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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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Communities Supporting Breastfeeding (Kansas)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families

Goal: The purpose of the Community Supporting Breastfeeding (CSB) designation program is to create a culture of breastfeeding support in communities, ultimately increasing breastfeeding initiation and duration rates and the health and well-being of families.

The CSB program’s immediate goals are to increase positive perceptions toward breastfeeding, increase the availability of breastfeeding resources, and reduce barriers experienced in the community by women of child-bearing age. The long-term goal of the project is to increase exclusive breastfeeding rates through a sustainable model of cross-sector support for breastfeeding.

The project also effectively addresses the racial and socioeconomic disparities in breastfeeding rates. The Kansas Breastfeeding Coalition’s collective impact approach supports efforts of those serving African-American and lower income women. As a result of this project, these organizations receive the support they need to increase their impact when they become aligned with other, larger organizations working toward similar goals, creating a synergy across groups working on breastfeeding support.

Impact: Based on results from our evaluation, along with improved exclusive breastfeeding rates in the majority of the communities that could be associated with the CSB criteria, we believe the CSB program is impactful.

Communities That Care Coalition (Franklin County, MA)

Filed under Effective Practice, Health / Adolescent Health, Teens

Goal: The Communities That Care Coalition's mission is to bring Franklin County schools, parents, youth and the community together to promote protective factors, reduce risk factors, prevent substance use and other risky behaviors, and improve young people's ability to reach their full potential and thrive.

Community Action for a Renewed Environment (CARE) (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The clear goal of CARE is to foster projects that will become self-sustaining and use CARE funding as seed money. The CARE Process is designed to encourage communities to enlist the support of project partners that will enable the project to continue even without EPA resources. Rather than supporting one time projects, CARE will support community partnerships that will endure and provide environmental benefits long into the future.

Community Greenspace Program (New Haven, CT)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The goal of the Community Greenspace program is to restore and revitalize urban neighborhoods by helping residents create greenspace in their communities.

Community Outreach (Sonoma County, CA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goal of the program is reduction of public health risk by informing and empowering citizens through the cooperation, communication, collaboration, and coordination of government agencies and the private sector.

Community Outreach Addictions Team

Filed under Good Idea, Health / Alcohol & Drug Use, Adults

Goal: To reduce the number of heroin overdose deaths in the community and to provide immediate peer support to those in crisis.

Impact: COAT peers counselors are able to provide immediate response and support to help individuals achieve long-term recovery.

Community Planning Program (San Francisco, CA)

Filed under Good Idea, Community / Social Environment, Urban

Goal: The goal of the Community Planning Program is to provide underserved communities with the tools and support they need to be able to shape equitable, safe, and vibrant neighborhoods throughout San Francisco, CA.

CommuteShare (Burlington, VT)

Filed under Effective Practice, Community / Transportation

Goal: The goal of this program is to provide affordable, reliable, and flexible transportation to low-income residents of Burlington.

Compassionate Healthcare (San Francisco, CA)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: Compassionate Healthcare seeks to provide affordable, accessible, and quality healthcare to the homeless and poor, offering a full range of traditional health care services, as well as HIV/AIDS, diabetes, mental health, substance abuse, and non-Western medicine services.

Complete Streets

Filed under Good Idea, Environmental Health / Built Environment

Goal: Complete Streets aims to increase physical activity and contribute to creating safer communities for all users of the road.

Impact: Complete Streets has contributed to safer communities and streets for all users of the road by working with community residents, policy-makers, and the development community.

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.