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

Intervention to Reduce Coronary Heart Disease Risk Factors in Infants (Finland)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Families

Goal: To decrease saturated fat consumption and thus reduce coronary heart disease risk factors in young children.

Impact: STRIP's intervention of diet counseling that began at a child's infancy favorably impacted the child's diet through childhood up to ages 8 or 10, but the goal of 2:1 unsaturated-saturated fatty acid ratio in a child's diet was not met for either intervention or control group.

It's Your Game: Keep It Real (Texas)

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

Goal: The goal of It's Your Game: Keep It Real is to reduce teen pregnancy, prevent STI transmission, and delay teen sexual activity in middle school students.

Impact: Participants in the It’s Your Game: Keep It Real intervention program were less likely to initiate sex by the ninth grade when compared to the control group.

Job Corps

Filed under Evidence-Based Practice, Education / Educational Attainment, Children

Goal: As a national, primarily residential training program, Job Corps' mission is to attract eligible young adults, teach them the skills they need to become employable and independent, and place them in meaningful jobs or further education.

Impact: Evaluations showed that Job Corps substantially increased the education and training that program participants received. Nearly 90% of the program group engaged in some education or training (both in and out of Job Corps), compared with about 64% of the control group.

Johns Hopkins Community Health Partnership (Baltimore, MD)

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

Goal: The John Hopkins Community Health Partnership's (J-CHiP) goal is to improve care coordination with Medicare and Medicaid beneficiaries.

Impact: The John Hopkins Community Health Partnership participants saw lower spending and improved health outcomes in regards to hospital admissions, re-admissions, and emergency department visits.

Kaiser Permanente Dental Care Program Smokeless Tobacco Cessation Intervention (USA)

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

Goal: The goal of this dental office based intervention is to reduce smokeless tobacco use and other tobacco use.

Impact: The dental office-based intervention succeeded in increasing the rates of smokeless tobacco cessation among participants.

Keepin' it R.E.A.L. (Refuse, Explain, Avoid, Leave) (Phoenix, AZ)

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

Goal: The objective of this program is to increase life skills such as risk assessment, decision-making and drug resistance, while enhancing anti-drug norms and attitudes.

Impact: Evaluation findings suggest that Keepin' it R.E.A.L. succeeded in decreasing substance use, in reducing negative attitudes/behaviors, and in improving positive attitudes/behaviors.

Keepin' it R.E.A.L. Mother-Adolescent HIV Prevention Program (Atlanta)

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

Goal: The goals of this intervention were to delay initiation of sexual intercourse for youth who are not sexually active, encourage the use of condoms among sexually active youth, and enhance communication about sex between youths and their mothers.

Impact: Keepin' It R.E.A.L. teen participants increased their condom-use during sexual activity while maternal participants reported feeling more comfortable when discussing sexual issues with their teens.

Keepin' it REAL (USA)

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

Goal: Keepin' it REAL aims to reduce adolescent alcohol, marijuana, and tobacco use.

Kids N Fitness: A Family-Centered Lifestyle Intervention for Overweight Youth (Los Angeles, CA)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens

Goal: Given the increased prevalence among youth of obesity and Type II Diabetes Mellitus (DM) in the last 25 years, the goal of Kids N Fitness is to reduce risk factors associated with metabolic syndrome in overweight youth through a family-oriented lifestyle intervention.

Impact: These positive health outcomes indicate that a family-centered lifestyle intervention can improve metabolic health among youth.

LifeSkills Training

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

Goal: The goal of this program is to reduce substance abuse among adolescents.

Impact: Evaluations of LST showed significantly lower smoking, alcohol, and marijuana use 6 years after initial baseline assessment. Prevalence of use of these substances was 44% lower and weekly use of multiple drugs was 66% lower for those receiving LST than for the control students.

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.