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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Examining Health Care Costs Among MANNA Clients and a Comparison Group

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: MANNA uses nutrition to improve health for people with serious illnesses who need nourishment to heal. By providing medically tailored meals and nutrition education, we empower people to improve their health and quality of life.

Impact: MANNA members report significant health care cost reductions due to improved health.

Health and Safety Intervention with First-Time Mothers

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women

Goal: The goal of CBFRS is to advance the health and development of first-time mothers and infants through a home visit program.

Impact: The findings indicate positive health and safety outcomes for first-time mothers and infants in the program: higher household safety levels, higher use of birth control methods, lower smoking behavior, higher knowledge of the effects of smoking on child development, and higher use of county clinics.

Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)

Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults

Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.

Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.

Project Making a Group and Individual Difference (MAGIC) (Elko, NV)

Filed under Good Idea, Community / Crime & Crime Prevention, Teens, Rural

Goal: The goal of Project MAGIC is to help juvenile offenders leave the criminal justice system.

Adults and Children Together - Parents Raising Safe Kids (ACT-PRSK) (USA)

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

Goal: The goal of the program is to teach parents/caregivers effective parenting skills, create a support system for their children, and equip participants with non-violent techniques to encourage a safe environment at home and in the community.

Impact: ACT program has been shown to prevent child maltreatment and promote positive parenting skills, including reducing physical violence towards children, improving knowledge of appropriate discipline, and improving parent methods for teaching children nonviolent social skills.

Advancing Diabetes Self Management (Connecticut)

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

Goal: The goal of the Advancing Diabetes Self Management program at the Community Health Center was to improve the health outcomes of people with type 2 diabetes.

Impact: The diabetes self-management intervention showed patient improvements in glycemic control, blood pressure, and LDL cholesterol. The team was able to develop and adapt the program to meet the unique needs of the population to create an effective intervention.

Coping and Support Training (CAST) (USA)

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

Goal: The goal of CAST training is to deliver life-skills training to high-risk high school students in order to increase mood management skills, improve school performance, and decrease drug involvement.

Impact: CAST participants in several NIH-funded studies saw significant and sustained reduction of suicide risk behaviors, reduction of drug use, reduction in depression, increase in personal control, increase in problem-solving, and increase in family support.

Head to Toe Weight Management Program (St. Louis, MO)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children, Teens, Families, Urban

Goal: The mission of Head to Toe is to teach children and their families the skills to manage body weight as they grow by living a healthy lifestyle that includes regular physical activity, healthy eating habits, and a positive self-image.

Impact: From August 2011 to May 2016, 485 children and their parents or guardians have enrolled in the Head to Toe program. Head to Toe has effectively increased knowledge of nutrition, physical activity and emotional health among participants.

Immunization Case Management Intervention (Los Angeles, CA)

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

Goal: The goal of this immunization case management intervention is to improve immunization rates among infants of low-income, urban, African American families.

Impact: Immunization case management increased the knowledge of immunization schedules, rate of well-child visits, and up-to-date immunization rate for children of participating families.

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.