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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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Multifaceted Mass Media Campaign on the Warning Signs of Stroke (Canada)

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

Goal: The goal of this media campaign was to increase public knowledge of the warning signs of stroke.

Impact: The ability to name the warning signs of stroke increased in communities exposed to television ads.

Northern Michigan Diabetes Initiative (Northwest Lower Michigan)

Filed under Good Idea, Health / Diabetes, Children, Teens, Adults, Rural

Goal: The overall goal is to reduce the prevalence of diabetes and improve the care of people with diabetes.

Pounds Off With Empowerment (POWER) (South Carolina)

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

Goal: The goal of POWER is to promote weight loss and glycemic control among individuals diagnosed with type 2 diabetes living in rural communities.

Powerful Choices for the Environment (Washington)

Filed under Good Idea, Environmental Health / Energy & Sustainability, Children

Goal: The program is designed to empower 6-8th grade students across the region with the knowledge that their everyday choices do make a difference. The program aims to influence how middle school students and their families think about and use natural resources in their daily lives.

Raising Healthy Children (Seattle, WA)

Filed under Evidence-Based Practice, Education / Student Performance K-12, Children, Teens, Families

Goal: The Raising Healthy Children program is a social development approach to positive youth development.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

Rochester AIDS Prevention Project (RAPP) (Rochester, NY)

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

Goal: The goals of the program are: 1) to promote abstinence maintenance among sexually abstinent students and encourage safer sex practices to sexually active students, 2) compare the effect of RAPP when taught by different providers, and 3) to explore the factors that impact a student's decision to engage in sexual activity.

Impact: Regular teacher-taught male (p=.001) and female students (p=.05) and peer-taught male students (p=.02) had the highest rates of delaying the onset of sexual activity.

Spark (San Francisco, Los Angeles, Chicago, Philadelphia)

Filed under Effective Practice, Education / Student Performance K-12, Children, Teens, Urban

Goal: Spark's mission is to provide life-changing apprenticeships to youth in underserved communities across the United States.

Travel Blending® (Australia)

Filed under Evidence-Based Practice, Community / Transportation, Adults, Families, Urban

Goal: The goal of Travel Blending® Program is to reduce personal vehicle use.

Impact: The Travel Blending program reduced car trips, car kilometers, and hours spend in the car.

Urban Advantage (New York, NY)

Filed under Effective Practice, Education / School Environment, Children, Urban

Goal: The incomparable resources of these institutions offer a unique "urban advantage" to New York City students, and enhance middle schools' capacity to achieve science education goals. Student investigations at QBG and partner institutions lead to exciting questions that culminate in Exit Projects and give firsthand knowledge of how scientists work in various fields.

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