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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Kaiser Kids Sun Care Program (Colorado)

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

Goal: To increase sun protection behaviors in early childhood.

Kinship Connections

Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Adults, Women, Men, Families, Urban

Goal: Research shows that children benefit from kinship care in many ways. Kinship care can reduce the trauma that children may have previously endured and the trauma that accompanies parental separation by providing them with a sense of stability and belonging in an otherwise unsettling time. Children who have been placed with relatives may have experienced chronic neglect and physical, sexual, or emotional abuse. While these experiences place children at risk for behavioral and health problems, a positive relationship with a caregiver and a stable and supportive living environment can mitigate their impact.1 Grandparents, other relative caregivers, and “fictive kin” — close friends holding a family-like bond with a child — are in a unique position to fill this supportive role and promote resiliency.

The goal of Kinship Connections is to support kin families' social, emotional, and economic needs to increase placement stability within the child’s community. Specific program objectives are to improve family economic security, family relationship functioning, child well-being, and to increase kin caregiver social support.

1Center on the Developing Child. (2007). The impact of early adversity on children’s development (InBrief). Retrieved from https://developingchild.harvard.edu/ resources/inbrief-the-impact-of-early-adversity-onchildrens-development.
2 Generations United. (2017). In loving arms: The protective role of grandparents and other relatives in raising children exposed to trauma. Retrieved from https://dl2.pushbulletusercontent.com/ uhDY7UgdGYnOod6G7VFkdKnuzE3yALmr/17- InLovingArms-Grandfamilies.pdf.

Maine Youth Overweight Collaborative (Maine)

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

Goal: MYOC aims to improve clinical practice, care, and outcome regarding children's weight.

Maryland WIC 5-A-Day (MD)

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

Goal: To increase daily fruits and vegetables servings by half in women served by WIC participants with the long term goal of reducing risk of cancer.

Impact: The Maryland WIC 5-A-Day Program shows that while multi-faceted community based interventions can effectively promote and sustain dietary change among low-income populations in order to reduce the risk of cancer, many obstacles remain in implementing such programs.

Minnesota Family Investment Program (Minnesota)

Filed under Evidence-Based Practice, Economy / Government Assistance, Families

Goal: The goal of the Minnesota Family Investment Program (MFIP) is to help families transition to economic stability by providing financial incentives to work.

Impact: Although MFIP cost Minnesota more than the ADFC welfare program, MFIP overall increased employment and wage earnings of participants by supplementing low income with welfare supplements. Most encouragingly, there is evidence to suggest the effects of the program persist after the program ended for the most disadvantaged.

Northern Manhattan Start Right Coalition (New York City, NY)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Children, Families, Racial/Ethnic Minorities

Goal: The goal of the Northern Manhattan Start Right Coalition is to increase the timely vaccination coverage rate for the 4:3:1:3:3 series for children ages 19 to 35 months.

Impact: The Start Right Coalition increased timely vaccination coverage from 63.0% in 2002 to 96.8% in 2007.

Opportunity NYC Demonstrations- Family Rewards (New York City)

Filed under Evidence-Based Practice, Economy / Poverty, Families, Urban

Goal: The goal of this program was to help poor families build up their “human capital” and avoid long-term poverty.

PACE+: Counseling Adolescents for Exercise and Nutrition (California)

Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Families

Goal: The goal of PACE+ for adolescents is to: decrease total dietary fat consumption; increase fruits & vegetable consumption; increase participation in moderate and vigorous physical activity; decrease sedentary habits among adolescents aged 11-15.

Parent Enrichment Program (Hamilton County, OH)

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban

Goal: Parenting education programs are designed to teach and enhance skills and behaviors that enable parents to better understand their child, support their development, and provide a more stable and supportive family environment. Research supports the numerous benefits of such programs, finding that parenting education programs help parents to teach communication and social skills while reducing their stress and improving their sense of competence. Importantly, these positive program outcomes are true for families regardless of whether they are currently dealing with issues of maltreatment or are simply at risk for it.

The Parent Enrichment Program is for families who are at risk for having their children removed from the home or whose children have been removed from the home due to abuse or neglect. The goal of the program is to enhance existing parenting skills, connect participants to needed resources, and support their goals related to social and economic self-sufficiency. Specific program objectives are to improve skills related to positive parenting and financial stability, develop family protective factors that guard against abuse and neglect, and reduce safety threats.

References:
Charlop-Christy, M. H., & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2, 98–112.
Solomon, R., Necheles, J., Ferch, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism: The PLAY Project Home Consultation program. Autism, 11, 205–224.
Koegel, R. L., Bimbela, A., & Schreibman, L. (1996). Collateral effects of parent training on family interactions. Journal of Autism and Developmental Disorders, 26, 347–359.
Cowen, P. S. (2001). Effectiveness of a parent education intervention for at‐risk families. Journal for Specialists in Pediatric Nursing, 6(2), 73-82.

Parent-Child Home Program (USA)

Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: To prepare children of disadvantaged families for academic success and to strengthen families through intensive home visiting.

Impact: When families are engaged in facilitated discussion, the participating families tend to talk more, read more, and have more positive interactions with their children. They engage in more educational activities at home and in their communities.

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.