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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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Real AIDS Prevention Project (RAPP)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Women, Urban

Goal: The goal of the Real AIDS Prevention Project is to help women and their partners reduce their risk for HIV infection.

Impact: Community-level interventions may be an effective way to reach large numbers of women and change their condom-use behaviors, particularly their behaviors with regard to communication with main sex partners.

REAL Men (Atlanta)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Men, Racial/Ethnic Minorities, Urban

Goal: This program aims to promote delay of sexual intercourse, condom use among those who were sexually active, and communication on sexuality between fathers (or father figures) and sons.

Reducing Environmental Triggers of Asthma (Minnesota)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Racial/Ethnic Minorities, Urban

Goal: The goal of the Reducing Environmental Triggers of Asthma intervention is to improve asthma control by removing environmental allergens and irritants from the home.

Rochester AIDS Prevention Project (RAPP) (Rochester, NY)

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

Goal: The goals of the program are: 1) to promote abstinence maintenance among sexually abstinent students and encourage safer sex practices to sexually active students, 2) compare the effect of RAPP when taught by different providers, and 3) to explore the factors that impact a student's decision to engage in sexual activity.

Impact: Regular teacher-taught male (p=.001) and female students (p=.05) and peer-taught male students (p=.02) had the highest rates of delaying the onset of sexual activity.

Safe in the City (Denver, Long Beach, and San Francisco)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

Safe Streets (Baltimore, MD)

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: To combat the epidemic of violence among Baltimore’s youth and support traditional public safety strategies using a combination of public health and human service models to reduce violence.

Impact: It was estimated that the program was associated with 5.4 fewer homicide incidents and 34.6 fewer nonfatal shooting incidents during 112 cumulative months of intervention post observations.

Safer Choices (California, Texas)

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of the Safer Choices program is to reduce the number of students engaging in unprotected sexual intercourse.

Impact: The program reduced the frequency of intercourse without a condom, reduced the number of sexual partners with whom students had intercourse without a condom, and increased use of condoms and other protection against pregnancy at last intercourse.

Safer Sex (Boston, MA)

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

Goal: The goal of the Safer Sex project is to increase condom use, prevent recurrent STDs, and eliminate or reduce risky sexual behaviors among adolescent females that have been diagnosed with an STD.

Impact: The Safer Sex project shows that individualized safer sex interventions may improve condom use and decrease the number of partners among adolescent girls who have had an STD.

Saving Lives (Massachusetts)

Filed under Evidence-Based Practice, Community / Public Safety

Goal: The goal of this program was to improve transportation safety in Massachusetts.

Impact: The Saving Lives Program successfully reduced drunk driving by 42% and speeding-related crashes by 25% through community-based, innovative, and cost-effective interventions.

School Lunch Initiative (Berkeley, CA)

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

Goal: The primary goal of the School Lunch Initiative is to transform the way Berkeley public school students eat lunch and to educate children about food, health, and the environment.

Impact: Three years after its conception, the program successfully eliminated nearly all processed foods from the school district dining halls and introduced fresh and organic foods to the daily menu. There was evidence that greater exposure to the School Lunch Initiative was significantly associated with higher nutrition knowledge scores among fourth graders and seventh graders. Furthermore, elementary school students from the schools with highly developed School Lunch Initiative components clearly expressed a higher preference for fruits and vegetables.

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.