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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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Behavioral Intervention to Prevent STDs among Minority Women in Texas (Texas)

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

Goal: The goal of the study was to prevent STDs in high-risk minority women through three culture-specific small group education and counseling sessions, delivered over time.

Impact: Reinfection rates of chlamydia and gonorrhea were significantly lower at each follow-up among participants in the small-group counseling sessions than in the control group. Integration of behavior-change theory with extensive qualitative data collected in target communities enabled the study to create culturally meaningful strategies to promote the recognition of risk and to stimulate motivation to effect personal change.

Best Practices Report: Energy Efficiency

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Families

Goal: Currently, the average U.S. family spends nearly $1,300 a year on energy bills, with much of that energy being wasted due to air leaks, inefficient appliances, and a general lack of attention to this important issue. The Community Associations Institute (CAI) and the Department of Energy (DOE) are dedicated to educating the community association industry--and the significant portion of the U.S. population it represents--on the many ways to increase the energy efficiency of their homes, and thereby reduce both energy consumption and costs.

Bienestar: A School-Based Diabetes and Obesity Prevention Program (Texas)

Filed under Evidence-Based Practice, Health / Diabetes, Children, Families, Racial/Ethnic Minorities

Goal: The objectives of Bienestar are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity among low-income Mexican-American elementary and middle school children.

Impact: The Bienestar Health Program statistically significantly increases fitness scores and dietary fiber intakes levels among low-income, Mexican-American fourth-graders. A second randomized control trial conducted from 6th to 8th grade showed reductions in various indexes of adiposity.

Bingocize: Using Games to Improve Balance, Mobility and ADL's (Owensboro, KY)

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

Goal: The goal of Bingocize is to improve mobility, balance, and ADL's in older adult populations.

Bootheel Heart Health Project (Missouri)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Rural

Goal: The goal of the Bootheel Heart Health Project was to reduce risk factors for cardiovascular disease and decrease morbidity and mortality due to cardiovascular disease.

Boston Public Schools Snack and Beverage Policy (Boston, MA)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens, Urban

Goal: To decrease consumption of sugar-sweetened beverages in Boston public schools.

Impact: Data from Boston youth indicated that policy changes restricting the sale of sugar-sweetened beverages in schools can cause significant reductions in consumption of sugar-sweetened beverages and are promising strategies to reduce adolescents’ intake of unnecessary calories.

Bridging the Gap (Seattle)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The nine-year goals of Bridging the Gap are to:
* Reduce the infrastructure maintenance backlog.
* Pave and repair Seattle streets.
* Make seismic upgrades to the most vulnerable bridges.
* Improve pedestrian and bicycle safety and create safe routes to schools.
* Increase transit speed and reliability.

Cany Valley Agape Network Family for Rural Healthy Food Access

Filed under Effective Practice, Health / Nutrition & Healthy Eating, Rural

Goal: CVAN is the Kansas conduit for tons of healthy produce from the Catholic Charities Mary Martha Organization--the steward of excess highly perishable high quality foods from a huge Walmart Distribution Center in Oklahoma. As food supplies allow, CVAN distributes to the 100 square mile school district and to share with a networked family of pantries and volunteer organizations in five Kansas counties and South Coffeyville, OK. As needed, CVAN has recruited distribution volunteers in covering communities within this economically depressed region. The network family was built upon the CVAN’s supply of fresh produce, but is now blessing this area with distribution of CARES foods during the COVID crisis. Its volunteers are food warriors--winning in the fight against rural hunger.

Car Seat Program (Washington County, NY)

Filed under Effective Practice, Health / Children's Health, Children

Goal: The goal of this program is to increase the proper usage of child safety seats in Washington County, NY.

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.