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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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Nurse Family Partnership (NFP): Palm Beach (West Palm Beach, FL)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women, Urban

Goal: The program has three primary goals:
1) to improve pregnancy outcomes by promoting health-related behaviors;
2) to improve child health, development and safety by promoting competent care-giving; and
3) to enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment.

The program also has two secondary goals: to enhance families' material support by providing links with needed health and social services, and to promote supportive relationships among family and friends.

Impact: The Nurse Family Partnership Program has shown to improve pregnancy outcomes, improve child health and development, and increase economic self-sufficiency.

Nurse-Family Partnership

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women

Goal: The program has three primary goals:
1) to improve pregnancy outcomes by promoting health-related behaviors;
2) to improve child health, development and safety by promoting competent care-giving; and
3) to enhance parent life-course development by promoting pregnancy planning, educational achievement, and employment.

The program also has two secondary goals: to enhance families’ material support by providing links with needed health and social services, and to promote supportive relationships among family and friends.

Impact: Evaluations of the program have shown that women who were visited by nurses had significantly better outcomes than those who did not in terms of measures such as maternal health, maternal life-course development, child health and safety, and adolescent measures of delinquency.

Nurse-Led Secondary Prevention in Coronary Heart Disease (Scotland)

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

Goal: The goal of this nurse-led program is to improve secondary prevention among patients with coronary heart disease.

Parent-Child Assistance Program (Washington)

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

Goal: The goals of the program are to 1) assist mothers in obtaining treatment, maintaining recovery, and resolving the complex problems associated with their substance abuse, 2) guarantee that the children are in a safe environment and receiving appropriate health care, 3) effectively link families with community resources, and 4) demonstrate successful strategies for working with this population and thus reduce the numbers of future drug- and alcohol-affected children.

Impact: At a 36-month follow-up women in PCAP were more likely to have received alcohol/drug treatment than the control group. Cost savings were suggested by a reduction in length of out-of-home care and prevention of Fetal Alcohol Syndrome.

Patient and Physician Reminders to Promote Colorectal Cancer Screening (Massachusetts)

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

Goal: The goal of this program is to increase colorectal cancer screening rates among older primary care patients.

Patient/Provider Communication Assistant (Vermont)

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

Goal: The goal of this program is to improve communication between providers and patients about colorectal cancer screening.

Penn Resiliency Program (Pennsylvania)

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

Goal: The Penn Resiliency Program is a depression prevention program that seeks to reduce the longevity of symptoms exhibited and the severity of symptoms at onset of depression, through cognitive-behavioral therapy and problem-solving techniques.

Impact: The Penn Resiliency program shows that a group-based program seeking to prevent the initial onset of and decrease the exacerbation of depression children and teens by incorporating specific coping and problem-solving skills can reduce depressive symptoms over time.

Pool Cool (MA, HI)

Filed under Evidence-Based Practice, Health / Cancer, Children, Families

Goal: The main objective of Pool Cool is to increase awareness, motivation, and sun protection practices among children ages 5-10 who take swimming lessons.

Impact: The Pool Cool program had significant positive effects on children's use of sunscreen and overall sun-protection habits at swimming pools.

Prevention Care Management (New York, NY)

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

Goal: The goal of the Prevention Care Management program is to increase cancer screening among women.

Impact: Prevention Care Management increased mammography rates, cervical cancer screening rates, and colorectal cancer screening rates among participating women.

Program to Encourage Active, Rewarding Lives for Seniors (PEARLS) (Washington)

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: The goal of the PEARLS program is to provide home-based counseling in order to manage and treat depression among older 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.