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

Deer-Targeted Interventions on Lyme Disease Incidence (Northeastern United States)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Rural

Goal: The goal of the interventions is to reduce the number of blacklegged ticks to ultimately reduce the incidence of Lyme disease.

Impact: The four-poster device was effective in decreasing erythema migrans (EM) rash incidence in an endemic area. The deer hunt did not have a significant effect on the incidence of EM rash, although the incidence did decrease.

Detroit's Asthma Education Project (Detroit, MI)

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

Goal: The objectives of the program were to educate students, parents, and school staff about asthma management and to control exposure to factors that trigger asthma attacks.

Diabetes-Based Science Education for Tribal Schools (DETS) (USA)

Filed under Evidence-Based Practice, Health / Diabetes, Children, Teens, Racial/Ethnic Minorities

Goal: The goal of the Diabetes-Based Science Education for Tribal Schools (DETS) curriculum is to slow or reverse the rising rate of type 2 diabetes in American Indian/Alaskan Native (AI/AN) youth through a pedagogy based in a combination of a science-based diabetes/health education curriculum and culturally relevant contexts.

Impact: Overall, the DETS curriculum shows that collaboratively-developed curriculums and education courses can have an effective impact across grade levels with students having significant knowledge gains, and can also serve as a supplement for other science and social science curriculums in schools.

Dialectical Behavior Therapy

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

Goal: The goal of Dialectical Behavior Therapy is to use a cognitive-behavioral treatment approach to treat patients with multiple disorders.

Impact: After 1 year of treatment, a smaller percentage of DBT participants reported suicide attempts compared with TBE patients. DBT also reduced Nonsuicidal Self-Injury (NSSI) behavior over the course of 1-year treatment.

Dining with Dignity (Kansas City, MO (Historic Northeast))

Filed under Effective Practice, Economy / Poverty, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: As a leader in Kansas City's emergency food network, ECS is committed to providing access to healthy food for the community's food-insecure households. Its mission is to engage the Episcopal and broader communities in feeding the hungry and empowering the poor to move beyond the barriers of poverty with dignity - in short, feeding the hungry & changing lives. ECS is best known for the Kansas City Community Kitchen (KCCK) in the heart of the urban food desert. ECS also works to provide meaningful training experience through the Culinary Cornerstones Training Program, a 30-week immersive program preparing individuals for careers in the culinary world.

Impact: Since implementing the new service model, there has been a 10% average increase in the number of daily meals served at the Kansas City Community Kitchen. There has also been a large increase of volunteers, with an increasing number of recurring volunteers.

Direct Instruction

Filed under Good Idea, Education / Student Performance K-12, Children

Goal: The goal of this program is to maximize learning for all students.

Domestic Violence Emergency Response Teams for Zero Tolerance (DVERT/ZT) (Santa Barbara County, CA)

Filed under Effective Practice, Community / Domestic Violence & Abuse, Families, Urban

Goal: The program works to counsel and assist domestic violence victims by providing them with information about available resources and services, as well as their legal and other options. They also offer medical assistance and emergency shelter, including transportation to the shelter. Through legal advocacy and education, DVERT teams work to reduce domestic violence in Santa Barbara County.

Dramatic Health Education Project: STDs/HIV (Kansas City, MO)

Filed under Good Idea, Health / Adolescent Health, Teens, Urban

Goal: The Coterie exists to provide professional classic and contemporary theater, which challenges the audience and artist alike, and to provide educational, dramatic outreach programs in the community. The Coterie seeks to open lines of communication between races, sexes and generations. The objectives of DHEP are to improve knowledge regarding HIV and STDs and reduce the intentions of teenagers to practice high-risk behavior. DHEP also continues to refine the culturally-specific dramatic workshops and ensure story lines are relevant to teenagers.

Impact: After watching this program, over 75% of students report that they would be less likely to practice high-risk sexual behavior.

Draw the Line/Respect the Line (Northern California)

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

Goal: The primary aim of Draw the Line/Respect the Line is to reduce the number of students who initiate or have sexual intercourse and to increase condom use among those students who do have sexual intercourse.

Drinker's Check-up (Albuquerque, NM)

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

Goal: Drinker's Check-up is designed to help problem drinkers reduce their alcohol use and alcohol-related consequences.

Impact: Study participants had a significant reduction in alcohol use, alcohol-related consequences, symptoms of alcohol dependence, and a decrease in ambivalence about reducing alcohol use.

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.