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

The City of Chula Vista's CO2 Reduction Plan (Chula Vista, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: The CO2 Reduction Plan was officially adopted by the Chula Vista City Council in November 2002 and aims to reduce CO2 emissions to 80% of 1990 levels by the year 2010. Specific action measures include:

- Municipal clean fuel vehicle purchases
- Green power use and public education program
- Telecommuting and telecenters
- Enhanced pedestrian connections and increased housing and employment density near transit
- Bicycle lanes, paths, and routes
- Energy efficient landscaping
- Solar pool heating
- Traffic signal and system upgrades

The New York City Compost Project (New York City)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this project is to provide compost outreach and education to New York City residents and businesses.

TransForm (Alameda)

Filed under Good Idea, Community / Transportation, Adults, Families

Goal: TransForm aims to create world-class public transportation and walkable communities in the Bay Area and beyond.

Urban Farming Education (West Oakland, CA)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: City Slicker Farms offers a range of educational programs through its Urban Farming Education initiative to enable individuals and communities to grow their own food.

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.

Wayne County Intensive Probation Program (Wayne County, MI)

Filed under Effective Practice, Community / Crime & Crime Prevention, Teens, Urban

Goal: The goal of this program is to prevent further criminal activity and incarceration among juvenile delinquents.

Why Murder? (Baltimore, MD)

Filed under Good Idea, Community / Crime & Crime Prevention, Teens, Adults, Families, Urban

Goal: Why Murder? works to reform and revitalize communities throughout Baltimore that are torn apart by homicides and the frequent administration of "street justice."

With All Families: Parents (Hamilton County, OH)

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

Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.

Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.

References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.

Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.

Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.

Year Up

Filed under Evidence-Based Practice, Economy, Adults

Goal: Year Up's mission is to close the Opportunity Divide by ensuring that young adults gain the skills, experiences, and support that will empower them to reach their potential through careers and higher education.

Impact: These approaches tend to be intensive and comprehensive, address psycho-social skills as well as occupation-specific competencies, provide opportunities for work-based learning, engage employers, incorporate evidence-based practices, and emphasize continuous improvement.

A Text Message-Based Intervention for Weight Loss (San Diego County, CA)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: To reduce weight in overweight and obese patients using mobile-based text and multimedia messaging.

Impact: At the end of a 4-month period, participants in the text-message based intervention showed greater weight loss than the control group.

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.