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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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Baby-Friendly Hospital Initiative (Boston, MA)

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

Goal: The goal of the project was to increase breastfeeding initiation rates through the implementation of Baby-Friendly policies.

Bank On San Francisco (San Francisco)

Filed under Good Idea, Economy / Poverty, Adults, Urban

Goal: The goal of Bank On San Francisco is to assist low-income San Franciscans in entering the financial mainstream by offering financial education, aide with opening bank accounts, and shaping helpful financial policies through partnerships with the San Francisco Treasurer's Office, local community organizations, and banks.

Ben Schroeder Saddletree Factory Restoration (Madison, IN)

Filed under Good Idea, Art & Recreation / Libraries & Museums, Families, Rural

Goal: The preservation and restoration of the Ben Schroeder Saddletree Factory aims to contribute to the overall economic and cultural development of the community.

Brief Alcohol Screening and Intervention of College Students (BASICS) (Seattle, WA)

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

Goal: The aims of the BASICS program are 1) to reduce alcohol consumption and its adverse consequences, 2) to promote healthier choices among young adults, and 3) to provide important information and coping skills for risk reduction.

Impact: Students who received a brief individual preventive intervention had significantly greater reductions in negative consequences that persisted over a 4-year period than their control-group counterparts. For those individuals receiving the brief intervention, dependence symptoms were more likely to decrease and less likely to increase.

Burlington Legacy Project (Burlington, VT)

Filed under Effective Practice, Economy / Economic Climate

Goal: The goal of this program is to create a strategy for a sustainable Burlington.

Cognitive Behavioral Therapy for Adolescent Depression (Pittsburg, PA)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens

Goal: The goal of Cognitive Behavioral Therapy for Adolescent Depression is to treat depressive symptoms in adolescents.

Impact: Cognitive Behavioral Therapy for Adolescent Depression showed more rapid treatment response than both systematic behavior family therapy and non-directive support therapy. CBT also showed a greater rate of decline in self-reported depression over time.

Colorectal Cancer Screening Intervention for Veterans (Chicago, IL)

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

Goal: The goal of this program was to increase colorectal cancer screening recommendations and completion rates at a Veterans Affairs medical center.

Impact: Veterans Affairs (VA) patients in the intervention group received more recommendations for colorectal cancer screening and completed more screening tests compared to those in the control group.

Community Aging in Place - Advancing Better Living for Elders (CAPABLE) (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Older Adults, Adults, Older Adults, Urban

Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.

Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.

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 of Civano (Tuscon, AZ)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The overall mission of the Civano Community is:
- To create a sense of place that fosters community and connects people to one another and their natural environments
- To tread lighter on the land through innovative design, and
- To introduce sustainable construction materials and new technologies to advance the quality of life.

Specific performance targets include:
- Reduce energy consumption by 75%
- Reduce potable water consumption by 65%
- Reduce landfill-destined solid waste by 90%
- Reduce internal vehicle trip miles by 40%, and
- Create one community job for every 2 residences.

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.