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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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Pioneer Human Services (Seattle, WA)

Filed under Effective Practice, Economy / Employment

Goal: Pioneer's mission is to improve the lives of people on the margins of society through and integrated array of services including housing, employment/training, treatment, counseling, and corrections.

Portland Fruit Tree Project (Portland, Oregon)

Filed under Good Idea, Community / Civic Engagement, Adults, Urban

Goal: The mission of the Portland Fruit Tree Project is to increase equitable access to healthy food and strengthen communities by empowering neighbors to share in the harvest and care of city-grown food resources.

Prenatal Oral Hygiene (Dental Hygiene Kits) (Clinton County, NY)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Women

Goal: The goal of this program is to improve the individual oral hygiene practices of the prenatal women in order to reduce the number of low birth weight, pre-term infants born to this population.

Primary Project

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

Goal: The goals of this program are:
- Detect school adjustment difficulties
- Prevent social and emotional problems
- Enhance learning skills

Impact: One study demonstrated that participants made significant improvements in task orientation, specifically in working more independently and completing tasks faster. In behavior control, program students showed increased coping skills and lower levels of aggressiveness and produced fewer disruptions. In assertiveness, students had improved participation in activities, were better at expressing ideas, and showed increased leadership and decreased shyness. Improvements in peer sociability included increases in the quality of peer relationships and improved social skills. Several other evaluations of the Primary Project present evidence of improved school adjustment and decreases in problem behaviors for participants.

Project Angel Heart (Colorado)

Filed under Effective Practice, Health / Physical Activity

Goal: Project Angel Heart improves health and well-being for people with life-threatening illnesses by preparing and delivering medically tailored meals and promoting the power of food as medicine.

Impact: Survey data from Project Angel Heart clients show that this program has a positive impact on clients. Of clients surveyed in 2018: 82% report less stress, 69% report improved adherence to health care plans, 72% report improved quality of life, and 72% report improved ability to afford basic needs.

Project DIRECT (Raleigh, NC)

Filed under Effective Practice, Health / Diabetes, Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of the Project DIRECT was to reduce the burden of diabetes and its impact on the African-American community through partnerships with the community in Raleigh, NC.

Project VIVA (New York, NY)

Filed under Effective Practice, Health / Health Care Access & Quality, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Project VIVA is to rapidly immunize hard-to-reach urban populations through a community-public health partnership.

Promoting Heart Health in Women Municipal Workers (Birmingham, AL)

Filed under Effective Practice, Health / Women's Health, Women, Racial/Ethnic Minorities

Goal: The goal of the Promoting Heart Health in Women Municipal Workers program is to improve women’s knowledge of and perceived susceptibility to heart disease.

Promotores de Salud (community health workers) (Georgia)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Women, Older Adults, Racial/Ethnic Minorities

Goal: The goal of Promotores de Salud is to improve the delivery of healthcare to under-served Latinos by using trained community members (Promotores) to bridge the gap between Latinos and healthcare providers.

ReachOut Central (Australia)

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

Goal: The goal of ReachOut Central (ROC) is to improve mental health among young people through an online gaming service by teaching them the practical coping skills for dealing with major stressors in life, ranging from issues such as alcohol use to psychological distress.

Impact: The aggregate results of this statistical analysis point to ReachOut Central's potential to impact and improve certain factors, such as coping ability, but also to relatively unexplored gender-dependent outcomes for other factors like alcohol consumption.

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