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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.

Practices that were submitted by local partners are listed first and will have a green box below them that indicates they are local. Users can also use the search features to find promising practices from across the country.

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Athletes Training and Learning to Avoid Steroids (ATLAS) (Portland, OR)

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

Goal: The goal of ATLAS is to reduce anabolic steroid, alcohol, and other illicit drug use by adolescent male athletes.

Impact: Student participants of ATLAS had significantly lower intent to use anabolic steroids at both the end of the athletic season and at the 1-year follow-up. Students in the intervention also significantly reduced illicit drug use and were significantly less likely to report drinking and driving.

Behavioral Couples Therapy for Alcoholism and Drug Abuse (BCT)

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

Goal: The goal of Behavioral Couples Therapy for Alcoholism and Drug Abuse is to improve success rates for treatment of alcoholism and drug abuse by involving intimate partners in the treatment process.

Impact: Numerous studies of the program have shown positive outcomes in five areas: substance abuse, quality of relationship with partner, treatment compliance, intimate partner violence, and children's psychosocial functioning. BCT clients also reported more relationship satisfaction than non-participants.

Bootheel Heart Health Project (Missouri)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Rural

Goal: The goal of the Bootheel Heart Health Project was to reduce risk factors for cardiovascular disease and decrease morbidity and mortality due to cardiovascular disease.

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: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket Costs: Breast Cancer (USA)

CDC

Filed under Evidence-Based Practice, Health / Cancer, Adults, Women

Goal: The goal of the interventions is to reduce client out-of-pocket costs to minimize or remove economic barriers that make it difficult for clients to access cancer screening services.

Impact: Costs can be reduced through a variety of approaches, including vouchers, reimbursements, reduction in co-pays, or adjustments in federal or state insurance coverage. Efforts to reduce client costs may be combined with client education, information about programs, or measures to reduce barriers.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket Costs: Cervical Cancer (USA)

CDC

Filed under Evidence-Based Practice, Health / Cancer, Adults, Women

Goal: The goal of the interventions is to reduce client out-of-pocket costs to minimize or remove economic barriers that make it difficult for clients to access cancer screening services.

Impact: Consistently favorable results for interventions that reduce costs for breast cancer screening and several other preventive services suggest that such interventions are likely to be effective for increasing cervical cancer screening as well.

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.
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