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.
Filed under Evidence-Based Practice, Health / Physical Activity, Adults, Racial/Ethnic Minorities
Goal: The goal of Project Dulce is to improve the lives of people with diabetes through culturally appropriate, community-based diabetes management, education, and support programs.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities, Urban
Goal: The goal of the Reach for health Community Youth Service program is to reduce risky sexual behaviors among urban Latino and African American youth.
Impact: Long-term impact has been recorded among participants after two years: this includes delayed initiation of intercourse and reduced frequency of intercourse among sexually active adolescents.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Teens, Urban
Goal: The primary goal of the School Lunch Initiative is to transform the way Berkeley public school students eat lunch and to educate children about food, health, and the environment.
Impact: Three years after its conception, the program successfully eliminated nearly all processed foods from the school district dining halls and introduced fresh and organic foods to the daily menu. There was evidence that greater exposure to the School Lunch Initiative was significantly associated with higher nutrition knowledge scores among fourth graders and seventh graders. Furthermore, elementary school students from the schools with highly developed School Lunch Initiative components clearly expressed a higher preference for fruits and vegetables.
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition.
Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living with disabling conditions, including those with HIV infection. For clients living with HIV infection, these programs also improve clinical indicators and mental health and reduce mortality. Housing First programs also lead to reduced hospitalization and use of emergency departments for homeless persons with disabling conditions, including HIV infection.
The CPSTF finds the economic benefits exceed the intervention cost for Housing First Programs in the United States. Because homelessness is associated with lower income and is more common among racial and ethnic minority populations, Housing First Programs are likely to advance health equity.
Filed under Effective Practice, Health / Oral Health, Children, Women
Goal: The purpose of the "Something to Smile About" dental program is to improve dental outcomes for children in Garrett County, Maryland.
Filed under Evidence-Based Practice, Health / Health Care Access & Quality
Goal: To find, explore, and implement a sustainable funding stream for community-based healthcare interventions.
Filed under Evidence-Based Practice, Health / Prevention & Safety, Older Adults
Goal: Stepping On aims to reduce the prevalence of falls among older adults. Falls are not a normal part of aging and the risk and/or prevalence of falls may be decreased by taking certain steps, including vision checks, medication management, strength & balance exercises, and home safety checks. Falls and/or the fear of falling often lead to a loss of independence.
Impact: This evidence-based program demonstrated a 31% reduction in falls among participants in an Australian trial. It reached a 50% reduction in falls among participants in a U.S. workshop.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.
Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.
Filed under Evidence-Based Practice, Health, Teens, Urban
Goal: To enable teens from disadvantaged circumstances to develop healthy behaviors, life skills, and a sense of purpose in order to prevent problem behaviors.
Impact: This program equips teens to better develop healthy behaviors and relationships,
develop life and leadership skills, and achieve educational
success.
Filed under Evidence-Based Practice, Health / Older Adults, Adults, Older Adults
Goal: The Ambulatory Integration of the Medical and Social (AIMS) model aims to address social and environmental factors patients face that may prevent them from following their plan of care, thus impacting their health.
Impact: The AIMS model helps create better supported, less stressed, and better informed consumers and caregivers. There is also evidence to suggest that this model reduces ED usage and 30-day readmissions in participants.