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

Switch-Play (Melbourne, Australia)

Filed under Effective Practice, Health / Children's Health, Children, Urban

Goal: The primary goal of the ‘Switch-Play’ promising practice was to develop and test three approaches towards the achievement of healthy weight maintenance among 10-year-old children: (1) through reducing the time spent in sedentary behaviors (e.g. TV viewing, playing electronic games and recreational computer use); (2) through increasing skills and enjoyment of physical activity; or (3) through a combination of these two strategies.

Impact: Children participating in the behavioral modification and motor skills development components of Switch-Play had improved BMI.

Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

Tailoring Family Planning Services to the Special Needs of Adolescents (Central Pennsylvania)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Teens, Women, Rural

Goal: The goal of the study was to address the special psychosocial needs of adolescents and increase contraception use, equip adolescents with the education needed to make responsible decisions related to family planning matters, and decrease unintended pregnancies.

Impact: After a one-year follow-up, teens were less likely to be pregnant. Intermediate findings at six months showed that teens in the experimental group were more likely to continue using a birth control method and less likely to experience difficulty in dealing with contraceptive-related problems.

TALK Line Family Support Center (San Francisco, CA)

Filed under Good Idea, Community / Social Environment, Urban

Goal: The goal of TALK Line is to provide a safe, respectful, and comfortable place where parents and caregivers are supported.

Tarrant County WIC/Library Plan (Tarrant County, TX)

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

Goal: The goals of the Library plan are to promote early literacy, parent/child bonding, and breastfeeding education in the community.

Teams-Games-Tournaments Alcohol Prevention (Georgia)

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

Goal: The goal of this program is to educate students about alcohol and to prevent alcohol abuse.

Impact: Evaluations showed significant gains in alcohol-related knowledge, significantly better attitudes toward drinking and driving, and reductions in alcohol consumption.

Teddy Bear Clinic

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

Goal: The mission of the Teddy Bear Clinic is to decrease fear of medical professionals and the hospital environment, and to teach healthy habits at a young age.

Impact: The program has been highly regarded throughout the community, and we have had requests from parents outside the community to offer it to their schools as well. We are considering hosting two clinics for other schools to join.

Teen Health Project (cities in Wisconsin, Virginia, and Washington)

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

Goal: The goal of the Teen Health Project is to provide adolescents with the skills necessary to prevent HIV risk behaviors.

Impact: The Teen Health Project shows that community-level interventions that include skills training and engage adolescents in neighborhood-based HIV prevention activities can produce and maintain reductions in sexual risk behavior, including delaying sexual debut and increasing condom use.

Teen Outreach Program (TOP)

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

Goal: The program aims to develop healthy behaviors, life skills, and a sense of purpose in order to prevent problem behaviors.

Impact: Studies have shown that adolescents in the Teen Outreach Program are at 52% lower risk of school suspension, 60% lower risk of course failure, and 53% lower risk of teenage pregnancy.

TeenRehabCenter.org

Filed under Good Idea, Health / Adolescent Health, Teens, Adults, Families

Goal: The goal of TeenRehabCenter.org is to give parents the tools they need to be able to talk to their children and teens about drugs and alcohol. By providing these resources, it hopes to prevent more teens and young adults from substance abuse. It also aims to help those who are already struggling by furnishing recovery information that is tailored both for parents and for teens.

Impact: Time spent in treatment is forward progress, since the individual is removed from substance use and negative peer and environmental influences. At least half of teens who graduate from rehab will enjoy an extended period of sobriety. How they follow-up after rehab is over can play a massive role in how strong and stable these healthy habits become.

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.