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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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Women's Lifestyle Heart Trial (Eugene, OR)

Filed under Effective Practice, Health / Heart Disease & Stroke, Women

Goal: The goal of the Women's Lifestyle Heart Trial is to reduce cardiovascular risk factors among postmenopausal women with coronary heart disease through lifestyle changes.

Health and Safety Intervention with First-Time Mothers

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women

Goal: The goal of CBFRS is to advance the health and development of first-time mothers and infants through a home visit program.

Impact: The findings indicate positive health and safety outcomes for first-time mothers and infants in the program: higher household safety levels, higher use of birth control methods, lower smoking behavior, higher knowledge of the effects of smoking on child development, and higher use of county clinics.

Reach Out and Read (Nationwide)

Filed under Evidence-Based Practice, Education / Literacy, Children, Adults, Families

Goal: The mission of Reach Out and Read is to help prepare young children to succeed in school, by partnering with physicians to encouraging parents and children to read aloud together.

Impact: Reach Out and Read improves children's language development by 3-6 months and improves language ability with increased exposure to the program.

Combined Heat and Power Partnership (USA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The CHP Partnership is a voluntary program that seeks to reduce the environmental impact of power generation by promoting the use of CHP.The Partnership works closely with energy users, the CHP industry, state and local governments, and other stakeholders to support the development of new projects and promote their energy, environmental, and economic benefits.

Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care (Chicago, Illinois)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Urban

Goal: To assess the costs of a housing and case management program in a novel sample: homeless adults with chronic medical illnesses.

Impact: Compared to usual care, the intervention group generated an average annual cost savings of (−)$6,307 per person (95 percent CI: −16,616, 4,002; p = .23). Subgroup analyses of chronically homeless and those with HIV showed higher per person, annual cost savings of (−)$9,809 and (−)$6,622.

Eat Well and Keep Moving (Baltimore)

Filed under Effective Practice, Health / Children's Health, Children, Urban

Goal: The goals of the Eat Well and Keep Moving program are to improve eating habits, increase physical activity, and reduce television viewing among upper elementary school students.

Families Learning and Growing (F.L.A.G.ship) (Marin)

Filed under Good Idea, Education / Literacy, Families

Goal: The program's goal is to provide school readiness activities for families with children, from birth to five years old, who live in isolated and under-served areas of Marin County.

North Carolina Fruits and Veggies Nutrition Coalition (North Carolina)

Filed under Effective Practice, Health / Physical Activity, Children, Teens, Adults, Families

Goal: The mission of the North Carolina Fruits and Veggies Nutrition Coalition is to build a healthier North Carolina by increasing access to and consumption of fruits and vegetables.

Project TRACK (Teaching, Reaching, and Collaborating for Knowledge) and Steps for Health (Town of Edenton)

Filed under Good Idea, Health / Physical Activity, Children

Goal: The goal of this program is to promote increased physical activity and a balanced diet.

Adolescent Community Reinforcement Approach (A-CRA) and Assertive Continuing Care (ACC) (Illinois)

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

Goal: The goal of the Adolescent Community Reinforcement Approach is to help adolescents recover from alcohol and drug addiction.

Impact: Results from studies on this treatment program demonstrate that there can be superior engagement, retention, and short-term substance use outcomes for those in the A-CRA and ACC approaches compared to UCC. The ACC protocol can also result in significantly more patients linking to continuing care.

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