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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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Parenting Management Training - The Oregon Model (PMTO) (Eugene, OR)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: The goal of this program is to teach effective parenting practices in order to promote healthy child adjustment.

Impact: Immediate changes for parents include improved positive parenting practices and reduced family coercion. Benefits to these parenting practices, in turn, have been found to result in reductions in child behavior problems and parental depression.

Parenting Wisely (Ohio)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: The goal of this program is to reduce child behavior problems and delinquency and substance abuse among adolescents, to improve parenting knowledge and skills, and to strengthen the relationship between adolescent and parent.

Impact: Findings from studies show an association between Parenting Wisely participation and improvements in family problem solving, family roles, family involvement, parenting self-efficacy, parenting sense of competence, and decreased adolescent violent behavior.

Parenting With Love and Limits (Savannah, GA)

Filed under Evidence-Based Practice, Community / Social Environment, Families

Goal: The goal of the Parenting with Love and Limits® (PLL) program is to improve behavioral problems in children by providing therapy and training to parents in order to restore a level of competent, effective parenting and create greater family connectedness.

Impact: Youth in the PLL group had significantly greater reductions in conduct disorder problem behaviors compared with youth in the control group. Specifically, they had greater improvements in anxiety/depression, withdrawn/depression, social problems, attention problems, rule-breaking problems, aggressive behaviors, internalizing problems, and externalizing problems.

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.

Physician Asthma Care Education (PACE) (USA)

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

Goal: The goal of Patient Asthma Care Education is to improve asthma health outcomes for children through clinician education and skill building.

Safety Stop: Child Passenger Safety Education (St. Louis, MO)

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

Goal: The mission of Safety Stop is to increase the number of children who are properly secured in safety seats during trips made in a vehicle by educating parents and caregivers participating in Safety Stop car seat fittings and consultations.

Impact: Safety Stop increased mean scores on child safety seat knowledge by 5% (p < 0.01) among participating parents and caregivers.

SIDS Risk Reduction Training for Parents and Family Members (Washington, D.C.)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families, Racial/Ethnic Minorities

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position and roomsharing without bedsharing.

Impact: A 15-minute educational session with small groups of parents is effective in informing parents about the importance of safe sleep position and in changing parent behavior for at least the first 6 months of the infant's life.

Strengthening Families Program: For Parents and Youth 10-14 (Iowa)

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

Goal: The goals of this program are to (1) prevent teen substance abuse and other behavior problems; (2) strengthen parenting skills; and (3) build family strengths.

Impact: The evaluation demonstrated that youths who participated in the study had less substance use, fewer conduct problems, and better resistance to peer pressure and that program parents were better able to show affection and support and set appropriate limits for their children.

Systematic Training for Effective Parenting (STEP)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Adults, Families

Goal: The goal of this program is to provide parents with the necessary skills to improve their parent/child communication and overall family functioning.

Impact: STEP has been implemented in more than 1,000 schools, agencies, churches, and mental health treatment facilities since 1976, reaching more than 4 million parents. Outside the US, STEP has been implemented in Australia, Canada, Germany, Ireland, Mexico, New Zealand, the Philippines, Romania, and South Korea.

Triple P - Positive Parenting Program (South Carolina)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: Triple P aims to prevent maltreatment and behavioral, emotional and developmental problems in children by strenghtening the knowledge, skills and confidence of parents.

Impact: The program found a 25-35% reduction in child maltreatment, child maltreatment related hospitalizations and injuries, and foster home placements of children for young children at two-year followup of the program.

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.