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

Safety Street (St. Louis, MO)

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

Goal: The mission of Safety Street is to increase injury prevention knowledge for children through interactive teaching of pedestrian, home, and vehicle safety.

Explore. Define. Measure: An Integrated Curriculum for the Elementary Classroom (St. Louis, MO)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Urban

Goal: The EDM program integrates asthma education into elementary school core curriculum with the intentions of raising asthma awareness and increasing asthma management knowledge.

Impact: The EDM program provides students the opportunity to increase knowledge and develop health literacy about asthma as well as expand the availability of resources for teachers.

Healthy Kids Express - Asthma Program (St. Louis, Missouri)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Teens, Families

Goal: The mission of the Healthy Kids Express Asthma Program is to provide quality asthma care and education to children with asthma and their caretakers in a school environment to work towards goals set by Healthy People 2020 and the National Asthma Education and Prevention Program (NAEPP).

Impact: The Healthy Kids Express Asthma Program serves approximately 600 children a year, improving inhaler technique and asthma knowledge among participants. Children enrolled in the program for two consecutive years have lower school absentee rates and hospitalizations due to asthma.

Mailed Psychoeducational Intervention for Colorectal Cancer Screening (England)

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

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

Healthy Kids Express Dental Van (St. Louis, Missouri)

Filed under Effective Practice, Health / Children's Health, Children, Teens, Urban

Goal: The mission of Healthy Kids Express Dental is to improve oral healthcare in children through education on the importance of regular brushing, flossing, and using fluoride as well as through restorative treatments when necessary.

Impact: During the 2014-2015 school year, children pre-Kindergarten through 7th grade saw their average score on a dental knowledge test rise from 64.7% on the pretest to 72.1% on the posttest.

Healthy Kids Express Screening and Immunization Program (St. Louis, Missouri Metro Region)

Filed under Effective Practice, Health / Children's Health, Children, Teens, Families, Urban

Goal: The mission of HKES&I is to increase access to needed healthcare for children. This is accomplished through the goal of identifying children who need further follow-up, particularly for hearing and vision problems, and to connect them to those services.

Impact: Healthy Kids Express Screening and Immunization program is successful in providing evidence based care to low-income populations and for connecting those identified with screening needs to needed follow-up care.

SNAP 2 It! (St. Louis, Missouri)

Filed under Good Idea, Health / Physical Activity, Urban

Goal: The program aims to increase the consumption of local, healthy fruits and vegetables in SNAP participants.

Dramatic Health Education Project: STDs/HIV (Kansas City, MO)

Filed under Good Idea, Health / Adolescent Health, Teens, Urban

Goal: The Coterie exists to provide professional classic and contemporary theater, which challenges the audience and artist alike, and to provide educational, dramatic outreach programs in the community. The Coterie seeks to open lines of communication between races, sexes and generations. The objectives of DHEP are to improve knowledge regarding HIV and STDs and reduce the intentions of teenagers to practice high-risk behavior. DHEP also continues to refine the culturally-specific dramatic workshops and ensure story lines are relevant to teenagers.

Impact: After watching this program, over 75% of students report that they would be less likely to practice high-risk sexual behavior.

Be a Star (St Louis, MO)

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

Goal: The Be a Star program was developed to help preadolescents gain the knowledge and skills necessary to resist drugs.

Impact: During the third year of the evaluation, very strong differences emerged between intervention and control groups. The treatment groups scored significantly higher on the scales rating family bonding, pro-social behavior, self-concept, self-control, decision-making, emotional awareness, assertiveness, cooperation, attitudes toward drugs and alcohol, self-efficacy, attitudes toward African-American culture, and school bonding.

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.

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.