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

Reach Out and Read: Washington, D.C. (Washington, D.C.)

Filed under Evidence-Based Practice, Education / Literacy, Children, Adults, Families, Urban

Goal: Reach Out and Read prepares America's youngest children to succeed in school by partnering with doctors to encourage families
to read together.

Romp & Chomp (Australia)

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

Goal: The goal of Romp & Chomp is to increase healthy eating and physical activity in order to reduce overweight and obesity in children less than 5 years of age.

Impact: The Romp & Chomp program was a multistrategy and multisetting community based intervention designed to reduce childhood obesity by encouraging healthy eating and active play. The program results have shown that Romp & Chomp, working alongside other health promotion programs, was successful in reducing the prevalence of childhood obesity.

Safety Stop: Child Passenger Safety Education (St. Louis, MO)

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

Goal: The mission of Safety Stop is to increase the number of children who are properly secured in safety seats during trips made in a vehicle by educating parents and caregivers participating in Safety Stop car seat fittings and consultations.

Impact: Safety Stop increased mean scores on child safety seat knowledge by 5% (p < 0.01) among participating parents and caregivers.

School-Based Asthma Therapy (Rochester, NY)

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

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

Schools and Families Educating Children (SAFEChildren)

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

Goal: The goal of the program is to help families gain or increase parenting and family management skills that would facilitate successful child academic and social adjustment and, therefore, to promote social and academic competence and to lower risk for later antisocial behavior. In addition, the intervention concentrates on promoting initial academic success.

Impact: Children who received the intervention improved in overall reading ability at a more rapid rate than those who did not receive the intervention. In addition, SAFEChildren participants showed an improvement in concentration.

SIDS Risk Reduction Training for Child Care Providers (Washington, D.C.)

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

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position, use of cribs (instead of adult beds and couches), and elimination of bedding.

Impact: Childcare provider behavior related to safe sleep practices can be improved from short, in-person targeted educational sessions.

SIDS Risk Reduction Training for Parents and Family Members (Washington, D.C.)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families, Racial/Ethnic Minorities

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position and roomsharing without bedsharing.

Impact: A 15-minute educational session with small groups of parents is effective in informing parents about the importance of safe sleep position and in changing parent behavior for at least the first 6 months of the infant's life.

Strengthening Families Program/Strengthening Hawaii Families (Hawaii)

Filed under Evidence-Based Practice, Community / Social Environment, Families, Racial/Ethnic Minorities

Goal: The program aims to reduce substance abuse risk factors and improve relationships in high-risk families.

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.

Strong African American Families (SAAF) (Georgia)

Filed under Evidence-Based Practice, Health / Adolescent Health, Children, Teens, Families, Racial/Ethnic Minorities, Rural

Goal: The SAAF program aims to prevent initiation of risk behaviors such as drug abuse, alcohol and cigarette use, and sexual activity in low-income African American preadolescents.

Impact: This program has helped create positive family interactions and support youth and teens as they take the next steps toward a positive future.

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.