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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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Mental Health: Universal School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends universal school-based cognitive behavioral therapy programs to prevent or reduce depression and anxiety symptoms among school-aged children and adolescents.
The CPSTF also recommends Targeted School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms for students who are assessed to be at increased risk for these conditions, and group and individual CBT to reduce psychological harm from traumatic events among children and adolescents.

Obesity: Meal or Fruit and Vegetable Snack Interventions to Increase Healthier Foods and Beverages Provided by Schools

CDC

Filed under Evidence-Based Practice, Health / Weight Status

Impact: The Community Preventive Services Task Force (CPSTF) recommends meal interventions and fruit and vegetable snack interventions to increase the availability of healthier foods and beverages provided by schools. This finding is based on evidence that they increase fruit and vegetable consumption and reduce or maintain the rate of obesity or overweight. Economic evidence shows that meal interventions and fruit and vegetable snack interventions are cost-effective.

Obesity: Multicomponent Interventions to Increase Availability of Healthier Foods and Beverages in Schools

CDC

Filed under Evidence-Based Practice, Health / Weight Status

Impact: The Community Preventive Services Task Force (CPSTF) recommends multicomponent interventions to increase availability of healthier foods and beverages in schools. This finding is based on evidence that they reduce or maintain the rate of obesity or overweight.

Obesity: Multicomponent Interventions to Increase Availability of Healthier Foods and Beverages in Schools

CDC

Filed under Evidence-Based Practice, Health / Nutrition & Healthy Eating

Impact: The Community Preventive Services Task Force (CPSTF) recommends multicomponent interventions to increase availability of healthier foods and beverages in schools. This finding is based on evidence that they reduce or maintain the rate of obesity or overweight.

Physical Activity and Teenage Health (PATH) Program (New York, NY)

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

Goal: The goal of the PATH Program is to improve knowledge of cardiovascular health and reduce risk factors associated with cardiovascular disease.

Providers And Teens Communicating for Health (PATCH) Program

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

Goal: PATCH envisions a supportive environment in which all adolescents are able to reach optimal health, safety, and economic security.

MISSION: To improve adolescent health and well being by engaging, educating, and empowering youth and adults as trusted partners in care.

Impact: Health care providers and teens who participate in the PATCH program show significant improvements in knowledge, self-efficacy, and behavioral intentions to seek and provide quality sexual health care.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

Rural medical-legal partnership and advocacy: a three-year follow-up study. (southern Illinois)

Filed under Evidence-Based Practice, Economy, Rural

Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).

Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.

Urban Mold and Moisture Program (Cuyahoga, OH)

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

Goal: The goal of the Urban Mold and Moisture Program is to reduce environmental mold, moisture, and asthma triggers in homes to improve pediatric respiratory health.

Vaccination Programs: Client Reminder and Recall Systems

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends client reminder and recall interventions to increase vaccination rates in children, adolescents, and adults.

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.