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

Building Organizational Capacity to Advance Health Equity (Davidson County, TN)

Filed under Good Idea, Community / Governance, Racial/Ethnic Minorities

Goal: The mission of the Metro Public Health Department is to protect and improve the health and well-being of all people in Metropolitan Nashville.

Impact: Metro Public Health Department of Nashville/Davidson County has implemented department-wide strategies to address existing health inequities.

California's Asthma Control Programs (California)

Filed under Good Idea, Health / Respiratory Diseases

Goal: Effective asthma control can improve quality of life, reduce medical costs, and reduce the number of asthma-related emergency department visits, hospitalizations, school and work days missed, days of restricted activity, and deaths each year.

Carolina Abecedarian Project (Chapel Hill, NC)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children

Goal: The goal of this program is to improve the academic performance and cognitive development of young children who are considered at risk for developmental delays and school failure.

CDC COMMUNITY GUIDE: Adolescent Health: Person-to-Person Interventions to Improve Caregivers' Parenting Skills (USA)

CDC

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Families

Goal: To modify adolescents' risk and protective behaviors by improving their caregivers' parenting skills based on sufficient evidence of effectiveness in reducing adolescent risk behaviors.

Impact: Although the estimated effects varied substantially and were not statistically significant, risk behaviors decreased and youth participants reported increased refusal skills and self efficacy for avoiding risky behaviors in the future.

CDC COMMUNITY GUIDE: Asthma Control: Home-Based Multi-Trigger, Multicomponent Environmental Interventions (USA)

CDC

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

Goal: To improve overall quality of life and productivity for children and adolescents that suffer from asthma.

Impact: Home-based multi-trigger, multi-component interventions with a combination of minor or moderate environmental remediation with an education component provide good value based on improvement in symptoms free days.

CDC COMMUNITY GUIDE: Early Childhood Development Programs: Comprehensive, Center-Based Programs for Children of Low-Income Families (USA)

CDC

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families, Racial/Ethnic Minorities

Impact: Evidence shows that publicly-funded, center-based, comprehensive early childhood development programs for low-income children aged 3 to 5 years can be effective in preventing delay of cognitive development and increasing readiness to learn.

CDC COMMUNITY GUIDE: Preventing Excessive Alcohol Consumption: Increasing Alcohol Taxes (USA)

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) has found that increasing the unit price of alcohol by raising taxes can help prevent excessive alcohol consumption and related harms.

CDC COMMUNITY GUIDE: Preventing Excessive Alcohol Consumption: Maintaining Limits on Days of Sale (USA)

CDC

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

Impact: In order to prevent excessive alcoholism and related harms, the Community Preventive Services Task Force recommends supporting existing limits on days in which alcoholic beverages may be sold.

CDC COMMUNITY GUIDE: Targeted Vaccinations: Provider Reminders (USA)

CDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Children, Adults

Goal: The goal of the programs is to increase vaccination coverage of patients through reminders to providers and other health care professionals.

Impact: The Community Preventive Services Task Force recommends provider reminder interventions based on strong evidence of effectiveness in improving vaccination coverage:

-In adults, adolescents, and children
-When used alone or with additional components
-Across a range of intervention characteristics (e.g., computerized or simple reminders, checklists or flowcharts)
-In a range of settings and populations

Chicago Housing Health Partnership (Cook)

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

Goal: The goal of the Chicago Housing Health Partnership is to use tailored case management to place chronically medically ill homeless individuals in stable, long-term housing and facilitate access to medical services.

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.