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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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BetterU (USA)

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

Goal: The goal of the BetterU intervention is to increase knowledge of heart disease, increase physical activity, and improve nutrition among women aged 25 years and older.

Bienestar: A School-Based Diabetes and Obesity Prevention Program (Texas)

Filed under Evidence-Based Practice, Health / Diabetes, Children, Families, Racial/Ethnic Minorities

Goal: The objectives of Bienestar are to decrease dietary saturated fat intake, increase dietary fiber intake, and increase physical activity among low-income Mexican-American elementary and middle school children.

Impact: The Bienestar Health Program statistically significantly increases fitness scores and dietary fiber intakes levels among low-income, Mexican-American fourth-graders. A second randomized control trial conducted from 6th to 8th grade showed reductions in various indexes of adiposity.

Birth and Beyond California Program (California)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health

Goal: The goal of Birth and Beyond California is to provide effective, evidence-based breastfeeding support to all mothers delivering babies in hospitals in California in order to increase the percentage of mothers who are able to breastfeed exclusively starting at birth.

BLAST Lyme Disease Prevention Program (Ridgefield, CT)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The goal of the program is to raise awareness of the most effective Lyme disease prevention practices, to educate the community about the early signs and symptoms of Lyme and other tick-borne diseases, and to promote timely diagnosis and treatment.

Impact: The BLAST program has raised awareness of the most effective Lyme disease prevention practices through various outlets and has been recommended by the CDC.

Blues Program (Cognitive Behavioral Group Depression Intervention)

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

Goal: To significantly reduce depressive symptoms and to reduce the rates of future major depressive disorder onset among adolescents.

Impact: The Blues Program has been shown to decrease depressive symptoms, decrease rates of major depression onset, decrease rates of substance use, and increase factors that are protective against depression.

Border Binge-Drinking Reduction Program (Tijuana, Mexico)

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

Goal: The goal of this program is to reduce public health and safety problems related to U.S. teen & binge drinking in Mexico.

Impact: With IPS leadership, there was a reduction in youth nighttime crashes by 45% and 37% fewer nighttime crossers with a blood alcohol content of 0.08 or higher.

BRI Care Consultation

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

Goal: BRI Care Consultation is an intervention for adults with a chronic physical or mental health condition or disability and a primary caregiver (family member or friend) who assists the adult with daily activities, tasks, and healthrelated discussions.

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.

Bridging the Gap: Youth Violence Reduction (Richmond)

Filed under Good Idea, Health / Prevention & Safety, Children, Teens, Families, Racial/Ethnic Minorities, Urban

Goal: To develop a useful, sustainable and replicable model designed to reduce the risk of re-injury and mortality in Richmond area youths who have been previously hospitalized with violence related injuries including gunshot wounds, stab wounds, and assault injuries.

Brief Strategic Family Therapy (Miami, FL)

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

Goal: The goal of BSFT is to improve a youth's behavior problems by improving family interactions that are presumed to be directly related to the child's symptoms, thus reducing risk factors and strengthening protective factors for adolescent drug abuse and other conduct problems.

Impact: Adolescents who participated in BSFT showed a significantly greater reduction in conduct problems than adolescents in the comparison condition, who received a participatory-learning group intervention. BSFT participants also showed a significantly greater reduction in socialized aggression.

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.
Greater Hampton Roads