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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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A Matter of Balance

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

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

ASSIST: A Stop Smoking in Schools Trial (United Kingdon)

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

Goal: ASSIST aims to develop a diverse group consisting of young people that will then influence their peers to defy the idea of smoking thus reducing the number of adolescent smokers and reducing its health effects.

Impact: A peer-led intervention reduced smoking among adolescents at a modest cost: the ASSIST program cost of £32 ($42 USD) (95% CI = £29.70–£33.80) per student. The incremental cost per student not smoking at 2 years was £1,500 ($1984 USD) (95% CI = £669–£9,947).

CDC COMMUNITY GUIDE: Preventing Excessive Alcohol Consumption: Maintaining Limits on Hours of Sale (USA)

CDC

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

Impact: The Community Preventive Services Task Force recommends limiting access to alcohol by regulating the hours it can be sold as they found that increasing the hours available for alcohol sale can result in an increase in alcohol consumption and alcohol-related motor vehicle crashes.

CHOPPS: Preventing childhood obesity by reducing consumption of carbonated drinks (United Kingdon)

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

Goal: The goal of CHOPPS is to prevent childhood obesity by reducing the consumption of carbonated drinks among adolescents aged 7-11 through the implementation of an educational program.

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.

Rhode Island Greenhouse Gas Action Plan (Rhode Island)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The Rhode Island process builds on a recent agreement among all the New England Governors and Eastern Canadian Premiers to reduce greenhouse gases in the region to 1990 levels by 2010, 10% below those levels in 2020, and by as much as 75% over the longer-term.

Training Caregivers of Stroke Victims (England)

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

Goal: The goal of the training program is to provide skills essential for the daily management of stroke survivors.

Water for Health in Secondary Schools (England)

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

Goal: In order to promote drinking water for general health, the goal of the program is to improve access to fresh drinking water for students in select schools in England.

Asthma Home Visiting Program (San Francisco, CA)

Filed under Effective Practice, Health / Respiratory Diseases, Children, Adults, Racial/Ethnic Minorities, Urban

Goal: The Asthma Home Visiting Program aims to reduce asthma triggers present in the home.

Impact: Home visiting can help reduce asthma triggers in the home, decreasing symptoms, missed days of work or school, and emergency room visits and hospitalizations.

Cambridge-Somerville Healthy Homes Project (Cambridge and Somerville, MA)

Filed under Good Idea, Health / Respiratory Diseases, Children, Urban

Goal: The goal of the Cambridge-Somerville Healthy Homes Project is to lower the frequency of asthma attacks in children and help families make their homes safer.

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