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

Communities Mobilizing for Change on Alcohol

Filed under Good Idea, Health / Alcohol & Drug Use, Teens

Goal: The goal of CMCA is to change policies and practices of major community institutions to reduce underage access to alcohol.

Impact: CMCA intervention significantly and favorably affected drinking behavior of 18- to 20-year olds and also significantly and favorably affected the practices of establishments serving alcohol. Alcohol merchants increased age-identification checking and reduced their sales to minors. Older teenagers (18 to 20 years old) reduced their provision of alcohol to other teens and were less likely to try to buy alcohol or drink in a bar. Arrests for driving under the influence of alcohol declined significantly among 18- to 20-year-olds.

Communities Putting Prevention to Work: Cherokee Nation

Filed under Good Idea, Health / Physical Activity, Racial/Ethnic Minorities

Goal: The mission of Communities Putting Prevention to Work: Cherokee Nation is to promote healthy eating, physical activity and increase tobacco cessation throughout the tribe’s jurisdictional boundaries.

Impact: Communities Putting Prevention to Work: Cherokee Nation works to prevent obesity and tobacco use through various programs including chronic disease screenings, farm-to-school programs, and smoking cessation classes available to all Cherokees in the service area.

Communities Supporting Breastfeeding (Kansas)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families

Goal: The purpose of the Community Supporting Breastfeeding (CSB) designation program is to create a culture of breastfeeding support in communities, ultimately increasing breastfeeding initiation and duration rates and the health and well-being of families.

The CSB program’s immediate goals are to increase positive perceptions toward breastfeeding, increase the availability of breastfeeding resources, and reduce barriers experienced in the community by women of child-bearing age. The long-term goal of the project is to increase exclusive breastfeeding rates through a sustainable model of cross-sector support for breastfeeding.

The project also effectively addresses the racial and socioeconomic disparities in breastfeeding rates. The Kansas Breastfeeding Coalition’s collective impact approach supports efforts of those serving African-American and lower income women. As a result of this project, these organizations receive the support they need to increase their impact when they become aligned with other, larger organizations working toward similar goals, creating a synergy across groups working on breastfeeding support.

Impact: Based on results from our evaluation, along with improved exclusive breastfeeding rates in the majority of the communities that could be associated with the CSB criteria, we believe the CSB program is impactful.

Community Asthma Prevention Program (Philadelphia)

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

Goal: The goal of the Community Asthma Prevention Program is to provide a community-driven asthma management program in order to increase asthma awareness and knowledge, and to increase the quality of life of those living with asthma.

Community Gardens Program (Trenton, NJ)

Filed under Good Idea, Health / Physical Activity, Urban

Goal: Isles, Inc., is a nationally recognized nonprofit community development and environmental organization with the mission to foster more self-reliant families in healthy, sustainable communities.

Community Market Farms (West Oakland, CA)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The Community Market Farms program transforms vacant land into market farms and public spaces in order to grow and distribute organic affordable food with and for the community.

Community Mental Health System

Filed under Good Idea, Health / Mental Health & Mental Disorders, Teens, Adults, Older Adults

Goal: CredibleMind helps surface resources with scientific validity to empower community members to take control of their mental health and spiritual well-being.

Impact: CredibleMind is available to the public and is also available as a customizable solution for community coalitions, health departments, hospitals, health plans, employers and other professional organizations to connect users to local services and resources.

Community Nursing Program (Indiana (northeast))

Filed under Good Idea, Health / Health Care Access & Quality, Children, Racial/Ethnic Minorities

Goal: This initiative strives to alleviate nursing shortages in underserved areas.

Community Nutrition and Urban Gardening (Riverdale, MD)

Filed under Good Idea, Education / School Environment, Children, Urban

Goal: The goal of the program is to build sustainable, local, urban gardens, in order to deliver more reliable and better nutrition to today’s youth and urban communities.

Community of Civano (Tuscon, AZ)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The overall mission of the Civano Community is:
- To create a sense of place that fosters community and connects people to one another and their natural environments
- To tread lighter on the land through innovative design, and
- To introduce sustainable construction materials and new technologies to advance the quality of life.

Specific performance targets include:
- Reduce energy consumption by 75%
- Reduce potable water consumption by 65%
- Reduce landfill-destined solid waste by 90%
- Reduce internal vehicle trip miles by 40%, and
- Create one community job for every 2 residences.

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.