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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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Car Heaven (Canada)

Filed under Effective Practice, Environmental Health / Air, Adults

Goal: The Car Heaven program aims to help Canadians reduce their personal impact on the environment by providing car retirement services for their old, higher-polluting vehicles.

Caring School Community Program

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

Goal: The goal of the Caring School Community program is to build classroom and school communities in order to support learning, academic success, positive relationships and character formation.

Impact: After 3 years, CSC students, relative to their comparison school counterparts, showed a greater sense of the school as a caring community, more fondness for school, stronger academic motivation, more frequent reading of books outside of school, a higher sense of efficacy, stronger commitment to democratic values, better conflict-resolution skills, more concern for others, more frequent altruistic behavior, and less use of alcohol.

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.

CDC COMMUNITY GUIDE: Asthma Control: Home-Based Multi-Trigger, Multicomponent Environmental Interventions (USA)

CDC

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Teens

Goal: To improve overall quality of life and productivity for children and adolescents that suffer from asthma.

Impact: Home-based multi-trigger, multi-component interventions with a combination of minor or moderate environmental remediation with an education component provide good value based on improvement in symptoms free days.

CDC COMMUNITY GUIDE: Behavioral and Social: Enhanced School-Based Physical Education (USA)

CDC

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens

Impact: Enhanced school-based physical education is recommended to increase physical activity based on strong evidence of effectiveness in increasing the amount of time students spend in moderate- or vigorous- intensity physical activity during PE classes. Enhanced school=based PE resulted in 10 percentage points more PE class time engaged in moderate- or vigorous-intensity physical activity as compared to standard PE classes.

CDC COMMUNITY GUIDE: Decreasing Tobacco Use Among Workers: Incentives & Competitions to Increase Smoking Cessation (USA)

CDC

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

Impact: Community mobilization integrated with additional interventions (i.e. stronger local laws for retailers) decrease youth tobacco use and access to these products.

CDC COMMUNITY GUIDE: Decreasing Tobacco Use Among Workers: Smoke-Free Policies to Reduce Tobacco Use (USA)

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends smoke-free policies to reduce secondhand smoke exposure and tobacco use on the basis of strong evidence of effectiveness. Evidence is considered strong based on results from studies that showed effectiveness of smoke‑free policies in:

Reducing exposure to secondhand smoke
Reducing the prevalence of tobacco use
Increasing the number of tobacco users who quit
Reducing the initiation of tobacco use among young people
Reducing tobacco-related morbidity and mortality, including acute cardiovascular events
Economic evidence indicates that smoke-free policies can reduce healthcare costs substantially. In addition, the evidence shows smoke-free policies do not have an adverse economic impact on businesses, including bars and restaurants.

CDC COMMUNITY GUIDE: Preventing Excessive Alcohol Consumption: Maintaining Limits on Hours of Sale (USA)

CDC

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

Impact: The Community Preventive Services Task Force recommends limiting access to alcohol by regulating the hours it can be sold as they found that increasing the hours available for alcohol sale can result in an increase in alcohol consumption and alcohol-related motor vehicle crashes.

CDC COMMUNITY GUIDE: Promoting Health Equity, Education Programs and Policies: Full-Day Kindergarten (USA)

CDC

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

Goal: Children in low-income families often experience delays in language and other development by the age of three. Compensating for these delays before children begin regular schooling can be critical to providing them with equal opportunities for lifelong employment, income, and health.

Impact: Outcomes included self-confidence, ability to work or play with others, independence, and school attendance by the end of kindergarten or the beginning of first grade.

CDC COMMUNITY GUIDE: Reducing Tobacco Use Initiation: Increasing the Unit Price of Tobacco Products (USA)

CDC

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

Goal: The goals is to make the use of tobacco products less attractive to young people
who have limited incomes and a variety of ways to spend their money.

Impact: These interventions that increase the price of tobacco products
showed strong evidence of their effectiveness in:
• Reducing tobacco use among adolescents and adults
• Reducing population consumption of tobacco products
• Increasing tobacco use cessation

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.