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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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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.

Body Project (Dissonance Intervention)

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

Goal: The Body Project is a dissonance intervention designed to help women in high school and college resist societal and cultural pressures to conform to an idealized notion of what it means to be 'thin' and to help increase body acceptance. A reduction in thin-ideal internalization should result in reduced use of unhealthy weight-control behaviors, decreased eating disorder symptoms, and overall increase in mood and well-being.

Impact: The Body Project program has yielded numerous significant benefits at posttest and 6 months, 1 year, 2 years, and 3 years after program implementation. These include significant reductions in body dissatisfaction, bulimic symptoms and psychosocial impairment compared to control group participants.

CDC COMMUNITY GUIDE: Restricting Minors’ Access to Tobacco Products: Community Mobilization with Additional Interventions (USA)

CDC

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens, Racial/Ethnic Minorities

Impact: The Community Preventive Services Task Force (CPSTF) recommends community mobilization combined with additional interventions —such as stronger local laws directed at retailers, active enforcement of retailer sales laws, and retailer education with reinforcement—on the basis of sufficient evidence of effectiveness in reducing youth tobacco use and access to tobacco products from commercial sources.

Centering Pregnancy Plus Program (USA)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens, Women, Urban

Goal: The Centering Pregnancy Plus Project aims to reduce risk for HIV and other sexually transmitted diseases and improve health outcomes for young pregnant women, aged 14-21.

Impact: Facilitated group discussions promoting condom use among young women can increase condom use among participants.

Commit to Quit (USA)

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

Goal: The goal of Commit to Quit is to help female smokers quit smoking through group programming and exercise.

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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