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.
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.
Filed under Evidence-Based Practice, Health / Children's Health, Children
Goal: The goal of this study was to reduce pediatric asthma-related symptoms by installing central heating in homes.
Impact: Central heating successfully improves home heating, dampness, and energy efficiency. Through home modifications, asthma-related symptoms (nocturnal cough and days lost from school) can be reduced among children.
Filed under Evidence-Based Practice, Health / Physical Activity
Goal: MANNA uses nutrition to improve health for people with serious illnesses who need nourishment to heal. By providing medically tailored meals and nutrition education, we empower people to improve their health and quality of life.
Impact: MANNA members report significant health care cost reductions due to improved health.
Filed under Evidence-Based Practice, Community / Public Safety, Teens
Goal: The goal of TADRA is to reduce fatal crashes among teenage drivers.
Impact: After the implementation of TADRA, speed-related fatal crashes were cut by 42%, and alcohol-related fatal crashes decreased nearly 60%.
Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Racial/Ethnic Minorities
Goal: To evaluate the association of a “Housing First” intervention for chronically homeless individuals with severe alcohol problems with health care use and costs.
Impact: Total cost offsets for Housing First participants relative to controls averaged $2449 per person per month after accounting for housing program costs.
HIV/STD Risk Reduction Interventions for African American and Latino Adolescent Girls (Philadelphia)
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Women, Racial/Ethnic Minorities, Urban
Goal: The goal of this intervention was to reduce self-reported unprotected sexual intercourse among African American and Latino adolescent girls.
Impact: Skill-based HIV/STD interventions can improve condom-use and reduce sexual risk behaviors, along with STD rates, among African American and Latino teen girls in clinical settings.
Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Children, Urban
Goal: Linking the Interests of Families and Teachers (LIFT) is a research intervention program designed to prevent the development of aggressive and antisocial behavior.
Impact: Evidence suggests that LIFT can be a useful tool for promoting effective parenting in the home and decreasing aggressive behaviors with peers at school and on the playground. LIFT participants exhibited a decrease in child physical aggression toward classmates on the playground, an increase in teachers' positive impressions of child social skills with classmates, and a decrease in parents' aversive behavior during family problem-solving discussions.
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)
Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban
Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.
Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.
Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)
Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults
Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.
Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Impact: The Community Preventive Services Task Force (CPSTF) recommends targeted school-based cognitive behavioral therapy programs to reduce depression and anxiety symptoms among school-aged children and adolescents who are assessed to be at increased risk for these conditions.