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

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.

Intervention Mapping and the Development of a Peer Supported Diabetes Self-Management Program in Rural Alabama (Alabama)

Filed under Good Idea, Health / Diabetes, Teens, Older Adults, Racial/Ethnic Minorities, Rural

Goal: The intervention is a diabetes self-management program that utilizes peer advisers to reach patients who have poor health literacy, are physically isolated, and require assistance with managing their diabetes.

Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Home-Based Depression Care Management

CDC

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders

Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management at home for older adults with depression on the basis of strong evidence of effectiveness in improving short-term depression outcomes.

Prevention Care Management (New York, NY)

Filed under Evidence-Based Practice, Health / Cancer, Adults, Women, Urban

Goal: The goal of the Prevention Care Management program is to increase cancer screening among women.

Impact: Prevention Care Management increased mammography rates, cervical cancer screening rates, and colorectal cancer screening rates among participating women.

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.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

SMARTteam (Students Managing Anger and Resolution Together)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Teens

Goal: The goal of this program is to teach conflict-resolution skills to middle-school students.

Impact: Studies showed a statistically significant increase in students' awareness of how their own behaviors contribute to the escalation of a conflict situation for students participating in SMARTteam when compared with the control group not receiving the intervention. Students in the intervention group were also less likely to value violence as an option in conflict situations than their peers in the control group.

Tomando Control de su Salud (Spanish Chronic Disease Self-Management Program) (USA)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities

Goal: Tomando Control de su Salud is a group workshop that educates Latino individuals with chronic conditions on techniques to help them manage their health and maintain active and fulfilling lives.

Adolescent Community Reinforcement Approach (A-CRA) and Assertive Continuing Care (ACC) (Illinois)

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

Goal: The goal of the Adolescent Community Reinforcement Approach is to help adolescents recover from alcohol and drug addiction.

Impact: Results from studies on this treatment program demonstrate that there can be superior engagement, retention, and short-term substance use outcomes for those in the A-CRA and ACC approaches compared to UCC. The ACC protocol can also result in significantly more patients linking to continuing care.

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.