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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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Pool Cool (MA, HI)

Filed under Evidence-Based Practice, Health / Cancer, Children, Families

Goal: The main objective of Pool Cool is to increase awareness, motivation, and sun protection practices among children ages 5-10 who take swimming lessons.

Impact: The Pool Cool program had significant positive effects on children's use of sunscreen and overall sun-protection habits at swimming pools.

Portland Fruit Tree Project (Portland, Oregon)

Filed under Good Idea, Community / Civic Engagement, Adults, Urban

Goal: The mission of the Portland Fruit Tree Project is to increase equitable access to healthy food and strengthen communities by empowering neighbors to share in the harvest and care of city-grown food resources.

Positive Action

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens

Goal: The goal of this program is to improve academic success, behavior, and character development.

Impact: Multiple studies have consistently found PA effective for improving achievement scores, attendance, and self-concept and for reducing drug use, violence, and other problem behaviors. Results were often better in more disadvantaged schools.

Positive Family Support Program (PFS) (Eugene, OR)

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

Goal: The long-term goals of the program are to arrest the development of teen antisocial behaviors and drug experimentation. Intermediate goals are to improve parents' family management and communication skills.

Impact: Parents had improved feelings toward their children and were less likely to react negatively to their children's behavior and less likely to take a "lax" approach to their children after participating in the program. They also showed improvements in the skill areas of tracking and reinforcing behavior, setting expectations and defining problems, and remaining calm in stressful situations. Antisocial behaviors in their children decreased significantly, measures of child adjustment showed improvement, and total problem behavior decreased. Furthermore, the PFS intervention resulted in significantly less use of tobacco, alcohol, and marijuana.

Post-Assistance Self-Sufficiency (PASS) Program (Riverside, CA)

Filed under Evidence-Based Practice, Economy / Employment, Adults, Families

Goal: The goal of the PASS Program is to promote job retention and advancement among individuals leaving the Temporary Assistance for Needy Families (TANF) program.

Impact: The PASS program did not meet the goal of having its participants retain their initial jobs. However, PASS did result in PASS participants being more likely to find new jobs (occasionally with higher earnings) after having lost or moved on from previous jobs.

Programa de Manejo Personal de la Diabetes (Spanish Diabetes Self-Management Program) (USA)

Filed under Evidence-Based Practice, Health / Diabetes, Racial/Ethnic Minorities

Goal: Programa de Manejo Personal de la Diabetes is a group workshop that educates Latino individuals with type 2 diabetes on techniques to help them manage their disease and live more active lives.

Project AIM

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities

Goal: To reduce HIV risk behaviors among adolescents aged 11 to 14.

Impact: This program effectively modified sexual risk among adolescents aged 11 to 14 by focusing students on positive future selves.

Project ALERT

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

Goal: The main goals of the program are to prevent adolescent non-users from experimenting with drugs and to prevent youths who are already experimenting from becoming more regular users.

Impact: Project Alert participants were 30% less likely than other students to begin using marijuana and analyses showed that the program significantly dampened pro-drug beliefs about cigarette and marijuana use.

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 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.

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.