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.

Submit a Promising Practice

BetterU (USA)

Filed under Evidence-Based Practice, Health / Women's Health, Women

Goal: The goal of the BetterU intervention is to increase knowledge of heart disease, increase physical activity, and improve nutrition among women aged 25 years and older.

Cardiovascular Risk Management by Community Pharmacists (Iowa)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Adults, Rural

Goal: The goal of the Cardiovascular Risk Management by Community Pharmacists program is to reduce cardiovascular risk factors through pharmacist provided case management.

Champions for Change (California)

Filed under Evidence-Based Practice, Health / Physical Activity, Families, Racial/Ethnic Minorities

Goal: The goal of the movement of Californians who are becoming Champions for Change are: 1. Eating Healthy; 2. Moving More; 3. Drinking more water and fewer sugary drinks; 4. Using CalFresh benefits to help buy healthier foods for your family; 5. Connecting with other Champions for Change.

Impact: A program using social media and integrated grassroots activities can potentially successfully influence healthy behavior and community-level changes when it comes to eating and drinking healthier and exercising more.

Compassionate Healthcare (San Francisco, CA)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: Compassionate Healthcare seeks to provide affordable, accessible, and quality healthcare to the homeless and poor, offering a full range of traditional health care services, as well as HIV/AIDS, diabetes, mental health, substance abuse, and non-Western medicine services.

Geisinger's Fresh Food Farmacy

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

Goal: The goal of this program is to combat high obesity rates, pre-diabetes, and diabetes by providing fresh, healthy food to those most in need.

Impact: The Fresh Food Farmacy has positively impacted the lives of nearly 600 individuals. Patients are seeing significant HBA1C improvements, are better able to manage their diabetes with fewer complications, and several participants have been able to reduce or even eliminate their diabetes medications.

Head to Toe Weight Management Program (St. Louis, MO)

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

Goal: The mission of Head to Toe is to teach children and their families the skills to manage body weight as they grow by living a healthy lifestyle that includes regular physical activity, healthy eating habits, and a positive self-image.

Impact: From August 2011 to May 2016, 485 children and their parents or guardians have enrolled in the Head to Toe program. Head to Toe has effectively increased knowledge of nutrition, physical activity and emotional health among participants.

Health Equity: Tenant-Based Housing Voucher Programs

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).

Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.

CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.

Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.

Market Makeovers/Corner Store Conversions (South Los Angeles)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Urban

Goal: The goal of this program is to reduce childhood obesity and diabetes by increasing access to nutritious food for children and families.

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.

Stepping Up To Health (Michigan)

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

Goal: To determine whether online peer support will increase adherence to an Internet-based pedometer walking program.

Impact: Stepping up to Health shows that online communities can help reduce attrition within online health behavior change interventions.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.