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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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Milwaukee Extreme Heat Plan (Milwaukee, WI)

Filed under Effective Practice, Health / Mortality Data, Children, Older Adults, Urban

Goal: The goal of this program is to reduce heat-related morbidity and mortality in Milwaukee.

Move More Diabetes (Waterville, ME)

Filed under Good Idea, Health / Diabetes, Adults, Rural

Goal: The goal of MMD is to increase physical activity among people with type 2 diabetes and improve their disease self-management skills.

New York City's Phase Out of Artificial Trans Fat (New York)

Filed under Good Idea, Health / Physical Activity, Urban

Goal: On December 5, 2006, the NYC Board of Health approved an amendment to the Health Code to phase out artificial trans fat in all NYC restaurants and other food service establishments. It is now in full effect.

Not-On-Tobacco (N–O–T)

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

Goal: The goal of this program is to help teens quit smoking.

Impact: One study showed that the percentage of students who reportedly quit smoking 15 months after the intervention was higher for participants. Another study showed that a greater percentage of participants reported smoking cessation 5 months after the intervention than non-participants.

Project EX

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

Goal: The goal of this program is to reduce or stop smoking among adolescents.

Impact: At 3-month follow-up, 17% of youths in the treatment conditions reported having quit smoking for at least 30 days, compared with only 8% of those teens in the control condition. These positive effects were also demonstrated when moved from a clinic setting to the classroom, as students in the program condition experienced a greater reduction in weekly smoking and monthly smoking, at 6-and-12-month follow-ups.

Project SWAT (Share the Work to Alleviate the Threat) (Erie County, NY)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goal of Project SWAT is to reduce the population of mosquitoes potentially carrying West Nile Virus by applying larvicide to common breeding habitats.

Riverside County Greater Avenues for Independence Program (GAIN) Program (Riverside County, CA)

Filed under Effective Practice, Community / Social Environment

Goal: The mission of the program is to work vigorously to free participants from the burden of welfare dependency, and achieve a better, happier lifestyle through self-sufficiency. It will serve the taxpayers of Riverside County by reducing welfare dependency, thus making tax dollars available for other expenditures and needs.

Impact: The program produced a large net savings to the government through increased tax revenues and reduced welfare and food stamps payments (as an estimate, $2.84 saved for every $1.00 invested over five years).

Safe Sidewalks and Safe Routes to School

Filed under Good Idea, Environmental Health / Built Environment

Goal: Safe Routes to School programs aim to make it safer for students to walk and bike to school and encourage more walking and biking where safety is not a barrier.

Safety Stop: Child Passenger Safety Education (St. Louis, MO)

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

Goal: The mission of Safety Stop is to increase the number of children who are properly secured in safety seats during trips made in a vehicle by educating parents and caregivers participating in Safety Stop car seat fittings and consultations.

Impact: Safety Stop increased mean scores on child safety seat knowledge by 5% (p < 0.01) among participating parents and caregivers.

Steps to Respect: A Bullying Prevention Program

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goal of the program is to decrease school bullying problems by 1) increasing staff awareness and responsiveness, 2) fostering socially responsible beliefs, and 3) teaching social-emotional skills to counter bullying and promote healthy relationships. Thus the program also aims to promote skills (e.g., group joining, conflict resolution) associated with general social competence.

Impact: Students in the intervention schools reported significantly less acceptance of bullying/aggression, perceived greater adult responsiveness, and felt more responsible to intervene with friends who were bullied (bystander responsibility) than students in the control schools.

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.