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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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Carrera Adolescent Pregnancy Prevention Program (USA)

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

Goal: The Carrera Adolescent Pregnancy Prevention Program's goal is to provide comprehensive youth development services and reduce teen pregnancy among economically disadvantaged teenagers.

Impact: Pregnancy prevention programs can work successfully among females when started early in adolescence and when male counterparts are also educated appropriately on condom-use and delayed sexual actively onset.

CDC COMMUNITY GUIDE: Preventing Dental Caries: Community Water Fluoridation (USA)

CDC

Filed under Evidence-Based Practice, Health / Oral Health, Children

Impact: The Community Preventive Services Task Force has found that community water fluoridation is effective in decreasing dental caries across populations.

CDC COMMUNITY GUIDE: Prevention of Birth Defects: Community-Wide Campaigns to Promote the Use of Folic Acid Supplements (USA)

CDC

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women

Impact: The Community Preventive Services Task Force has found that community-level education campaigns that promote the use of folic acid among women of child-bearing age can increase the number of these women who take folic acid supplements.

CDC COMMUNITY GUIDE: Reducing Alcohol-Impaired Driving: Mass Media Campaigns (USA)

CDC

Filed under Evidence-Based Practice, Health / Prevention & Safety, Adults

Impact: The Community Preventive Services Task Force (CPSTF) recommends mass media campaigns to reduce alcohol-impaired driving under certain conditions. These conditions include carefully planned and well-executed campaigns; adequate audience exposure; and settings with ongoing alcohol-impaired driving prevention activities.

CHOPPS: Preventing childhood obesity by reducing consumption of carbonated drinks (United Kingdon)

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

Goal: The goal of CHOPPS is to prevent childhood obesity by reducing the consumption of carbonated drinks among adolescents aged 7-11 through the implementation of an educational program.

Communities That Care (USA)

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

Goal: The goal of Communities That Care is to mobilize communities to prevent future substance abuse by reducing risk factors for children between the ages of 10 and 14.

Impact: Communities That Care reduces initiation of substance abuse behaviors in youth aged 10-14.

Community Aging in Place - Advancing Better Living for Elders (CAPABLE) (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Older Adults, Adults, Older Adults, Urban

Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.

Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.

Connecticut's Breast and Cervical Cancer Early Detection Program (Connecticut)

Filed under Good Idea, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The goal of this program is to use peer communication to improve access to potentially lifesaving early detection services.

Coordinated Approach To Child Health (CATCH) (USA)

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

Goal: The goal of Coordinated Approach to Child Health (CATCH) is to improve nutrition, increase physical activity, and reduce obesity in preschool, elementary, and middle school aged children.

Impact: CATCH is successful in improving participants' diet and physical activity, and the results lasted three years after participation.

Coping and Support Training (CAST) (USA)

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

Goal: The goal of CAST training is to deliver life-skills training to high-risk high school students in order to increase mood management skills, improve school performance, and decrease drug involvement.

Impact: CAST participants in several NIH-funded studies saw significant and sustained reduction of suicide risk behaviors, reduction of drug use, reduction in depression, increase in personal control, increase in problem-solving, and increase in family support.

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.