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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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DARE to be You

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

Goal: The goals of DTBY are to improve parents' self-esteem, enhance decision-making skills, increase communication between parents and children, teach effective stress management, and strengthen peer support.

Impact: Several studies have demonstrated increases in parental self-efficacy and self-esteem among DTBY parents. Also, the use of harsh punishment decreased and effective discipline and limit-setting increased. Children involved in DTBY programming had greater average increases in developmental level.

Diabetes-Based Science Education for Tribal Schools (DETS) (USA)

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

Goal: The goal of the Diabetes-Based Science Education for Tribal Schools (DETS) curriculum is to slow or reverse the rising rate of type 2 diabetes in American Indian/Alaskan Native (AI/AN) youth through a pedagogy based in a combination of a science-based diabetes/health education curriculum and culturally relevant contexts.

Impact: Overall, the DETS curriculum shows that collaboratively-developed curriculums and education courses can have an effective impact across grade levels with students having significant knowledge gains, and can also serve as a supplement for other science and social science curriculums in schools.

Diamond Youth Shelter (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Children, Teens, Urban

Goal: To provide emergency shelter to homeless or runaway youth aged 12 to 17.

Drinker's Check-up (Albuquerque, NM)

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

Goal: Drinker's Check-up is designed to help problem drinkers reduce their alcohol use and alcohol-related consequences.

Impact: Study participants had a significant reduction in alcohol use, alcohol-related consequences, symptoms of alcohol dependence, and a decrease in ambivalence about reducing alcohol use.

Early Literacy Skills Builder (ELSB) (USA)

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

Goal: The goal of ELSB is to help moderately to severely disabled children develop the skills and behaviors they need to succeed in a standard reading program.

Impact: ELSB demonstrates that reading skills curriculum adapted to alternative instructional needs of cognitively disabled children can more effectively improve literacy as compared to sight-word-only programs.

Environmental Health Faculty Champions Initiative (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: Environmental Health Faculty Champions Initiative seeks to create a network of environmental health champions at medical and nursing schools, knowledgable about the benefit of prescribing outdoor activity to children.

Environmental Improvements Brought by the Legal Interventions in the Homes of Poorly Controlled Inner-City Adult Asthmatic Patients (New York City, New York)

Filed under Evidence-Based Practice, Environmental Health / Built Environment, Urban

Goal: The goal is to use a medical-legal collaborative intervention to force landlords into maintaining healthy living conditions for residents with poorly controlled asthma.

Impact: This proof-of concept study exhibits that medical-legal collaboration can significantly impact the control of inner-city asthmatics by improving their domestic environment.

Explore. Define. Measure: An Integrated Curriculum for the Elementary Classroom (St. Louis, MO)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Urban

Goal: The EDM program integrates asthma education into elementary school core curriculum with the intentions of raising asthma awareness and increasing asthma management knowledge.

Impact: The EDM program provides students the opportunity to increase knowledge and develop health literacy about asthma as well as expand the availability of resources for teachers.

Fit Kids/Fit Families (Wisconsin)

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

Goal: To improve children's nutritional status, increase their activity level, enhance their self-esteem, and create life-long health habits by using a multidisciplinary, community- and family-based system approach, and by engaging local health care professionals with community agencies.

Impact: The Fit Kids/Fit Families program shows that multidisciplinary, community- and family-based approaches to children's exercise, weight, & nutrition can have an effect on healthier nutritional choices, increased physical activity, decreased sedentary activity, healthier behaviors, and BMI reductions.

Foster Children's Project (Palm Beach)

Filed under Evidence-Based Practice, Community / Governance, Children, Urban

Goal: To advocate for children and help them resolve their most pressing legal problem: being in the custody of the state when they need to be in the custody of a family - biological or adoptive - within the 12 months provided by law.

Impact: Children represented by the Foster's Children Project were more likely to exit the foster system to permanency due to higher rates of adoption and long-term custody, but not reunification, than their peers not represented by FCP.

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.