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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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The Aban Aya Youth Project (AAYP) (Chicago)

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

Goal: The goal of this intervention is to reduce high-risk behavior among African American youth as measured by student self-reports of violence, provocative behavior, school delinquency, substance use, and sexual behaviors (intercourse and condom use).

Impact: AAYP reduced rates of risky behaviors among male African American youth.

The Chinese Women's Health Project (Seattle, Washington)

Filed under Evidence-Based Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The program aimed to increase the rate of cervical cancer screening in Chinese women living in North America in response to research findings of significantly lower cervical cancer screening rates in Chinese women.

Impact: This intervention program found that women who received an intervention had cervical cancer screenings at a higher rate than those who did not receive any intervention. This shows that culturally and linguistically appropriate interventions might help improve Pap testing rates among Chinese women.

The Eastern Virginia Care Transitions Partnership (Urbanna, VA)

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

Goal: Reduce hospital/nursing home readmissions and improve care for older adults.

Impact: Reduced 30-day readmission rate from 18.2 to 8.9 percent over the course of 2 years, resulting in estimated savings of more than $17 million through 1,804 avoided readmissions.

The Green House Project (USA)

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

Goal: The mission of the Green House Project is to partner with organizations, advocates, and communities to lead the transformation of institutional long-term care by creating viable homes where elders and others enjoy excellent quality of life and quality of care.

Impact: Studies showed that Green House homes are likely to reduce hospitalization rates among residents, and Medicare and Medicaid costs per resident, when compared to residents in traditional nursing homes. Also, nurses are more likely to spend more hours in Green House homes.

Together Learning Choices (TLC) (Los Angeles, New York, San Francisco, and Miami)

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

Goal: The goal of Together Learning Choices was to help HIV-infected youth increase their use of health care, decrease drug and alcohol use and risky sexual behaviors, and improve their quality of life.

Impact: Together Learning Choices (TLC) showed that prevention programs can effectively reduce risk acts among HIV-infected youths.

Too Good for Violence (Tampa, FL)

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens

Goal: The goal of the TGFV program is to help students learn the skills they need to get along peacefully with others and avoid violence.

Impact: Too Good programs empower children with the social-emotional learning and substance abuse prevention skills they need to lead happy and healthy lives.

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.

Transgender Economic Empowerment Initiative (TEEI) (San Francisco, CA)

Filed under Good Idea, Economy / Employment, Urban

Goal: To help members of the San Francisco bay area transgender community to secure stable employment in safe environments.

Trauma Center Intervention for Alcohol Disorders (Albuquerque, NM)

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

Goal: The goal of the Trauma Center Intervention for Alcohol Disorders is to reduce driving under the influence.

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