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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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Cognitive Behavioral Intervention for Trauma in Schools (CBITS)

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

Goal: The goal of this program is to relieve symptoms of PTSD, depression, and general anxiety among children exposed to trauma.

Impact: Studies have found significant reductions in PTSD and depression symptoms for treatment children in CBITS when compared with a control group. Additionally, the program demonstrated effectiveness at reducing parent-reported psychosocial dysfunction among participating children.

Cognitive Behavioral Social Skills Training (San Diego, CA)

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

Goal: The goal of this program is to reduce disability in middle-aged and older people with schizophrenia.

Impact: At the end of treatment, CBSST participants had significantly greater cognitive insight scores, indicating more objectivity in reappraising psychotic symptoms relative to treatment as usual. At 1-year follow-up, participants in CBSST showed greater skill acquisition and significant improvements in social functioning relative to participants receiving treatment as usual.

Cognitive Relaxation Coping Skills (Fort Collins, CO)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Children

Goal: The goal of this program is to provide students with skills that can be used for understanding and controlling their emotions.

Color Me Healthy (North Carolina)

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

Goal: The goal of Color Me Healthy is to promote and encourage physical activity and healthy eating among children ages four and five.

Impact: The program has had a positive impact on children's knowledge of and participation in physical activity. Similarly, it has had a positive impact on children's ability to recognize and their willingness to try fruits and vegetables. It has also increased children's fruit/vegetable snack consumption.

Commit to Quit (USA)

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

Goal: The goal of Commit to Quit is to help female smokers quit smoking through group programming and exercise.

Community Trials Intervention to Reduce High-Risk Drinking

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

Goal: The goal of this program is to reduce high-risk drinking behaviors.

Impact: Studies demonstrate that the program resulted in decreases in substance use and behaviors related to risk factors. Participants had significant reductions in drinking quantities, variances in drinking quantities, rates of driving when having had too much to drink, and rates of driving over the legal limits relative to nonparticipants. There was also a significant decrease in the number of nighttime crashes per month and the monthly rates of driving under the influence (DUI) crashes.

Community-Based Secondary Stroke Prevention (Hong Kong, China)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of this program is to increase knowledge of stroke, encourage self-monitoring, and maintain healthy lifestyle changes to prevent secondary stroke.

Compassionate Healthcare (San Francisco, CA)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: Compassionate Healthcare seeks to provide affordable, accessible, and quality healthcare to the homeless and poor, offering a full range of traditional health care services, as well as HIV/AIDS, diabetes, mental health, substance abuse, and non-Western medicine services.

Comprehensive Diabetes Lower Extremity Amputation Prevention Program (Louisiana)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Racial/Ethnic Minorities, Rural

Goal: The goal of the Comprehensive Diabetes – Lower Extremities Amputation Prevention initiative is to improve foot care and reduce lower extremity amputations among people with diabetes.

Congenital Heart Disease Screening Program (Washington, D.C.)

Filed under Good Idea, Health / Children's Health, Children, Families

Goal: The Congenital Heart Disease Screening Program values early diagnosis of Congenital Heart Disease (CHD) with a goal of making screening for CHD a standard practice for all newborns.

Impact: The physicians at Children's National in the National Heart Institute created a toolkit that nurseries may use to start a screening program to improve detection of serious CHD.

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.
Michigan Health Improvement Alliance