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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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Staying Alive Drug Overdose Prevention and Response Program (Baltimore, MD)

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

Goal: The goals of the Staying Alive program are to teach drug users about how to recognize opiate overdose signs and symptoms, how to respond to any overdose cases by calling 911, and how to use rescue breathing and naloxone administration to reduce life-threatening drug overdose.

Impact: Staying Alive reduces mortality due to opiate and heroin drug overdose.

Step Forward, Erlanger (Erlanger, KY)

Filed under Effective Practice, Art & Recreation / Sports Recreation & Parks, Families

Goal: The purpose of the initiative is to construct a complete sidewalk loop throughout the City of Erlanger in order to promote physical activity.

Strong-For-Life (Boston, MA)

Filed under Evidence-Based Practice, Health / Physical Activity, Older Adults

Goal: The goal of Strong-For-Life home-based exercise program is to promote activity and reduce disability among older adults.

Impact: Home-based resistance exercise programs designed for older persons with disabilities hold promise as an effective public health strategy.

Sunday Streets (San Francisco, CA)

Filed under Good Idea, Health / Wellness & Lifestyle, Children, Teens, Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Sunday Streets is to provide safe, fun outdoor spaces in different neighborhoods across the city that encourage physical activity.

Tai Chi -- Moving for Better Balance

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.

Teen Health Project (cities in Wisconsin, Virginia, and Washington)

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

Goal: The goal of the Teen Health Project is to provide adolescents with the skills necessary to prevent HIV risk behaviors.

Impact: The Teen Health Project shows that community-level interventions that include skills training and engage adolescents in neighborhood-based HIV prevention activities can produce and maintain reductions in sexual risk behavior, including delaying sexual debut and increasing condom use.

The Aban Aya Youth Project (AAYP) (Chicago)

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

Goal: The goal of this intervention is to reduce high-risk behavior among African American youth as measured by student self-reports of violence, provocative behavior, school delinquency, substance use, and sexual behaviors (intercourse and condom use).

Impact: AAYP reduced rates of risky behaviors among male African American youth.

The Chinese Women's Health Project (Seattle, Washington)

Filed under Evidence-Based Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The program aimed to increase the rate of cervical cancer screening in Chinese women living in North America in response to research findings of significantly lower cervical cancer screening rates in Chinese women.

Impact: This intervention program found that women who received an intervention had cervical cancer screenings at a higher rate than those who did not receive any intervention. This shows that culturally and linguistically appropriate interventions might help improve Pap testing rates among Chinese women.

The Orange Grove Recycling Center (OGRC) (Chattanooga, TN)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program is to provide a much-needed recycling service to the City of Chattanooga and the surrounding area while providing jobs for developmentally disabled adults.

Too Good for Violence (Tampa, FL)

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens

Goal: The goal of the TGFV program is to help students learn the skills they need to get along peacefully with others and avoid violence.

Impact: Too Good programs empower children with the social-emotional learning and substance abuse prevention skills they need to lead happy and healthy lives.

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.