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 / Prevention & Safety, Adults
Impact: The Community Preventive Services Task Force (CPSTF) recommends the use of ignition interlocks for people convicted of alcohol-impaired driving based on evidence that they reduce re-arrest rates while the interlocks are installed.
Public health benefits of ignition interlock interventions are currently limited by the small proportion of offenders who install interlocks in their vehicles. More widespread and sustained use of interlocks among this population could have a greater impact on alcohol-related crashes.
Filed under Evidence-Based Practice, Community / Public Safety, Teens
Goal: The goal of the Checkpoints Program is to encourage parental limits on teen driving, and decrease risky teen driving.
Impact: The Checkpoints Program increased the rate at which parents placed greater limits on high-risk teen driving conditions and decreased traffic violations among teens.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Adults
Goal: The goal of this program is to reduce disability in middle-aged and older people with schizophrenia.
Impact: At the end of treatment, CBSST participants had significantly greater cognitive insight scores, indicating more objectivity in reappraising psychotic symptoms relative to treatment as usual. At 1-year follow-up, participants in CBSST showed greater skill acquisition and significant improvements in social functioning relative to participants receiving treatment as usual.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens
Goal: The goal of Cognitive Behavioral Therapy for Adolescent Depression is to treat depressive symptoms in adolescents.
Impact: Cognitive Behavioral Therapy for Adolescent Depression showed more rapid treatment response than both systematic behavior family therapy and non-directive support therapy. CBT also showed a greater rate of decline in self-reported depression over time.
Filed under Evidence-Based Practice, Community / Social Environment, Children
Goal: The goals of DTBY are to improve parents' self-esteem, enhance decision-making skills, increase communication between parents and children, teach effective stress management, and strengthen peer support.
Impact: Several studies have demonstrated increases in parental self-efficacy and self-esteem among DTBY parents. Also, the use of harsh punishment decreased and effective discipline and limit-setting increased. Children involved in DTBY programming had greater average increases in developmental level.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families
Goal: The goal of Early Head Start (EHS) is to promote healthy prenatal outcomes for pregnant women, enhance the development of very young children, and promote healthy family functioning. The goal of Head Start is to increase school readiness of young children in low-income families.
Impact: Studies have demonstrated positive effects of the program for both 3- and 4-year-old children on pre-reading, pre-writing, vocabulary, and parent reports of children’s literacy skills. For 3-year-olds, a greater number of parents reported improved access to health care and better health status.
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).
Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.
CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.
Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.
Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Women, Men
Goal: The goal of Healthy Relationships is to reduce the risk of HIV transmission by people who know they are HIV-positive by reducing the frequency with which they have unprotected sex.
Impact: Healthy Relationships seeks to develop decision making and problem making skills to reduce the risk and transmission of HIV through behavioral intervention. An intervention study resulted in significantly less unprotected intercourse and greater condom use with lower estimated HIV rates post-intervention.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Families, Urban
Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.
Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).
Filed under Evidence-Based Practice, Health / Children's Health, Children
Goal: To prevent or delay the onset of underage alcohol and tobacco use by encouraging healthy beliefs and attitudes about abstaining from substance use and by enhancing critical thinking skills to transform students into active media consumers.
Impact: Students who participated in the Media Detective program displayed a greater understanding of media deconstruction skills and persuasive intent. They also had greater self-efficacy to refuse substances compared to students who did not participate in the program.