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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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Condom Promotion (Phoenix, AZ)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults, Women, Urban

Goal: The goal of the Condom Promotion program was to increase condom use.

Explore (USA)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of the Explore study is to prevent HIV infection among HIV-negative men who have sex with men.

Focus on the Future (Kentucky)

Note: This practice has been Archived.

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

Goal: The goal of Focus on the Future is to reduce STD reinfections among young African American heterosexual males through correct and consistent condom use.

Healthy Employee Lifestyle Program (HELP) (Little Rock, AR)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Physical Activity, Adults, Urban

Goal: The goal of the Healthy Employee Lifestyle Program is to increase healthy behaviors such as eating fruits and vegetables and engaging in regular exercise.

Internet-Based Case Management for Secondary Prevention of Heart Disease (Virginia)

Note: This practice has been Archived.

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

Goal: The goal of this program is to provide risk factor management training and services to individuals with cardiovascular disease.

Impact: Intervention participants had significantly fewer cardiovascular events than patients who received usual care (4.1% vs. 15.7%, p = 0.053). Reduced hospitalization and emergency room expenses resulted in a gross cost savings of $1,418 per patient.

Mailed Brochure for Colorectal Screening (Denver, CO)

Note: This practice has been Archived.

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

Goal: The goal of this mailing is to increase colorectal cancer screening completion rates.

Impact: Colonoscopy screening adherence rates in the intervention group of the trial were higher than the rates in the control group.

Modelo de Intervencion Psicomedica (Puerto Rico)

Note: This practice has been Archived.

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

Goal: The goal of Modelo de Intervencion Psicomedica is to reduce high-risk behaviors that can lead to infection and transmission of HIV among intravenous drug users.

Moving to Opportunity for Fair Housing (Baltimore, Boston, Chicago, Los Angeles, and New Y)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Economy / Housing & Homes, Children, Teens, Adults, Rural

Goal: The goal of MTO was to impact behavior and lifestyle choices by changing neighborhood environments.

Nurse-Directed Inpatient Asthma Intervention (St. Louis, MO)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Adults

Goal: The goal of the Nurse-Directed Inpatient Asthma Intervention is to improve health quality and reduce hospitalization readmissions due to asthma.

Prescription for Health Diabetes Project (Homestead and Florida City, FL)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities, Rural

Goal: The goal of the Prescription for Health Diabetes Project was to improve health outcomes for people with type 2 diabetes through culturally-appropriate interventions.

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.
Michigan Health Improvement Alliance