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

Walking School Bus (Houston, TX)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Urban

Goal: The goal of the "walking school bus" is to increase children's rates of active commuting to school and physical activity.

Diabetes Patient Education in a Mexican-American Community (Starr County, TX)

Filed under Effective Practice, Health / Diabetes, Racial/Ethnic Minorities

Goal: The goal of this promising practice was to provide Mexican-Americans with the knowledge, skills, and support to improve general health measures and manage their diabetes.

Project Health Education Awareness Research Team (HEART) (El Paso, TX)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Women, Men, Racial/Ethnic Minorities, Urban

Goal: The objective of Project HEART (Health Education Awareness Research Team) was to promote behavior changes to decrease cardiovascular disease (CVD) risk factors in a high-risk Hispanic border population.

TelePsych (Waco, Texas)

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

Goal: Baylor Scott & White started TelePsych because many of its hospitals do not have any psychologists or psychiatrists on staff. The Hillcrest hospital in particular has seen an increase in patients needing acute mental health care. Its location next to the highway and the dearth of other trauma centers means that the hospital receives 1-2 patients per day with acute mental health needs. Hillcrest has licensed medical social workers in the Emergency Department but struggled without an actual psychologist or psychiatrist available. Their goal in implementing TelePsych was to move mental health patients through the continuum of care efficiently and with empathy.

Impact: The hospital staff at Baylor Scott & White Hillcrest has been very impressed with the implementation and ease of use of the TelePsych process and system. Patient satisfaction has increased and staff are able to move patients through the next level of care more efficiently.

Healthy Kids Sonoma County (Sonoma)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Families

Goal: Healthy Kids plans to enroll all uninsured children who are not eligible for Medi-Cal and who are residents of Sonoma County in the health care and insurance program.

King County Asthma Program (King County, WA)

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

Goal: The goal of the King County Asthma Forum is to improve asthma outcomes among low-income children.

Riverside County Greater Avenues for Independence Program (GAIN) Program (Riverside County, CA)

Filed under Effective Practice, Community / Social Environment

Goal: The mission of the program is to work vigorously to free participants from the burden of welfare dependency, and achieve a better, happier lifestyle through self-sufficiency. It will serve the taxpayers of Riverside County by reducing welfare dependency, thus making tax dollars available for other expenditures and needs.

Impact: The program produced a large net savings to the government through increased tax revenues and reduced welfare and food stamps payments (as an estimate, $2.84 saved for every $1.00 invested over five years).

Prime Time Palm Beach County (Palm Beach, FL)

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

Goal: The goal of Prime Time Palm Beach County is to improve the quality of school-age afterschool programs through assessment, guidance, and support.

Impact: Based on the 2009 study findings, Prime Time's Quality Improvement System resulted in improvements made to afterschool programs which enhanced quality programming and important developmental learning experiences for youth.

Alameda County Food Scrap Recycling (Alameda County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program is to reduce food waste in order to achieve the ultimate Alameda County goal of a 75% landfill diversion rate by the year 2010.

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.

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.