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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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Functional Family Therapy

Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Families

Goal: The goal of this program is to provide positive family strengthening resources to youth at risk and in need.

Girls' Circle (USA)

Filed under Evidence-Based Practice, Health / Women's Health, Children, Teens, Women

Goal: The goal of Girls' Circles is to enhance girls' abilities so they are able to take full advantage of their talents, academic interests, career pursuits, and potential for healthy relationships.

Impact: The program has shown statistically significant improvements for girls in Girls Circle programs with the following outcomes: increases in self-efficacy, attachment to school, positive body image, and social support, and decreases in self-harming behavior and alcohol use rates.

Going Places, Making Choices

Filed under Good Idea, Community / Transportation, Teens

Goal: The curriculum is designed to build upon a young person's capacity for critical thinking, problem-solving, decision-making and other life skills essential for a systematic approach to addressing issues of community sustainability. More specifically, they chose transport as a lens through which a community's environment, culture, and value systems are examined.

Green and Healthy Homes through People United for Sustainable Housing (Buffalo, NY)

Filed under Good Idea, Environmental Health / Built Environment, Families, Racial/Ethnic Minorities, Urban

Goal: The mission of PUSH Buffalo is to mobilize residents to create strong neighborhoods with quality, affordable housing; to expand local hiring opportunities; and to advance economic and environmental justice in Buffalo.

GreenScapes (USA)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The goal of GreenScapes is to encourage companies and organizations to make more environmentally conscious landscaping decisions and to reduce, reuse, recycle and rebuy.

Guiding Good Choices

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

Goal: The primary goal of GGC is to reduce youth substance abuse and problem behaviors by increasing family involvement that is rewarding and enhances parent-child bonds.

Impact: Significant positive effects on increasing family involvement and interaction and reducing youth substance abuse were observed. A cost-benefit analysis estimates a $5.85 benefit for every dollar invested in the program.

Hawaii Complete Streets Bill (Hawaii)

Filed under Good Idea, Community / Public Safety

Goal: The goal of this legislation is to build a safe and connected transportation systems to serve pedestrians, cyclists, motorists, elderly and disabled residents. This legislation aims to reduce pedestrian and cyclist fatalities.

Health Equity: Center-Based Early Childhood Education

CDC

Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education

Impact: The Community Preventive Services Task Force (CPSTF) recommends center-based early childhood education programs (ECE) to improve educational outcomes that are associated with long-term health as well as social- and health-related outcomes. Economic evidence indicates there is a positive return on investment in early childhood education. The benefits from students' future earnings gains alone exceed program costs.

If targeted to low-income or racial and ethnic minority communities, ECE programs are likely to reduce educational achievement gaps, improve the health of these student populations, and promote health equity.

Health Impact Assessment in Land Use Development (San Francisco, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program is to ensure that city planning and policy making accounts for how land use development impacts community health resources.

Health in Housing: Exploring the Intersection between Housing and Health Care (Oregon)

Filed under Effective Practice, Health

Goal: To assess the impact of affordable housing on health care outcomes in a low-income population who have experienced housing instability.

Impact: Costs to health care systems were lower after people moved into affordable housing. Primary care visits went up after move-in; emergency department visits went down. Residents reported that access to care and quality of care improved after moving into housing.

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.