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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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Project AIM

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

Goal: To reduce HIV risk behaviors among adolescents aged 11 to 14.

Impact: This program effectively modified sexual risk among adolescents aged 11 to 14 by focusing students on positive future selves.

Project Towards No Drug Abuse

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

Goal: The goal of this program is to decrease alcohol, tobacco, and drug use and to decrease violence and weapons-carrying among high school students.

Impact: At 2-year follow-up, students in Project TND schools were about half as likely to use tobacco when compared with students in control schools. Students in Project TND schools were about one-fifth as likely to use hard drugs relative to similar students in control schools.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

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.

Sources of Strength Suicide Prevention Program

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

Goal: The goal of this intervention was to enhance protective factors associated with reducing suicide among high school students.

Impact: The Sources of Strength program was successful in increasing students likelihood of seeking help from an adult at school, as well as those adults ability to help suicidal students.

The PanAfrican Acupuncture Project (Brookline, MA)

Filed under Good Idea, Health / Alternative Medicine

Goal: The goal of the PanAfrican Acupuncture Project is to train locals in acupuncture techniques so that they can use this alternative healing method in their communities to treat symptoms of HIV/AIDS, malaria, and TB.

Together Learning Choices (TLC) (Los Angeles, New York, San Francisco, and Miami)

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

Goal: The goal of Together Learning Choices was to help HIV-infected youth increase their use of health care, decrease drug and alcohol use and risky sexual behaviors, and improve their quality of life.

Impact: Together Learning Choices (TLC) showed that prevention programs can effectively reduce risk acts among HIV-infected youths.

Triple P - Positive Parenting Program: Palm Beach County (Palm Beach County, FL)

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

Goal: Triple P aims to enhance the knowledge, skills, and confidence of parents to prevent behavioral, emotional, and developmental problems in children and prevent child maltreatment.

Impact: Triple P increased confidence in parenting ability and reduced the incidence of verified maltreatment among participants in the program.

Women Involved in Life Learning from Other Women (WILLOW) (various cities in Alabama and Georgia)

Filed under Evidence-Based Practice, Health / Women's Health, Adults, Women, Urban

Goal: The goal of the WILLOW intervention is to provide women living with HIV/AIDS with the skills and education needed to support safer sexual decisions.

Impact: The WILLOW program succeeded in reducing the number of reported episodes of unprotected vaginal intercourse, increasing the use of condoms and condom self-efficacy, decreasing the incidence of bacterial infections (chlamydia and gonorrhea), and improving HIV knowledge.

Work Resource Center High School/High Tech Program (Cincinnati, OH)

Filed under Effective Practice, Education / Educational Attainment, Children, Teens

Goal: The objective of this program is for students to complete high school and be prepared to enter postsecondary education or employment.

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.