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.

Submit a Promising Practice

Cognitive Behavioral Therapy for Late-Life Depression

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

Goal: The goal of this program is to use cognitive behavioral therapy to treat depression in older adults.

Impact: Research has shown that behavioral cognitive therapy helped patients reduce their depression symptoms, and maintained this improvement at 1-year follow-up more effectively than other types of therapy. At 6-month follow-up, clients who completed CBT were less likely to meet criteria for diagnoses of depression than clients who completed treatment as usual.

Color Me Healthy (North Carolina)

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

Goal: The goal of Color Me Healthy is to promote and encourage physical activity and healthy eating among children ages four and five.

Impact: The program has had a positive impact on children's knowledge of and participation in physical activity. Similarly, it has had a positive impact on children's ability to recognize and their willingness to try fruits and vegetables. It has also increased children's fruit/vegetable snack consumption.

Colorectal Cancer Screening Intervention for Veterans (Chicago, IL)

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

Goal: The goal of this program was to increase colorectal cancer screening recommendations and completion rates at a Veterans Affairs medical center.

Impact: Veterans Affairs (VA) patients in the intervention group received more recommendations for colorectal cancer screening and completed more screening tests compared to those in the control group.

Community Gardens Program (San Antonio)

Filed under Good Idea, Environmental Health / Built Environment, Children, Families

Goal: The Community Gardens Program aims to improve the health of the residents of San Antonio and the environment by creating community gardens, which provide a place for gathering, exercising, and learning, as well as preserving San Antonio’s green space.

Community Trials Intervention to Reduce High-Risk Drinking

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

Goal: The goal of this program is to reduce high-risk drinking behaviors.

Impact: Studies demonstrate that the program resulted in decreases in substance use and behaviors related to risk factors. Participants had significant reductions in drinking quantities, variances in drinking quantities, rates of driving when having had too much to drink, and rates of driving over the legal limits relative to nonparticipants. There was also a significant decrease in the number of nighttime crashes per month and the monthly rates of driving under the influence (DUI) crashes.

Community-based Exposure Study and Development of a Community-First Communication Model (San Francisco)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Rural

Goal: The goal of this study was to address the health effects of PFOA pollution, with a strong desire to implement a community-driven communication strategy to communicate the study results.

Cool Kids (Australia)

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

Goal: To teach children and parents how to manage anxiety disorders.

Coordinated Approach To Child Health (CATCH) (USA)

Filed under Evidence-Based Practice, Health / Physical Activity, Children

Goal: The goal of Coordinated Approach to Child Health (CATCH) is to improve nutrition, increase physical activity, and reduce obesity in preschool, elementary, and middle school aged children.

Impact: CATCH is successful in improving participants' diet and physical activity, and the results lasted three years after participation.

Coping and Support Training (CAST) (USA)

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

Goal: The goal of CAST training is to deliver life-skills training to high-risk high school students in order to increase mood management skills, improve school performance, and decrease drug involvement.

Impact: CAST participants in several NIH-funded studies saw significant and sustained reduction of suicide risk behaviors, reduction of drug use, reduction in depression, increase in personal control, increase in problem-solving, and increase in family support.

Coping Cat

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

Goal: The goal of this program is to help children recognize and deal with anxiety.

Impact: Studies have found that participants in the Coping Cat program show significant reductions in anxiety and fear, improvements in ability to cope with dreaded situations, and a reduction in the frequency of negative thoughts during the week.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.