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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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Healthy Relationships

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Women, Men

Goal: The goal of Healthy Relationships is to reduce the risk of HIV transmission by people who know they are HIV-positive by reducing the frequency with which they have unprotected sex.

Impact: Healthy Relationships seeks to develop decision making and problem making skills to reduce the risk and transmission of HIV through behavioral intervention. An intervention study resulted in significantly less unprotected intercourse and greater condom use with lower estimated HIV rates post-intervention.

Houston READ Commission (Houston, TX)

Filed under Good Idea, Education / Literacy

Goal: The Houston READ Commission's mission is to enrich the lives of adult Houstonians and their families by helping them achieve their full potential through literacy, and to contribute to a workforce that will ensure a strong economy and a promising future for the greater Houston area.

How to Cope (Kansas City, MO)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of How to Cope is to help adults impacted by a loved one's substance abuse create a balanced and healthy life, even if their loved one continues to abuse substances.

Impact: Over 100 adults impacted by a loved one's addiction to alcohol or drugs participated in How to Cope in 2013, with 87% showing increased knowledge of the harmful effects and other drugs and 100% completing an action plan.

It's Your Game: Keep It Real (Texas)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens

Goal: The goal of It's Your Game: Keep It Real is to reduce teen pregnancy, prevent STI transmission, and delay teen sexual activity in middle school students.

Impact: Participants in the It’s Your Game: Keep It Real intervention program were less likely to initiate sex by the ninth grade when compared to the control group.

Keepin' it R.E.A.L. Mother-Adolescent HIV Prevention Program (Atlanta)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Urban

Goal: The goals of this intervention were to delay initiation of sexual intercourse for youth who are not sexually active, encourage the use of condoms among sexually active youth, and enhance communication about sex between youths and their mothers.

Impact: Keepin' It R.E.A.L. teen participants increased their condom-use during sexual activity while maternal participants reported feeling more comfortable when discussing sexual issues with their teens.

Kentucky Mountain Housing Development Corporation (KMHDC) (Clay and Jackson Counties, KY)

Filed under Effective Practice, Economy / Housing & Homes, Rural

Goal: The goal of this program is to provide safe and affordable low-income housing in Clay and Jackson Counties.

Michigan Model for Health (Michigan)

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

Goal: The goals of this program are to establish a single application for school-based youth prevention programs; provide a common language and approach for parent, community, and student health programs; and reinforce prevention messages from a variety of sources.

Impact: Students who received the Michigan Model curriculum had significantly better health outcomes in several areas: social and emotional health, interpersonal skills, aggressive behavior, safety attitudes and skills, physical activity skills, nutrition behavior, drug refusal skills, recent alcohol and tobacco use, and intentions to use alcohol and smoke cigarettes.

National Coalition for Food-Safe Schools

Filed under Good Idea, Health / Food Safety, Children, Teens

Goal: The goal of the National Coalition for Food-Safe Schools is to reduce foodborne illness in the U.S. by improving food safety in schools.

Oklahoma Billboard Control and Removal Program (Oklahoma)

Filed under Good Idea, Community / Transportation, Adults

Goal: The goal of the Oklahoma Billboard Control and Removal Program is to comply with the requirements of the Oklahoma Highway Beautification Act by removing non-permitted billboards and regulating the installation of new billboards.

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