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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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Safety Street (St. Louis, MO)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Urban

Goal: The mission of Safety Street is to increase injury prevention knowledge for children through interactive teaching of pedestrian, home, and vehicle safety.

SALUD Campaign (Connecticut)

Filed under Effective Practice, Health / Physical Activity, Racial/Ethnic Minorities

Goal: To increase the awareness of healthy eating in Latino communities and deliver targeted nutrition information.

Say It Straight

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

Goal: The goals of Say It Straight (SIS) training are prevention of risky or destructive behaviors, such as alcohol, tobacco, other drug (ATOD) use, violence, school drop-out, teen pregnancy, behaviors leading to HIV/AIDS; and promotion of wellness, personal and social responsibility, positive self-esteem and positive relationships.

Impact: SIS training results in statistically significant reductions in alcohol/drug related school suspensions. Juvenile criminal police offenses such as assaults, vandalism, burglary, etc. were also lower among trained students.

School Food FOCUS (USA)

Filed under Good Idea, Health / Physical Activity, Children

Goal: School Food FOCUS is a national collaborative that leverages the knowledge and procurement power of large school districts to make school meals nationwide more healthful, regionally sourced, and sustainably produced.

Impact: School Food FOCUS helps partners procure healthy and sustainable school foods, works towards policies that advance healthy school foods, and facilitates knowledge sharing around school food issues.

School-Based Intervention to Promote Tooth Brushing (Scotland)

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

Goal: The goal of this intervention was to reduce dental caries among children by promoting twice daily tooth brushing.

Impact: Supervised tooth brushing and positive reinforcement in a school setting decreased the rate of dental caries in participating children.

Sea Lion Club (Germany)

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

Goal: The goal of this program was to lower the Body Mass Index (BMI) of obese children, and thus decrease the prevalence of obesity, through a multi-faceted lifestyle intervention program.

Impact: Group based interventions are beneficial in reducing BMI and creating healthy lifestyles in young, obese individuals.

Seeking Safety

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders

Goal: The goal of this program is to help clients move beyond trauma and substance abuse.

Impact: Multiple evaluations of the Seeking Safety program in various settings have shown positive outcomes for substance abuse/addiction, substance abuse disorder, and post-traumatic stress disorder.

Septic Systems (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: Septic systems serve approximately 25 percent of the U.S. population and about 40 percent of new developments. The U.S. Census Bureau has indicated that at least 10 percent of septic systems have stopped working. Some communities report failure rates as high as 70 percent! The goal of this program is to improve the performance of decentralized septic systems.

SIDS Risk Reduction Training for Parents and Family Members (Washington, D.C.)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families, Racial/Ethnic Minorities

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position and roomsharing without bedsharing.

Impact: A 15-minute educational session with small groups of parents is effective in informing parents about the importance of safe sleep position and in changing parent behavior for at least the first 6 months of the infant's life.

Smart Growth (Maryland)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: Smart Growth has three straightforward goals:
- to save our most valuable remaining natural resources before they are forever lost,
- to support existing communities and neighborhoods by targeting state resources to support development in areas where the infrastructure is already in place or planned to support it, and
- to save taxpayers millions of dollars in the unnecessary cost of building the infrastructure required to support sprawl.

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.

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