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

Safety Stop: Child Passenger Safety Education (St. Louis, MO)

Local

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

Goal: The mission of Safety Stop is to increase the number of children who are properly secured in safety seats during trips made in a vehicle by educating parents and caregivers participating in Safety Stop car seat fittings and consultations.

Impact: Safety Stop increased mean scores on child safety seat knowledge by 5% (p < 0.01) among participating parents and caregivers.

Mailed Psychoeducational Intervention for Colorectal Cancer Screening (England)

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

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

Worcester Area Trial for Counseling in Hyperlipidemia (WATCH) (Massachusetts)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: To decrease total and saturated fat intake, serum low-density lipoprotein cholesterol levels, and body weight.

Impact: The dietitian-delivered intervention effectively improved the care of patients with hyperlipidemia.

Worcester Goods for Guns Buyback (G4G) Program (Worcester, MA)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Teens, Adults, Families, Urban

Goal: The goals of this program are three-fold: first, to remove unwanted improperly stored guns from homes; second, to educate the community about the increased risk of gun-related injuries in the home and the importance of safe gun storage; and third, to identify individuals possessing improperly stored guns at home and provide them with safety information and alternatives.

Impact: This program shows a strong collaboration between health care providers and public safety offices and showcases a low-cost means of removing unwanted firearms from the community. Additionally, most participants felt their homes were safer after turning in their firearm(s).

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.

Asthma: School-Based Self-Management Interventions for Children and Adolescents with Asthma

New CDC

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.

CDC COMMUNITY GUIDE: Diabetes Prevention and Control: Case Management Interventions to Improve Glycemic Control (USA)

CDC

Filed under Evidence-Based Practice, Health / Diabetes, Children, Teens, Adults, Women, Men, Families

Impact: The Community Preventive Services Task Force has found that case management helps improve glycemic control for patients with diabetes.

CDC COMMUNITY GUIDE: Diabetes Prevention and Control: Disease Management Programs (USA)

CDC

Filed under Evidence-Based Practice, Health / Diabetes

Impact: The Diabetes Community Guide can improve biological components of diabetes for those treated for either type 1 or type 2 diabetes in both community clinics and managed care organizations.

Consistency Management & Cooperative Discipline (Houston, TX)

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

Goal: The goal of this program is to improve classroom management in order to provide a better learning environment that fosters academic success.

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.

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.