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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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Healthy Relationships

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Women, Men

Goal: The goal of Healthy Relationships is to reduce the risk of HIV transmission by people who know they are HIV-positive by reducing the frequency with which they have unprotected sex.

Impact: Healthy Relationships seeks to develop decision making and problem making skills to reduce the risk and transmission of HIV through behavioral intervention. An intervention study resulted in significantly less unprotected intercourse and greater condom use with lower estimated HIV rates post-intervention.

Healthy Start

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women

Goal: The initiative's primary purpose was to reduce infant mortality by 50 percent and generally improve maternal and infant health in at-risk communities.

Impact: 20% of the Healthy Start program sites had significantly lower rates of low-birth-weight babies than their comparisons. 20% of the sites also had significantly lower rates of very-low-birth-weight babies than their comparisons. Four of the sites had significantly lower pre-term birth rates.

HIV Prevention Intervention for African American Adolescent Girls

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Women

Goal: The intervention aimed to reduce sexual risk behaviors, sexually transmitted diseases (STDs), and pregnancy, and enhance mediators of HIV-preventive behaviors.

Home Instruction for Parents of Preschool Youngsters (HIPPY) (USA)

Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: HIPPY programs empower parents as primary educators of their children in the home and foster parent involvement in school and community life to maximize the chances of successful early school experiences.

Impact: Through 20 years of research, the HIPPY model has proven to be effective in improving school readiness, parent involvement in students' academic lives, school attendance, classroom behavior, and overall academic performance.

InShape

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

Goal: To reduce drug abuse and increase positive mental and physical health outcomes among college students ages 18-25 years old.

Impact: Tailored health and wellness interventions may reduce risk factors facing college students, while perhaps improving their health-related quality of life.

Keepin' it R.E.A.L. (Refuse, Explain, Avoid, Leave) (Phoenix, AZ)

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

Goal: The objective of this program is to increase life skills such as risk assessment, decision-making and drug resistance, while enhancing anti-drug norms and attitudes.

Impact: Evaluation findings suggest that Keepin' it R.E.A.L. succeeded in decreasing substance use, in reducing negative attitudes/behaviors, and in improving positive attitudes/behaviors.

Keepin' it REAL (USA)

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

Goal: Keepin' it REAL aims to reduce adolescent alcohol, marijuana, and tobacco use.

Michigan Model for Health (Michigan)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Teens

Goal: The goals of this program are to establish a single application for school-based youth prevention programs; provide a common language and approach for parent, community, and student health programs; and reinforce prevention messages from a variety of sources.

Impact: Students who received the Michigan Model curriculum had significantly better health outcomes in several areas: social and emotional health, interpersonal skills, aggressive behavior, safety attitudes and skills, physical activity skills, nutrition behavior, drug refusal skills, recent alcohol and tobacco use, and intentions to use alcohol and smoke cigarettes.

Midwestern Prevention Project

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

Goal: The goal of this program is to reduce the use of cigarettes, alcohol, and marijuana among adolescents.

Impact: Evaluations of the project showed that there was a smaller increase in students who intend to use cigarettes, alcohol, and tobacco within the upcoming months and that there were significant effects on the proportion of students reporting the use of cigarettes, alcohol, and tobacco.

Multisystemic Therapy (MST) for Juvenile Offenders

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Children

Goal: The ultimate goal of MST is to empower families to build a healthier environment through the mobilization of existing child, family, and community resources.

Impact: Compared to youth receiving usual-treatment services, those receiving MST were arrested about half as often in the post-treatment period. Recidivism rates were significantly less for MST-treated youth. Youth who received MST also had an average of 73 fewer days of incarceration.

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.