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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 Open Hand (San Francisco)

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: The goal of the study was to evaluate a community-based food support intervention in the San Francisco Bay Area for people living with HIV and/or type 2 diabetes mellitus (T2DM) to determine the feasibility, acceptability, and potential impact of the intervention on nutritional, mental health, disease management, healthcare utilization, and physical health outcomes.

Impact: Comprehensive, medically appropriate food support is feasible and may improve multiple health outcomes for food-insecure individuals living with chronic health conditions.

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.

Project Towards No Tobacco Use

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

Goal: The goal of this program is to prevent or reduce tobacco use among children and adolescents.

Impact: One study found that Project the project reduced initiation of cigarette smoking in the two years following the program by 26% when compared to a control group. Students showed increased knowledge of tobacco addiction, related diseases, and media influences and had improved communication, refusal, and coping skills.

Prolonged Exposure Therapy

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

Goal: The goal of this program is to improve treatment outcomes for patients with post-traumatic stress disorder.

Impact: PE Therapy is considered by expert consensus the treatment of choice for PTSD clients whose prominent symptoms include intrusive thoughts, flashbacks, and trauma-related fear and avoidance. One study demonstrated that the treatment group showed significant improvement in PTSD symptoms and depressive symptoms at posttest, and these treatment effects were maintained at 6-month follow-up.

Promoting Alternative THinking Strategies (PATHS)

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

Goal: The goal of this program is to promote social and emotional learning (SEL) and character development, to prevent bullying, and to build the problem-solving abilities and other life skills required for positive relationships throughout students' lives.

Impact: One study found that PATH students performed significantly better than their counterparts on the sociometric tests for aggression and hyperactivity-disruptive behavior according to peer sociometric reports. The PATH classrooms also received better observer ratings for their overall classroom atmosphere.

Promoting Healthy Lifestyles: Alternative Models' Effects (PHLAME) (WA, OR)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: The PHLAME Study had four primary goals: (1) Increase physical activity to 30 minutes each day; (2) Reduce percent calories from fat to less than 30%; (3) Increase servings of fruits and vegetables to at least 5 per day; and (4) Improve energy balance and normalize body fat.

Promoting Water Consumption in Schools to Prevent Overweight (Germany)

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

Goal: To promote water consumption with an educational and environmental intervention in elementary schools of deprived urban areas to prevent overweight.

Impact: This program shows that environmental and educational, school-based interventions can have effective impact in the prevention of overweight among children in elementary school, even in a population from socially-deprived areas.

Reach for Health Community Youth Service (New York City, New York)

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

Goal: The goal of the Reach for health Community Youth Service program is to reduce risky sexual behaviors among urban Latino and African American youth.

Impact: Long-term impact has been recorded among participants after two years: this includes delayed initiation of intercourse and reduced frequency of intercourse among sexually active adolescents.

ReachOut Central (Australia)

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

Goal: The goal of ReachOut Central (ROC) is to improve mental health among young people through an online gaming service by teaching them the practical coping skills for dealing with major stressors in life, ranging from issues such as alcohol use to psychological distress.

Impact: The aggregate results of this statistical analysis point to ReachOut Central's potential to impact and improve certain factors, such as coping ability, but also to relatively unexplored gender-dependent outcomes for other factors like alcohol consumption.

Real AIDS Prevention Project (RAPP)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Women, Urban

Goal: The goal of the Real AIDS Prevention Project is to help women and their partners reduce their risk for HIV infection.

Impact: Community-level interventions may be an effective way to reach large numbers of women and change their condom-use behaviors, particularly their behaviors with regard to communication with main sex partners.

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.