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

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.

Take Back the Park (New York, NY)

Filed under Effective Practice, Art & Recreation / Sports Recreation & Parks, Urban

Goal: The goal of this program is to provide positive recreational, cultural, and educational activities for young people and adults in New York neighborhoods.

Talking Parents, Healthy Teens (California)

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

Goal: The goal of Talking Parents, Healthy Teens is to help parents improve their communication skills with their adolescent children, promote healthy adolescent sexual development, and reduce risky adolescent sexual behaviors.

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.

Teens on Target (TNT) (Oakland, CA)

Filed under Good Idea, Community / Crime & Crime Prevention, Children, Teens, Urban

Goal: Program goals include educating and training young people from some of the most life-threatening neighborhoods of Oakland to enable them to participate in making their lives, their neighborhoods, and their communities safer and healthier, and educating policy makers, community members, and the media on the impact of violence on youth and violence prevention strategies.

Telehealth Connections for Children and Youth (Florida)

Filed under Effective Practice, Health / Health Care Access & Quality, Children

Goal: The purpose of this project is to link Florida’s Title V program (CMS) and local Community Health Centers to:

- Reach and identify uninsured children with special health care needs in Florida and enroll them in insurance
- Focus on underserved communities that traditionally have faced numerous barriers to care, particularly those in the black and Hispanic communities, and children living in rural areas
- Use telemedicine to facilitate enrollment in CMS, care coordination, and access to specialty care
- Work with trusted community elders -- grandmothers -- as lay health partners to facilitate health-related outreach and support to children with special health care needs and their families.

In short, the project seeks to build a sustainable medical home for children with special health care needs in the safety net.

Text4Health

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Women, Urban

Goal: Text4Health aims to improve immunization rates in urban, underserved, low-income populations via text messaging.

The AIMS Model

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

Goal: The Ambulatory Integration of the Medical and Social (AIMS) model aims to address social and environmental factors patients face that may prevent them from following their plan of care, thus impacting their health.

Impact: The AIMS model helps create better supported, less stressed, and better informed consumers and caregivers. There is also evidence to suggest that this model reduces ED usage and 30-day readmissions in participants.

The Associate Resource Line

Filed under Good Idea, Health / Mental Health & Mental Disorders

Goal: The goal of this program is to provide a resource and referral service that could meet the needs of lower-income employees who might not be well served under a typical employee assistance program.

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.