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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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Chronic Disease Self-Management Program (USA)

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

Goal: The goal of the CDSMP is to improve personal management of chronic disease.

Clean Marinas (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of this program is to protect and improve coastal water quality.

Climate Leaders (USA)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal of Climate Leaders is to aid companies in reducing greenhouse gas emissions.

Cultivando la Salud (USA)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Women, Racial/Ethnic Minorities

Goal: The goal of Cultivando la Salud is to increase breast and cervical cancer screening among low-income Hispanic women.

Cycles of Change (Alameda County, CA)

Filed under Effective Practice, Community / Transportation, Children, Teens, Adults, Urban

Goal: The goal of Cycles of Change is to enable community members to use bicycles as a primary form of transportation through bicycle education and distribution programs.

D.C. Schoolyard Greening Program (D.C.)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens

Goal: The goal of the D.C. Schoolyard Greening program is to increase and improve schoolyard green spaces in order to promote ecological literacy and environmental stewardship among students, teachers, parents and the community.

Deer-Targeted Interventions on Lyme Disease Incidence (Northeastern United States)

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

Goal: The goal of the interventions is to reduce the number of blacklegged ticks to ultimately reduce the incidence of Lyme disease.

Impact: The four-poster device was effective in decreasing erythema migrans (EM) rash incidence in an endemic area. The deer hunt did not have a significant effect on the incidence of EM rash, although the incidence did decrease.

Detroit's Asthma Education Project (Detroit, MI)

Filed under Good Idea, Health / Children's Health, Children, Teens, Families

Goal: The objectives of the program were to educate students, parents, and school staff about asthma management and to control exposure to factors that trigger asthma attacks.

Diabetes Education for Tribal Schools (DETS) (USA)

Filed under Effective Practice, Health / Diabetes, Children, Teens, Rural

Goal: The goal of DETS project is to increase the understanding and awareness of diabetes among American Indian and Native Alaskan students in kindergarten through high school through a combination of science lesson and traditional value.

Diabetes Management for the Homeless: Sojourner Clinic (Kansas City, MO)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Sojourner Health Clinic is to pick up where the current medical system leaves off by providing free acute and ongoing healthcare to patients who do not have access--or are reluctant to access—traditional routes to a doctor or medicine.

Impact: During 2012, the Sojourner Health Clinic managed to increase the number of diabetic patients with A1C levels below 9 percent from 15% to 83%, reducing the average blood glucose level of patients and giving them a better sense of control over their diabetes.

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