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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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Patient and Physician Reminders to Promote Colorectal Cancer Screening (Massachusetts)

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

Goal: The goal of this program is to increase colorectal cancer screening rates among older primary care patients.

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.

PeaceBuilders (Pima County, AZ)

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goal of this program is to reduce youth violence and aggressive behavior by initiating prevention early in childhood, increasing children's resilience, and reinforcing positive behaviors.

Impact: One evaluation found that there was an 89% decrease in physical aggression and an 82% decrease in verbal aggression for participating students.

Peers Making Peace

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens

Goal: The goal of this program is to improve the school environment by reducing violence, assaults, discipline referrals, and increasing academic performance.

Impact: An evaluation found that discipline referrals decreased by 57.7%, assaults decreased by 90.2%, and expulsions decreased by 73.0% in participating schools.

Physical Activity and Teenage Health (PATH) Program (New York, NY)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Urban

Goal: The goal of the PATH Program is to improve knowledge of cardiovascular health and reduce risk factors associated with cardiovascular disease.

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.

Pitless or Closed-loop Drilling (Texas)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goals and benefits of piltess drilling include:

-elimination of unsightly and hazardous pits
-a decrease in the need for cuts in sensitive and hilly areas
-a reduction in total surface disturbance associated with a well pad
-elimination of the risk of waterfowl and wildlife mortality related to pits
-elimination of the risk of damaging underground pipelines and utilities
-virtual elimination of drilling waste
-reduction of water consumption by as much as 80%
-elimination of soil segregation, which reduces wind erosion problems
-reduction of truck traffic associated with transporting drilling wastes by as much as 75%

Play Across Boston (Boston)

Filed under Good Idea, Art & Recreation / Sports Recreation & Parks, Children

Goal: Play Across Boston strives to address disparities in access to physical activity facilities and programs for inner-city youths of Boston.

Portland Fruit Tree Project (Portland)

Filed under Good Idea, Health / Physical Activity, Families, Urban

Goal: To increase equitable access to healthy food and strengthen communities by empowering neighbors to share in the harvest and care of city-grown produce.

Positive Family Support Program (PFS) (Eugene, OR)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens

Goal: The long-term goals of the program are to arrest the development of teen antisocial behaviors and drug experimentation. Intermediate goals are to improve parents' family management and communication skills.

Impact: Parents had improved feelings toward their children and were less likely to react negatively to their children's behavior and less likely to take a "lax" approach to their children after participating in the program. They also showed improvements in the skill areas of tracking and reinforcing behavior, setting expectations and defining problems, and remaining calm in stressful situations. Antisocial behaviors in their children decreased significantly, measures of child adjustment showed improvement, and total problem behavior decreased. Furthermore, the PFS intervention resulted in significantly less use of tobacco, alcohol, and marijuana.

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