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

North Carolina Breast Cancer Screening Program (North Carolina)

Filed under Effective Practice, Health / Cancer, Women, Racial/Ethnic Minorities, Rural

Goal: The goal of the North Carolina Breast Cancer Screening Program is to increase breast cancer screening among older African American women.

Northern Michigan Diabetes Initiative: Healthy Family Backpack Program (Michigan)

Filed under Good Idea, Health / Physical Activity, Children, Families

Goal: The Northern Michigan Diabetes Initiative is a regional collaboration dedicated to prevention, early detection, and management of diabetes. The Healthy Family Backpack Program connects with youth and their parents to educate participants on proper nutrition and promote healthy lifestyles to reduce childhood obesity.

Impact: The Northern Michigan Diabetes Initiative has distributed nutritional education materials to over 300 families. Of ninety-two families that set a healthy goal at the start of the program, forty-five continued to maintain that goal at the two-month mark.

Not-On-Tobacco (N–O–T)

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

Goal: The goal of this program is to help teens quit smoking.

Impact: One study showed that the percentage of students who reportedly quit smoking 15 months after the intervention was higher for participants. Another study showed that a greater percentage of participants reported smoking cessation 5 months after the intervention than non-participants.

Nurse-Led Secondary Prevention in Coronary Heart Disease (Scotland)

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

Goal: The goal of this nurse-led program is to improve secondary prevention among patients with coronary heart disease.

Nurses Improving Care for Health System Elders (NICHE)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goal of NICHE is to achieve systematic nursing change that will benefit hospitalized older patients. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care. The mission of NICHE is to import principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults.

Operation Ceasefire (Boston, MA)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Urban

Goal: The goals of the program are to carry out a comprehensive strategy to apprehend and prosecute offenders who carry firearms, to put others on notice that offenders face certain and serious punishment for carrying illegal firearms, and to prevent youths from following the same criminal path.

Opportunity Chicago (Chicago, IL)

Filed under Effective Practice, Economy / Employment, Adults

Goal: Opportunity Chicago's goal was to identify employment barriers within the system and to reduce those barriers by creating processes that would result in a smoother and more streamlined path to employment for CHA residents.

Impact: Of the 6,743 participants in an Opportunity Chicago program between 2006 and 2010, 5,185 (77%) were employed by the end of the project. Fifty-four percent retained employment for two or more years. Fifty-nine percent of participants saw an increase in quarterly earnings.

Orange County Juvenile Substance Abuse Treatment Court (Orange County, FL)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children

Goal: Florida started the drug court movement by creating the first treatment-based drug court in the nation in 1989. The drug court concept was developed in Dade County (Miami, Florida) stemming from a federal mandate to reduce the inmate population or suffer the loss of federal funding. The Supreme Court of Florida recognized the severity of the situation and directed Judge Herbert Klein to research the problem. Judge Klein determined that a large majority of criminal inmates had been incarcerated because of drug charges and were revolving back through the criminal justice system because of underlying problems of drug addiction. It was decided that the delivery of treatment services needed to be coupled with the criminal justice system and the need for strong judicial leadership and partnerships to bring treatment services and the criminal justice system together.

Peace Works (Miami, FL)

Filed under Effective Practice, Education / School Environment, Children

Goal: The goals of Peace Works are to (1) promote students' prosocial behavior through the use of conflict resolution; (2) enhance school climate through caring and support; (3) teach parents constructive problem solving and anger management; and (4) improve parents' positive affiliation with school.

Peacemakers Program

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

Goal: The goal of this program is to reduce aggressive behavior among children and adolescents.

Impact: An evaluation found significant, positive program effects on six of the seven variables assessed, including knowledge of psychosocial skills, self-reported aggression, and teacher-reported aggression, with a 41% decrease in aggression-related disciplinary incidents and a 67% reduction in suspensions for violent behavior.

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.