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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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Safer Sex (Boston, MA)

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

Goal: The goal of the Safer Sex project is to increase condom use, prevent recurrent STDs, and eliminate or reduce risky sexual behaviors among adolescent females that have been diagnosed with an STD.

Impact: The Safer Sex project shows that individualized safer sex interventions may improve condom use and decrease the number of partners among adolescent girls who have had an STD.

Safety Stop: Child Passenger Safety Education (St. Louis, MO)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Adults, Families, Urban

Goal: The mission of Safety Stop is to increase the number of children who are properly secured in safety seats during trips made in a vehicle by educating parents and caregivers participating in Safety Stop car seat fittings and consultations.

Impact: Safety Stop increased mean scores on child safety seat knowledge by 5% (p < 0.01) among participating parents and caregivers.

Safety Street (St. Louis, MO)

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

Goal: The mission of Safety Street is to increase injury prevention knowledge for children through interactive teaching of pedestrian, home, and vehicle safety.

School Nutrition Policy Initiative (Philadelphia, PA)

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

Goal: The goal of the School Nutrition Policy Initiative is to prevent and reduce overweight and obesity among low-income children.

School-Based Asthma Therapy (Rochester, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

School-Based Intervention to Promote Tooth Brushing (Scotland)

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

Goal: The goal of this intervention was to reduce dental caries among children by promoting twice daily tooth brushing.

Impact: Supervised tooth brushing and positive reinforcement in a school setting decreased the rate of dental caries in participating children.

Seropositive Urban Men’s Intervention Trial (SUMIT) (USA)

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

Goal: The goal of SUMIT is to reduce unprotected sexual contact between HIV-positive men and their HIV-negative or unknown-serostatus partners.

Sister to Sister (Newark)

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

Goal: The goals of Sister-to-Sister are to eliminate or reduce sex risk behaviors, and to prevent new STD infections.

Social Determinants of Health: Permanent Supportive Housing with Housing First (Housing First Programs)

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition.

Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living with disabling conditions, including those with HIV infection. For clients living with HIV infection, these programs also improve clinical indicators and mental health and reduce mortality. Housing First programs also lead to reduced hospitalization and use of emergency departments for homeless persons with disabling conditions, including HIV infection.

The CPSTF finds the economic benefits exceed the intervention cost for Housing First Programs in the United States. Because homelessness is associated with lower income and is more common among racial and ethnic minority populations, Housing First Programs are likely to advance health equity.

Social work-based transitional care intervention for super utilizers of medical care

Filed under Evidence-Based Practice, Health / Intervention Data, Urban

Goal: The goal of this study is to evaluate the effectiveness of a social work intervention aimed to address the medical and social needs of inpatient super-utilizers.

Impact: This intervention was modeled after the "Bridge Model" by intensifying patient engagement with an average of 40 patient contacts over 6 months following an index admission. This intervention has the potential to reduce health services utilization and cost among inpatient super utilizers.

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.