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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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Columbia County Healthy Neighborhoods Program (Columbia County)

Filed under Evidence-Based Practice, Environmental Health / Toxins & Contaminants, Families

Goal: The Healthy Neighborhoods program seeks to reduce housing related illness and injury through prevention and education.

Impact: In the past five years, the HNP visited 31,000 homes with 85,000 residents, and provided the asthma intervention to 11,000 adults and children with asthma. The assessments created a valuable data set about the health effects of housing hazards.

Independence Youth Court (Independence, MO)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Teens, Rural

Goal: The primary goal of the Independence Youth Court is to reduce incidents of juvenile crime, divert offending youth from the Juvenile Justice System and to provide an alternative to the Jackson County Family court process and further contact with the police.

Mailed Psychoeducational Intervention for Colorectal Cancer Screening (England)

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

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

Senior Companions (North Tazewell, VA)

Filed under Good Idea, Health / Older Adults

Goal: The goal of the Senior Companion program is to pair low-income adult volunteers with homebound older adults in order to provide senior services to the elderly, as well as provide benefits to the Senior Companions.

Smile for a Lifetime: Sonoma County (Sonoma County)

Filed under Good Idea, Health / Oral Health, Children

Goal: S4L strives to create self-confidence and change the lives of underprivileged children by providing orthodontic services at no cost.

Tarrant County WIC/Library Plan (Tarrant County, TX)

Filed under Good Idea, Health / Children's Health, Women

Goal: The goals of the Library plan are to promote early literacy, parent/child bonding, and breastfeeding education in the community.

The Memphis Environmental Court (Shelby County, TN)

Filed under Effective Practice, Community / Governance, Families

Goal: The Memphis Enviromental Court was designed to serve as the chief vehicle for enforcing a wide range of laws relating to the health and quality of life of its residents, and to give new meaning to the term "expedient justice" by its ability to respond in a quick and consistent manner. In 1991 the Tennessee State Legislature created the Shelby County Environmental Court, and expanded the new court's powers to include the "injunctive authority" to mandate that defendants comply with the environmental codes.

Vaccination Programs: Reducing Client Out-of-Pocket Costs

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends interventions that reduce client out-of-pocket costs used alone or combined with additional interventions to increase vaccination rates among people of all ages in a range of settings and populations. This includes interventions for individual clinical settings, statewide programs, or national efforts.

Community Action Model (San Francisco, CA)

Filed under Effective Practice, Health / Alcohol & Drug Use, Racial/Ethnic Minorities

Goal: The original goal of the Community Action Model has been to improve the health and environment of a community by reducing tobacco influences while building community capacity. It can be applied to a variety of health and welfare issues and has been used successfully in many communities with multiple topics of intervention.

Impact: The Community Action Model has resulted in new tobacco control policies within San Francisco, many of which serve as models for other communities.

Community Dental Clinic (Crawford-Sebastian County, AK)

Filed under Good Idea, Health / Oral Health, Families

Goal: The goal of this program is to improve the health of all its community members, while providing the same quality of service paid for by privately insured patients.

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