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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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Prolonged Exposure Therapy

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

Goal: The goal of this program is to improve treatment outcomes for patients with post-traumatic stress disorder.

Impact: PE Therapy is considered by expert consensus the treatment of choice for PTSD clients whose prominent symptoms include intrusive thoughts, flashbacks, and trauma-related fear and avoidance. One study demonstrated that the treatment group showed significant improvement in PTSD symptoms and depressive symptoms at posttest, and these treatment effects were maintained at 6-month follow-up.

Public Health Surveillance and Communications Using Regional Emergency Medicine Internet (REMI) (Milwaukee, WI)

Filed under Effective Practice, Community / Social Environment

Goal: The goal of this program is to provide real-time information about fast-breaking environmental hazards, communicable outbreaks, or terrorist events.

Quality Improvement Project to Improve the Immunization Rate in the Women, Infant, and Children Program (Reno County, KS)

Filed under Good Idea, Health / Children's Health, Children, Families, Urban

Goal: The goal of this program is to increase the immunization rate of WIC children.

Impact: The WIC immunization rate for 2 year olds increased from 33% in the 3rd quarter of 2011 to 83% in the 4th quarter of 2012. The no-show rate for WIC appointments decreased from 68% to 27.6%.

Re/Storing Nashville (Davidson)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Goal: Re/Storing Nashville seeks to end hunger through creating a healthy, just and sustainable food system.

ReachOut Central (Australia)

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

Goal: The goal of ReachOut Central (ROC) is to improve mental health among young people through an online gaming service by teaching them the practical coping skills for dealing with major stressors in life, ranging from issues such as alcohol use to psychological distress.

Impact: The aggregate results of this statistical analysis point to ReachOut Central's potential to impact and improve certain factors, such as coping ability, but also to relatively unexplored gender-dependent outcomes for other factors like alcohol consumption.

Real AIDS Prevention Project (RAPP)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Women, Urban

Goal: The goal of the Real AIDS Prevention Project is to help women and their partners reduce their risk for HIV infection.

Impact: Community-level interventions may be an effective way to reach large numbers of women and change their condom-use behaviors, particularly their behaviors with regard to communication with main sex partners.

Rejuvenation of Base Recycling Program at Tinker AFB (Oklahoma City, OK)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of this program is to reduce waste and encourage recycling at Tinker Air Force Base.

Renewal House (Western Connecticut region)

Filed under Good Idea, Economy / Housing & Homes, Older Adults, Urban

Goal: The goal of renewal house is to reduce homelessness of older individuals in Greater Danbury Area, CT, by providing safe, secure housing, renewing a sense of hope, reinforcing self-worth and restoring dignity and confidence.

Residential Student Assistance Program

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

Goal: The goal of this program is to prevent and reduce substance use and abuse among high risk, multi-problem adolescents placed in residential child care facilities.

Impact: One evaluation showed that adolescents participating in RSAP showed significant reductions in their use of alcohol, marijuana, and tobacco from pretest to posttest measures.

Rochester AIDS Prevention Project (RAPP) (Rochester, NY)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities, Urban

Goal: The goals of the program are: 1) to promote abstinence maintenance among sexually abstinent students and encourage safer sex practices to sexually active students, 2) compare the effect of RAPP when taught by different providers, and 3) to explore the factors that impact a student's decision to engage in sexual activity.

Impact: Regular teacher-taught male (p=.001) and female students (p=.05) and peer-taught male students (p=.02) had the highest rates of delaying the onset of sexual activity.

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.