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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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Marin County Safe Routes to Schools (Marin)

Filed under Effective Practice, Community / Transportation, Children, Teens, Urban

Goal: The goal of the Safe Routes to School program is to improve safety and encourage more children to safely walk and bicycle to school. In addition, the programs work toward reducing traffic congestion and improving health and the environment.

Mental Health: Universal School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends universal school-based cognitive behavioral therapy programs to prevent or reduce depression and anxiety symptoms among school-aged children and adolescents.
The CPSTF also recommends Targeted School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms for students who are assessed to be at increased risk for these conditions, and group and individual CBT to reduce psychological harm from traumatic events among children and adolescents.

Open Meadow Alternative School (Portland, OR)

Filed under Effective Practice, Education / Student Performance K-12, Teens

Goal: The goals of the Open Meadow program are 1) to re-engage high risk youth so they will complete their education; and 2) to connect high risk youth to their community in a positive way.

Safe Routes to School (USA)

Filed under Effective Practice, Community / Transportation, Children, Families

Goal: The goal of the Safe Routes to School program is to empower communities to make walking and bicycling to school a safe and routine activity.

Voluntary Aluminum Industrial Partnership (VAIP) (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of the VAIP is to reduce perfluorocarbon emissions from aluminum production in the United States.

Behavioral Couples Therapy for Alcoholism and Drug Abuse (BCT)

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

Goal: The goal of Behavioral Couples Therapy for Alcoholism and Drug Abuse is to improve success rates for treatment of alcoholism and drug abuse by involving intimate partners in the treatment process.

Impact: Numerous studies of the program have shown positive outcomes in five areas: substance abuse, quality of relationship with partner, treatment compliance, intimate partner violence, and children's psychosocial functioning. BCT clients also reported more relationship satisfaction than non-participants.

Bridging the Gap (Seattle)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The nine-year goals of Bridging the Gap are to:
* Reduce the infrastructure maintenance backlog.
* Pave and repair Seattle streets.
* Make seismic upgrades to the most vulnerable bridges.
* Improve pedestrian and bicycle safety and create safe routes to schools.
* Increase transit speed and reliability.

CDC COMMUNITY GUIDE: Breast Cancer Prevention & Control, Provider-Oriented Screening Interventions: Provider Reminder & Recall Systems (USA)

CDC

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

Goal: The goal of incorporating multicomponent interventions for cancer screenings is to increase breast cancer screenings in communities.

Impact: Multicomponent interventions that include strategies that reduce and address structural barriers increase cancer screening rates by the largest margins.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Client Reminders (USA)

CDC

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

Goal: The goal of the Client Reminders is to increase screening for breast cancers.

Impact: The Community Preventive Services Task Force (CPSTF) recommends the use of client reminders to increase screening for breast cancers on the basis of strong evidence of effectiveness.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket Costs: Cervical Cancer (USA)

CDC

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

Goal: The goal of the interventions is to reduce client out-of-pocket costs to minimize or remove economic barriers that make it difficult for clients to access cancer screening services.

Impact: Consistently favorable results for interventions that reduce costs for breast cancer screening and several other preventive services suggest that such interventions are likely to be effective for increasing cervical cancer screening as well.

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.