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

Athletes Targeting Healthy Exercise & Nutrition Alternatives (ATHENA) (USA)

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

Goal: The mission of the ATHENA (Athletes Targeting Healthy Exercise & Nutrition Alternatives) program is to promote healthy sports nutrition and discourage the use of body-enhancing substances among middle and high school female athletes.

Impact: Participation in the ATHENA program results in significant reductions in the use of performance-enhancing substances, recreational drugs, diet pills, tobacco, and alcohol among female teen athletes. Healthier eating and other health behaviors, and body image perceptions were also improved.

Baltimore Needle Exchange Program (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Women, Men, Racial/Ethnic Minorities, Urban

Goal: The goal of the Baltimore Needle Exchange Program is to reduce HIV, hepatitis, and other infections by reducing the use of unclean needles and to help individuals overcome substance abuse by connecting them to harm reduction services and drug treatment programs. The experimental case manager intervention program at the Baltimore NEP looked to increase the percentage of intravenous drug users who enrolled in city sponsored substance abuse programs following referral at the Baltimore NEP sites.

Impact: The intervention program through Baltimore NEP was effective in increasing entry of intravenous drug users into drug drug treatment programs and highlights the need for more accessible treatment programs and harm-reduction services, such as mobile treatment facilities.

Be a Star (St Louis, MO)

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

Goal: The Be a Star program was developed to help preadolescents gain the knowledge and skills necessary to resist drugs.

Impact: During the third year of the evaluation, very strong differences emerged between intervention and control groups. The treatment groups scored significantly higher on the scales rating family bonding, pro-social behavior, self-concept, self-control, decision-making, emotional awareness, assertiveness, cooperation, attitudes toward drugs and alcohol, self-efficacy, attitudes toward African-American culture, and school bonding.

Becoming a Responsible Teen (BART) (Jackson, Mississippi)

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

Goal: The goals of this intervention include: increasing information and skills to make sound choices, increasing abstinence, and eliminating or reducing sex risk behaviors.

Impact: Among teens who participated, there was a decrease in sexual activity compared to those who did not participate in the program. Also among participants, there was an increase in sexual intercourse occasions that were condom-protected.

Behavior Management Through Adventure

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

Goal: The goal of Behavior Management through Adventure is to address the needs of at-risk youth in therapeutic settings.

Impact: Behavior Management Through Adventure was successful in lowering rearrest rates, decreasing the time period from release until rearrest, improving depression symptoms, increasing family self-concept, and lowering social introversion.

Behavioral Intervention to Prevent STDs among Minority Women in Texas (Texas)

Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of the study was to prevent STDs in high-risk minority women through three culture-specific small group education and counseling sessions, delivered over time.

Impact: Reinfection rates of chlamydia and gonorrhea were significantly lower at each follow-up among participants in the small-group counseling sessions than in the control group. Integration of behavior-change theory with extensive qualitative data collected in target communities enabled the study to create culturally meaningful strategies to promote the recognition of risk and to stimulate motivation to effect personal change.

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.

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.

Body Project (Dissonance Intervention)

Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Women

Goal: The Body Project is a dissonance intervention designed to help women in high school and college resist societal and cultural pressures to conform to an idealized notion of what it means to be 'thin' and to help increase body acceptance. A reduction in thin-ideal internalization should result in reduced use of unhealthy weight-control behaviors, decreased eating disorder symptoms, and overall increase in mood and well-being.

Impact: The Body Project program has yielded numerous significant benefits at posttest and 6 months, 1 year, 2 years, and 3 years after program implementation. These include significant reductions in body dissatisfaction, bulimic symptoms and psychosocial impairment compared to control group participants.

Bootheel Heart Health Project (Missouri)

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

Goal: The goal of the Bootheel Heart Health Project was to reduce risk factors for cardiovascular disease and decrease morbidity and mortality due to cardiovascular disease.

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.