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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Asthma: School-Based Self-Management Interventions for Children and Adolescents with Asthma

New CDC

Filed under Evidence-Based Practice, Health / Respiratory Diseases

Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based asthma self-management interventions to reduce hospitalizations and emergency room visits among children and adolescents with asthma. Evidence shows interventions are effective when delivered by trained school staff, nurses, and health educators in elementary, middle, and high schools serving diverse populations.
When implemented in schools in low-income or minority communities, interventions are likely to promote health equity.

Availability and Consumption of Drinking Water in Middle Schools: A Pilot Study (Los Angeles)

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

Goal: To improve drinking water consumption among adolescents.

Impact: This study shows that provision of filtered, chilled drinking water in school cafeterias coupled with promotion and education is associated with increased consumption of drinking water at school.

Availability, Responsiveness, and Continuity (ARC)

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

Goal: Through a 2- to 3-year process, ARC is designed to improve organizational culture and climate, increase job satisfaction and commitment, support the adoption and success of evidence-based practices (EBPs), reduce staff turnover, and improve clients’ outcomes.

Bienestar: A School-Based Diabetes and Obesity Prevention Program (Texas)

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

Goal: The objectives of Bienestar are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity among low-income Mexican-American elementary and middle school children.

Impact: The Bienestar Health Program statistically significantly increases fitness scores and dietary fiber intakes levels among low-income, Mexican-American fourth-graders. A second randomized control trial conducted from 6th to 8th grade showed reductions in various indexes of adiposity.

Bingocize: Using Games to Improve Balance, Mobility and ADL's (Owensboro, KY)

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults, Urban

Goal: The goal of Bingocize is to improve mobility, balance, and ADL's in older adult populations.

Boston Public Schools Snack and Beverage Policy (Boston, MA)

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

Goal: To decrease consumption of sugar-sweetened beverages in Boston public schools.

Impact: Data from Boston youth indicated that policy changes restricting the sale of sugar-sweetened beverages in schools can cause significant reductions in consumption of sugar-sweetened beverages and are promising strategies to reduce adolescents’ intake of unnecessary calories.

Boys and Girls Club Project Learn

Filed under Evidence-Based Practice, Education / Student Performance K-12, Children

Goal: The goal of this program is to improve the educational performance of economically disadvantaged adolescents.

Impact: After 30 months, program youths reported significantly greater enjoyment and engagement in reading, verbal skills, writing, and tutoring. They also had better overall averages in reading, spelling, history, science, social studies, and school attendance compared with comparison and control youths.

CDC COMMUNITY GUIDE: Diabetes Prevention and Control: Disease Management Programs (USA)

CDC

Filed under Evidence-Based Practice, Health / Diabetes

Impact: The Diabetes Community Guide can improve biological components of diabetes for those treated for either type 1 or type 2 diabetes in both community clinics and managed care organizations.

CDC COMMUNITY GUIDE: Environmental and Policy Approaches to Increase Physical Activity: Community-Scale Urban Design Land Use Policies (USA)

CDC

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Impact: Design and land use policies that encourage physical activity in urban areas can help increase overall physical activity in bikers and walkers.

Community-based Diabetes and Hypertension Preventive Program (Honolulu)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities, Urban

Goal: The purpose of this project was to develop rapport with a Chinese Community Association and then establish preventive diabetic and hypertension programs with the Chinese in Chinatown, Hawaii.

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.