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.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens
Goal: A.S.P.I.R.E aims to reduce teen tobacco use by helping current smokers to quit and preventing non-smokers from beginning to smoke.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens, Urban
Goal: ASSIST aims to develop a diverse group consisting of young people that will then influence their peers to defy the idea of smoking thus reducing the number of adolescent smokers and reducing its health effects.
Impact: A peer-led intervention reduced smoking among adolescents at a modest cost: the ASSIST program cost of £32 ($42 USD) (95% CI = £29.70–£33.80) per student. The incremental cost per student not smoking at 2 years was £1,500 ($1984 USD) (95% CI = £669–£9,947).
Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)
Filed under Good Idea, Health / Health Care Access & Quality, Urban
Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.
Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.
Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban
Goal: The goal of the program was to provide a multi-layered asthma management program for parents, children, and staff of early childhood centers.
Impact: The ABC program demonstrates that a multi-layered approach can improve asthma outcomes among preschoolers with a combination of parent and provider education having the greatest impact.
Filed under Evidence-Based Practice, Health / Respiratory Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based asthma self-management interventions to reduce hospitalizations and emergency room visits among children and adolescents with asthma. Evidence shows interventions are effective when delivered by trained school staff, nurses, and health educators in elementary, middle, and high schools serving diverse populations.
When implemented in schools in low-income or minority communities, interventions are likely to promote health equity.
Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens, Urban
Goal: To improve drinking water consumption among adolescents.
Impact: This study shows that provision of filtered, chilled drinking water in school cafeterias coupled with promotion and education is associated with increased consumption of drinking water at school.
Filed under Evidence-Based Practice, Health / Prevention & Safety, Children, Families
Goal: The goal of Baby, Be Safe is to increase the use of child injury prevention measures.
Impact: Participants who received tailored educational materials reported greater adoption of home and car safety behaviors than those receiving generic information. This study offers promising findings to help prevent injuries to young children.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Women, Men, Racial/Ethnic Minorities, Urban
Goal: The goal of the Baltimore Needle Exchange Program is to reduce HIV, hepatitis, and other infections by reducing the use of unclean needles and to help individuals overcome substance abuse by connecting them to harm reduction services and drug treatment programs. The experimental case manager intervention program at the Baltimore NEP looked to increase the percentage of intravenous drug users who enrolled in city sponsored substance abuse programs following referral at the Baltimore NEP sites.
Impact: The intervention program through Baltimore NEP was effective in increasing entry of intravenous drug users into drug drug treatment programs and highlights the need for more accessible treatment programs and harm-reduction services, such as mobile treatment facilities.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Men
Goal: The goal of Behavior Management through Adventure is to address the needs of at-risk youth in therapeutic settings.
Impact: Behavior Management Through Adventure was successful in lowering rearrest rates, decreasing the time period from release until rearrest, improving depression symptoms, increasing family self-concept, and lowering social introversion.
Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities, Urban
Goal: The goal of the study was to prevent STDs in high-risk minority women through three culture-specific small group education and counseling sessions, delivered over time.
Impact: Reinfection rates of chlamydia and gonorrhea were significantly lower at each follow-up among participants in the small-group counseling sessions than in the control group. Integration of behavior-change theory with extensive qualitative data collected in target communities enabled the study to create culturally meaningful strategies to promote the recognition of risk and to stimulate motivation to effect personal change.