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

Safety Street (St. Louis, MO)

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

Goal: The mission of Safety Street is to increase injury prevention knowledge for children through interactive teaching of pedestrian, home, and vehicle safety.

Say It Straight

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

Goal: The goals of Say It Straight (SIS) training are prevention of risky or destructive behaviors, such as alcohol, tobacco, other drug (ATOD) use, violence, school drop-out, teen pregnancy, behaviors leading to HIV/AIDS; and promotion of wellness, personal and social responsibility, positive self-esteem and positive relationships.

Impact: SIS training results in statistically significant reductions in alcohol/drug related school suspensions. Juvenile criminal police offenses such as assaults, vandalism, burglary, etc. were also lower among trained students.

Second Step: A Violence Prevention Curriculum

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

Goal: The Second Step program is designed to increase students’ school success and decrease problem behaviors by promoting social-emotional competence and self-regulation.

Impact: A number of evaluations of the Second Step program have been conducted. Evaluations have found reductions in fighting and physical aggression, gains in pro-social skills and behavior, increased social competence, and increased knowledge of social skills.

Sources of Strength Suicide Prevention Program

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens

Goal: The goal of this intervention was to enhance protective factors associated with reducing suicide among high school students.

Impact: The Sources of Strength program was successful in increasing students likelihood of seeking help from an adult at school, as well as those adults ability to help suicidal students.

Staying Alive Drug Overdose Prevention and Response Program (Baltimore, MD)

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

Goal: The goals of the Staying Alive program are to teach drug users about how to recognize opiate overdose signs and symptoms, how to respond to any overdose cases by calling 911, and how to use rescue breathing and naloxone administration to reduce life-threatening drug overdose.

Impact: Staying Alive reduces mortality due to opiate and heroin drug overdose.

Step-by-Step Approach to Sustain a Community Health Worker Intervention (Philadelphia, PA)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality

Goal: To find, explore, and implement a sustainable funding stream for community-based healthcare interventions.

Stepping On Fall Prevention Workshops (Dane, Wisconsin)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Older Adults

Goal: Stepping On aims to reduce the prevalence of falls among older adults. Falls are not a normal part of aging and the risk and/or prevalence of falls may be decreased by taking certain steps, including vision checks, medication management, strength & balance exercises, and home safety checks. Falls and/or the fear of falling often lead to a loss of independence.

Impact: This evidence-based program demonstrated a 31% reduction in falls among participants in an Australian trial. It reached a 50% reduction in falls among participants in a U.S. workshop.

Stepping Up To Health (Michigan)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults, Urban

Goal: To determine whether online peer support will increase adherence to an Internet-based pedometer walking program.

Impact: Stepping up to Health shows that online communities can help reduce attrition within online health behavior change interventions.

Steps to Respect: A Bullying Prevention Program

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

Goal: The goal of the program is to decrease school bullying problems by 1) increasing staff awareness and responsiveness, 2) fostering socially responsible beliefs, and 3) teaching social-emotional skills to counter bullying and promote healthy relationships. Thus the program also aims to promote skills (e.g., group joining, conflict resolution) associated with general social competence.

Impact: Students in the intervention schools reported significantly less acceptance of bullying/aggression, perceived greater adult responsiveness, and felt more responsible to intervene with friends who were bullied (bystander responsibility) than students in the control schools.

Strengthening Families Program: For Parents and Youth 10-14 (Iowa)

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

Goal: The goals of this program are to (1) prevent teen substance abuse and other behavior problems; (2) strengthen parenting skills; and (3) build family strengths.

Impact: The evaluation demonstrated that youths who participated in the study had less substance use, fewer conduct problems, and better resistance to peer pressure and that program parents were better able to show affection and support and set appropriate limits for their children.

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.