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

HeartStrings (Dane, Wisconsin)

Local

Filed under Local, Good Idea, Health / Alternative Medicine, Older Adults

Goal: HeartStrings aims to enhance the quality of life for individuals with special needs. Through regularly-recurring, interactive sessions, the MSO’s Rhapsodie Quartet addresses the physical, emotional, cognitive, and social needs of hundreds of individuals each year in a comfortable and familiar setting.

HeartStrings mission statement is as follows:

1) To enhance the quality of life of underserved populations through live, interactive, and exceptional quality musical experiences that are informed by the American Music Therapy Association’s Standards of Practice.

2) To bring meaningful arts experiences directly to participants in a comfortable and
familiar setting.

3) To provide a valuable resource for facilities that serve aging populations, adults with dementia, and individuals with disabilities, or long-term illnesses.

Impact: HeartStrings has reached over 3,200 individuals with disabilities, long-term illness, and assisted-living needs, as well as aging adults with dementia since its start in 2006.

CDC Communities Putting Prevention to Work: King County, WA (King County, WA)

Filed under Effective Practice, Health / Physical Activity, Children, Teens

Goal: The King County Communities Putting Prevention to Work initiative goals are to reduce obesity and tobacco use.

Impact: Communities Putting Prevention to Work in King County is associated with reducing obesity prevalence among students in participating school districts and has made substantial progress towards decreasing tobacco use.

CDC Communities Putting Prevention to Work: San Antonio

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

Goal: The mission of Communities Putting Prevention to Work: San Antonio is to promote environmental changes to prevent obesity and make San Antonio one of the healthiest and most active communities in the nation.

Impact: Communities Putting Prevention to Work: San Antonio aims to reduce obesity by building accessible walking trails, providing bike-share programs, organizing free fitness programs and highlighting healthy eating options for the residents of San Antonio.

Communities Putting Prevention to Work: Cherokee Nation

Filed under Good Idea, Health / Physical Activity, Racial/Ethnic Minorities

Goal: The mission of Communities Putting Prevention to Work: Cherokee Nation is to promote healthy eating, physical activity and increase tobacco cessation throughout the tribe’s jurisdictional boundaries.

Impact: Communities Putting Prevention to Work: Cherokee Nation works to prevent obesity and tobacco use through various programs including chronic disease screenings, farm-to-school programs, and smoking cessation classes available to all Cherokees in the service area.

Communities Supporting Breastfeeding (Kansas)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families

Goal: The purpose of the Community Supporting Breastfeeding (CSB) designation program is to create a culture of breastfeeding support in communities, ultimately increasing breastfeeding initiation and duration rates and the health and well-being of families.

The CSB program’s immediate goals are to increase positive perceptions toward breastfeeding, increase the availability of breastfeeding resources, and reduce barriers experienced in the community by women of child-bearing age. The long-term goal of the project is to increase exclusive breastfeeding rates through a sustainable model of cross-sector support for breastfeeding.

The project also effectively addresses the racial and socioeconomic disparities in breastfeeding rates. The Kansas Breastfeeding Coalition’s collective impact approach supports efforts of those serving African-American and lower income women. As a result of this project, these organizations receive the support they need to increase their impact when they become aligned with other, larger organizations working toward similar goals, creating a synergy across groups working on breastfeeding support.

Impact: Based on results from our evaluation, along with improved exclusive breastfeeding rates in the majority of the communities that could be associated with the CSB criteria, we believe the CSB program is impactful.

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.

Building Educated Leaders for Life (BELL) (Selected communities in the U.S.)

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

Goal: BELL exists to transform the academic achievements, self-confidence, and life trajectories of children living in under-resourced, urban communities.

Impact: Students enrolled in summer courses may read more books during the summer than students not enrolled in summer courses.

Community Action for a Renewed Environment (CARE) (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The clear goal of CARE is to foster projects that will become self-sustaining and use CARE funding as seed money. The CARE Process is designed to encourage communities to enlist the support of project partners that will enable the project to continue even without EPA resources. Rather than supporting one time projects, CARE will support community partnerships that will endure and provide environmental benefits long into the future.

Help Educate to Eliminate Diabetes (HEED) (New York)

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

Goal: The goal of Project HEED is to lessen the incidence of diabetes in ethnic minority communities through peer-led educational interventions focusing on weight loss.

Mailed Psychoeducational Intervention for Colorectal Cancer Screening (England)

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

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

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.