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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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Coping Power Program

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children, Families

Goal: The goal of this program is to reduce aggressive behavior and delinquency in children by applying the contextual sociocognitive model.

Diabetes Self Management Education (Brinkley, AR)

Filed under Good Idea, Health / Diabetes, Rural

Goal: Please define your project/intervention goals:

The goals of this project are:
-to promote individual control of diabetes.
-to help patients become partners with their healthcare providers in the care of their disease.
-to help diabetes patients realize that small continous changes do make big differences.

Flex Your Power Case Study: City and County of San Francisco (San Francisco)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: The goal of these projects was to find ways to maximize energy conservation and efficiency through measures with a quick payback period.

Flex Your Power Case Study: North Tahoe Public Utilities District (PUD) (Placer County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of this project was to provide a safe fresh-water supply in an efficient manner.

Flex Your Power Case Study: Orange County Water District (Orange County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: OCWD's goals in 2001 were to reduce energy load, save money and preserve/extend equipment life. Its projects targeted power use in buildings' electrical/lighting systems; chemical and energy management issues concerning the plant treatment process and HVAC systems; and energy use by employees and ultimately customers.

Flex Your Power Case Study: Paradise Irrigation District (Butte County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of this program was to reduce energy and water consumption, improve efficiency, and save money.

Georgia Retrofit Program (Georgia)

Filed under Effective Practice, Environmental Health / Air, Children, Adults

Goal: The goal of the Georgia Retrofit Program is to improve air quality by reducing emissions among diesel fueled fleet vehicles.

Health Equity: Tenant-Based Housing Voucher Programs

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).

Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.

CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.

Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.

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