to prevent children from developing conduct problems in the first place.

Impact: Studies have shown that children who participate in the programs demonstrate significant improvements in school readiness, emotional regulation, and social skills, as well as reductions in behavior problems in the classroom.

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.