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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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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.

Osteofit (Canada)

Filed under Effective Practice, Health / Older Adults, Adults

Goal: To reduce and prevent falls in people with osteoporosis and osteopenia through exercise and education.

Pathways to Housing, Inc. (NYC, DC, Philadelphia)

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

Goal: The goal of Pathways to Housing, Inc. is to provide independent housing, treatment services for physical and mental health, and employment to mentally ill individuals who are chronically homeless.

Impact: Pathways to Housing has received numerous awards for its projects in New York City, Philadelphia, and D.C. In addition to achieving large effects in terms of housing outcomes, compared with standard care in the community, Housing First also improves community functioning and quality of life.

Physical Activity and Teenage Health (PATH) Program (New York, NY)

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

Goal: The goal of the PATH Program is to improve knowledge of cardiovascular health and reduce risk factors associated with cardiovascular disease.

Prevention Care Management (New York, NY)

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

Goal: The goal of the Prevention Care Management program is to increase cancer screening among women.

Impact: Prevention Care Management increased mammography rates, cervical cancer screening rates, and colorectal cancer screening rates among participating women.

Remembering When: a fall and fire prevention program for older adults (USA)

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

Goal: Remembering When was developed to prevent deaths and injuries from fires and falls among older adults.

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.

School-Based Asthma Therapy (Rochester, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

StrongPeople Strong Bodies

Filed under Evidence-Based Practice, Health / Older Adults, Adults, Women, Men, Older Adults

Goal: StrongPeople Strong Bodies is a community-based strength training program aimed at mid-life and older individuals. The benefits of strength training for older individuals have been studied extensively and include increased muscle mass and strength; improved bone density and reduced risk for osteoporosis and related fractures; reduced risk for diabetes, heart disease, arthritis, depression, and obesity; and improved self-confidence, sleep, and vitality.

Urban Mold and Moisture Program (Cuyahoga, OH)

Filed under Evidence-Based Practice, Health / Children's Health, Urban

Goal: The goal of the Urban Mold and Moisture Program is to reduce environmental mold, moisture, and asthma triggers in homes to improve pediatric respiratory health.

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