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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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Mpowerment (San Francisco, CA)

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

Goal: The goals of Mpowerment are to mobilize young gay and bisexual men to reduce sexual risk taking, encourage regular HIV testing, and build positive social connections with peers.

Impact: The Mpowerment intervention successfully developed a mechanism to socialize young gay men to safer sex. Since this intervention relies primarily on volunteers, it is relatively inexpensive for communities to maintain and can continue to be made available for future generations.

Multidimensional Family Therapy (MDFT)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens, Families

Goal: The goal of MDFT is to reduce adolescent drug abuse and increase self-efficacy in the teen population.

Impact: Systematic reviews comparing the effective of adolescent drug use interventions across studies found that MDFT reduces substance use, delinquency, behavior problems, and symptoms of anxiety and depression. The program has also been found to improve educational performance.

National Clean Diesel Campaign (NCDC) (USA)

Filed under Good Idea, Environmental Health / Air

Goal: NCDC participants are committed to reducing diesel emissions and finding innovative ways to protect human health and the environment. To fully address the challenges of reducing diesel emissions the NCDC is using a multi-pronged approach:

- Commitment to the successful implementation of the 2007 Highway Engine Rule and the Clean Air Nonroad Diesel Rule.
- Developing new emissions standards for locomotive and marine diesel engines.
- Promoting the reduction of emissions for existing diesel engines through cost-effective and innovative strategies, including use of cleaner fuels, retrofitting and repairing existing fleets, idling reduction among others.

National Produce Program (USA)

Filed under Good Idea, Economy / Poverty

Goal: To increase the amount of fresh produce and nutritious foods that are distributed to local food banks across the United States through the Feeding America network.

North Dakota Diabetes Care Provider Report (North Dakota)

Filed under Effective Practice, Health / Diabetes, Adults

Goal: The goal of the North Dakota Diabetes Care Provider Report is to improve quality of diabetes care and management in the state.

Northern Manhattan Start Right Coalition (New York City, NY)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Children, Families, Racial/Ethnic Minorities

Goal: The goal of the Northern Manhattan Start Right Coalition is to increase the timely vaccination coverage rate for the 4:3:1:3:3 series for children ages 19 to 35 months.

Impact: The Start Right Coalition increased timely vaccination coverage from 63.0% in 2002 to 96.8% in 2007.

Northern Michigan Diabetes Initiative: Healthy Family Backpack Program (Michigan)

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

Goal: The Northern Michigan Diabetes Initiative is a regional collaboration dedicated to prevention, early detection, and management of diabetes. The Healthy Family Backpack Program connects with youth and their parents to educate participants on proper nutrition and promote healthy lifestyles to reduce childhood obesity.

Impact: The Northern Michigan Diabetes Initiative has distributed nutritional education materials to over 300 families. Of ninety-two families that set a healthy goal at the start of the program, forty-five continued to maintain that goal at the two-month mark.

Nurses Improving Care for Health System Elders (NICHE)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goal of NICHE is to achieve systematic nursing change that will benefit hospitalized older patients. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care. The mission of NICHE is to import principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults.

NYC FITNESSGRAM (New York)

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

Goal: The goal of the program is to assist students in establishing physical activity as part of their daily lives.

Oklahoma Marriage Initiative (Oklahoma)

Filed under Good Idea, Community / Social Environment, Families

Goal: The OMI is a multi-sector effort to reduce the state's divorce rate, strengthen families, and reduce dependency on government support.

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