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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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Behavior Management Through Adventure

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

Goal: The goal of Behavior Management through Adventure is to address the needs of at-risk youth in therapeutic settings.

Impact: Behavior Management Through Adventure was successful in lowering rearrest rates, decreasing the time period from release until rearrest, improving depression symptoms, increasing family self-concept, and lowering social introversion.

Behavioral Intervention to Prevent STDs among Minority Women in Texas (Texas)

Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of the study was to prevent STDs in high-risk minority women through three culture-specific small group education and counseling sessions, delivered over time.

Impact: Reinfection rates of chlamydia and gonorrhea were significantly lower at each follow-up among participants in the small-group counseling sessions than in the control group. Integration of behavior-change theory with extensive qualitative data collected in target communities enabled the study to create culturally meaningful strategies to promote the recognition of risk and to stimulate motivation to effect personal change.

Bootheel Heart Health Project (Missouri)

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

Goal: The goal of the Bootheel Heart Health Project was to reduce risk factors for cardiovascular disease and decrease morbidity and mortality due to cardiovascular disease.

Brief Alcohol Screening and Intervention of College Students (BASICS) (Seattle, WA)

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

Goal: The aims of the BASICS program are 1) to reduce alcohol consumption and its adverse consequences, 2) to promote healthier choices among young adults, and 3) to provide important information and coping skills for risk reduction.

Impact: Students who received a brief individual preventive intervention had significantly greater reductions in negative consequences that persisted over a 4-year period than their control-group counterparts. For those individuals receiving the brief intervention, dependence symptoms were more likely to decrease and less likely to increase.

Brief Strategic Family Therapy (Miami, FL)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Families

Goal: The goal of BSFT is to improve a youth's behavior problems by improving family interactions that are presumed to be directly related to the child's symptoms, thus reducing risk factors and strengthening protective factors for adolescent drug abuse and other conduct problems.

Impact: Adolescents who participated in BSFT showed a significantly greater reduction in conduct problems than adolescents in the comparison condition, who received a participatory-learning group intervention. BSFT participants also showed a significantly greater reduction in socialized aggression.

Campaign for a Clean, Safe and Habitable Community (Los Angeles, CA)

Filed under Effective Practice, Economy / Housing & Homes, Urban

Goal: The mission of this project is to improve the safety and living conditions for residents of Boyle Heights and to empower those residents to make positive changes in their communitites and their lives.

CDC COMMUNITY GUIDE: Adolescent Health: Person-to-Person Interventions to Improve Caregivers' Parenting Skills (USA)

CDC

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

Goal: To modify adolescents' risk and protective behaviors by improving their caregivers' parenting skills based on sufficient evidence of effectiveness in reducing adolescent risk behaviors.

Impact: Although the estimated effects varied substantially and were not statistically significant, risk behaviors decreased and youth participants reported increased refusal skills and self efficacy for avoiding risky behaviors in the future.

Celebrating Families! (USA)

Filed under Effective Practice, Community / Social Environment, Families

Goal: The goal of Celebrating Families! is to strengthen recovery from alcohol and/or drugs, break the cycle of addiction, and increase successful family reunification.

Centering Pregnancy Plus Program (USA)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens, Women, Urban

Goal: The Centering Pregnancy Plus Project aims to reduce risk for HIV and other sexually transmitted diseases and improve health outcomes for young pregnant women, aged 14-21.

Impact: Facilitated group discussions promoting condom use among young women can increase condom use among participants.

Choosing Life: Empowerment, Actions, Results (CLEAR) (USA)

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

Goal: The goal of the CLEAR intervention is to empower HIV-positive youth to reduce risk behaviors and improve mental and physical health.

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.