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.

Submit a Promising Practice

Real Men are Safe (REMAS)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Men

Goal: To reduce the frequency of unprotected vaginal and anal sexual intercourse among sexually active men in drug treatment.

Reciprocal Teaching

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

Goal: The goal of this program is to improve students' ability to read, understand, and analyze text.

Red Rock Ridge and Valley Trail System (Jefferson County, AL)

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

Goal: The Red Rock Ridge & Valley Trail System will be a complete network of bike lanes, sidewalks, and trails connecting communities across Jefferson County.

Impact: The master plan for over 200 miles of shared-use greenways and trails and over 600 miles of street-based bicycle and pedestrian pathways will improve alternative transportation and recreational opportunities.

Required Influenza Vaccination for Children in Licensed Child Care or Preschool Programs

Filed under Evidence-Based Practice, Community / Governance, Children

Goal: The goal of requiring that all Connecticut children receive at least 1 dose of influenza vaccine each year to attend a licensed child care program and preschool setting is to reduce influenza transmission and decrease influenza-associated hospitalizations statewide.

Impact: Requiring vaccination for admission into a licensed child care program or preschool program has helped to increase vaccination rates among children in Connecticut and reduced serious morbidity from influenza statewide.

Rideshare-Based Medical Transportation for Medicaid Patients (Philadelphia area, PA)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality

Goal: To evaluate the impact of rideshare-based medical transportation on the proportion of Medicaid patients attending scheduled primary care appointments.

Rural medical-legal partnership and advocacy: a three-year follow-up study. (southern Illinois)

Filed under Evidence-Based Practice, Economy, Rural

Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).

Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.

Safer Choices (California, Texas)

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of the Safer Choices program is to reduce the number of students engaging in unprotected sexual intercourse.

Impact: The program reduced the frequency of intercourse without a condom, reduced the number of sexual partners with whom students had intercourse without a condom, and increased use of condoms and other protection against pregnancy at last intercourse.

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.

Saving Smiles (Lafayette County, Missouri)

Filed under Good Idea, Health / Oral Health, Children, Families, Rural

Goal: The goal of Saving Smiles is to improve the oral health and in turn overall health of children in Lafayette County, especially for the poor and underserved.

Impact: Most students from the 11 participating schools in Lafayette County received a screening, fluoride varnish, and oral health education, and most of the children referred for dental care were seen by a dentist.

Schools and Families Educating Children (SAFEChildren)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families, Urban

Goal: The goal of the program is to help families gain or increase parenting and family management skills that would facilitate successful child academic and social adjustment and, therefore, to promote social and academic competence and to lower risk for later antisocial behavior. In addition, the intervention concentrates on promoting initial academic success.

Impact: Children who received the intervention improved in overall reading ability at a more rapid rate than those who did not receive the intervention. In addition, SAFEChildren participants showed an improvement in concentration.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.