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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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Project PREVENT (Massachusetts and North Carolina)

Filed under Evidence-Based Practice, Health / Cancer, Adults

Goal: The goal of Project PREVENT is to reduce behavioral risk factors for colorectal cancer among individuals with positive screenings.

Impact: A significantly greater proportion of Project PREVENT participants reduced their multiple risk factor score when compared to the control group (47% vs. 35%). Intervention participants also had significantly greater multivitamin intake and significantly reduced red meat consumption.

Prolonged Exposure Therapy

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

Goal: The goal of this program is to improve treatment outcomes for patients with post-traumatic stress disorder.

Impact: PE Therapy is considered by expert consensus the treatment of choice for PTSD clients whose prominent symptoms include intrusive thoughts, flashbacks, and trauma-related fear and avoidance. One study demonstrated that the treatment group showed significant improvement in PTSD symptoms and depressive symptoms at posttest, and these treatment effects were maintained at 6-month follow-up.

Rails-to-Trails Conservancy

Filed under Good Idea, Environmental Health / Built Environment, Adults

Goal: The mission of Rails-to-Trails Conservancy is to create a nationwide network of trails from former rail lines and connecting corridors to build healthier places for healthier people.

Impact: Rails-to-Trails Conservancy encourages people of all ages and abilities to get outside and be active on a rail-trail. The organization serves 150,000 members and supporters on over 20,000 miles of rail-trail.

Reach for Health Community Youth Service (New York City, New York)

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.

Reach Out and Read (Nationwide)

Filed under Evidence-Based Practice, Education / Literacy, Children, Adults, Families

Goal: The mission of Reach Out and Read is to help prepare young children to succeed in school, by partnering with physicians to encouraging parents and children to read aloud together.

Impact: Reach Out and Read improves children's language development by 3-6 months and improves language ability with increased exposure to the program.

Reach Out and Read: Washington, D.C. (Washington, D.C.)

Filed under Evidence-Based Practice, Education / Literacy, Children, Adults, Families, Urban

Goal: Reach Out and Read prepares America's youngest children to succeed in school by partnering with doctors to encourage families
to read together.

Real AIDS Prevention Project (RAPP)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Women, Urban

Goal: The goal of the Real AIDS Prevention Project is to help women and their partners reduce their risk for HIV infection.

Impact: Community-level interventions may be an effective way to reach large numbers of women and change their condom-use behaviors, particularly their behaviors with regard to communication with main sex partners.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

Residential Student Assistance Program

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

Goal: The goal of this program is to prevent and reduce substance use and abuse among high risk, multi-problem adolescents placed in residential child care facilities.

Impact: One evaluation showed that adolescents participating in RSAP showed significant reductions in their use of alcohol, marijuana, and tobacco from pretest to posttest measures.

Responding in Peaceful and Positive Ways (RiPP)

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Teens

Goal: The goal of this program is to prevent violence among middle school students.

Impact: Rates of violence-related violations among 6th graders were 2.2 times lower in classrooms using RiPP than in non-participating classrooms. In-school suspension rates among 6th graders were also 5.0 times higher in the non-participating classrooms.

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.