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.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens
Goal: The goal of the Adolescent Community Reinforcement Approach is to help adolescents recover from alcohol and drug addiction.
Impact: Results from studies on this treatment program demonstrate that there can be superior engagement, retention, and short-term substance use outcomes for those in the A-CRA and ACC approaches compared to UCC. The ACC protocol can also result in significantly more patients linking to continuing care.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens, Urban
Goal: ASSIST aims to develop a diverse group consisting of young people that will then influence their peers to defy the idea of smoking thus reducing the number of adolescent smokers and reducing its health effects.
Impact: A peer-led intervention reduced smoking among adolescents at a modest cost: the ASSIST program cost of £32 ($42 USD) (95% CI = £29.70–£33.80) per student. The incremental cost per student not smoking at 2 years was £1,500 ($1984 USD) (95% CI = £669–£9,947).
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.
Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities, Urban
Goal: The goal of the study was to prevent STDs in high-risk minority women through three culture-specific small group education and counseling sessions, delivered over time.
Impact: Reinfection rates of chlamydia and gonorrhea were significantly lower at each follow-up among participants in the small-group counseling sessions than in the control group. Integration of behavior-change theory with extensive qualitative data collected in target communities enabled the study to create culturally meaningful strategies to promote the recognition of risk and to stimulate motivation to effect personal change.
Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Women
Goal: The Body Project is a dissonance intervention designed to help women in high school and college resist societal and cultural pressures to conform to an idealized notion of what it means to be 'thin' and to help increase body acceptance. A reduction in thin-ideal internalization should result in reduced use of unhealthy weight-control behaviors, decreased eating disorder symptoms, and overall increase in mood and well-being.
Impact: The Body Project program has yielded numerous significant benefits at posttest and 6 months, 1 year, 2 years, and 3 years after program implementation. These include significant reductions in body dissatisfaction, bulimic symptoms and psychosocial impairment compared to control group participants.
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.
Filed under Effective Practice, Health / Health Care Access & Quality, Children
Goal: The goal of the Breathmobile® program is to help children control their asthma by providing accessible care at local school sites.
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.
CDC COMMUNITY GUIDE: Adolescent Health: Person-to-Person Interventions to Improve Caregivers' Parenting Skills (USA)
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)
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.