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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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Diabetes Management for the Homeless: Sojourner Clinic (Kansas City, MO)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Sojourner Health Clinic is to pick up where the current medical system leaves off by providing free acute and ongoing healthcare to patients who do not have access--or are reluctant to access—traditional routes to a doctor or medicine.

Impact: During 2012, the Sojourner Health Clinic managed to increase the number of diabetic patients with A1C levels below 9 percent from 15% to 83%, reducing the average blood glucose level of patients and giving them a better sense of control over their diabetes.

Dialectical Behavior Therapy

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

Goal: The goal of Dialectical Behavior Therapy is to use a cognitive-behavioral treatment approach to treat patients with multiple disorders.

Impact: After 1 year of treatment, a smaller percentage of DBT participants reported suicide attempts compared with TBE patients. DBT also reduced Nonsuicidal Self-Injury (NSSI) behavior over the course of 1-year treatment.

Direct Mailing of Fecal Occult Blood Tests to Increase Colorectal Cancer Screening (Wright County, MN)

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

Goal: The goal of this program was to increase colorectal cancer screening using direct mailings of fecal occult blood test (FOBT) kits for noninvasive colon cancer screening.

Impact: Direct mailing of FOBT kits resulted in an increase in self-reported colon cancer screening adherence.

DO-IT (Disabilities Opportunities Internetworking Technology) Scholars Program (Seattle, WA)

Filed under Effective Practice, Economy / Employment, Children

Goal: The goal of the DO-IT Scholars Program is to increase the participation of individuals with disabilities in challenging academic programs and careers. Its mission is to promote the use of computing and networking technologies to increase independence, productivity, and participation in education and employment.

Doors to Discovery (USA)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The Doors to Discovery curriculum builds a foundation for literacy by focusing on children's vocabulary and expressive and receptive language skills.

Drinking Water Nitrification Surveillance Program (Lee County, FL)

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

Goal: The goal of this program is to detect nitrification in drinking water in order to protect infants under six months old from methemoglobinemia and prevent other consequential bacteriological problems.

Drive-Through Flu Clinic (Grand Forks, ND)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of the Greater Grand Forks Immunization Coalition is to have all residents protected from vaccine-preventable diseases.The Drive-Through Flu Clinic was designed to address barriers to vaccination in the community for residents six months of age and older.

DrugRehab.com

Filed under Good Idea, Health / Alcohol & Drug Use, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Goal: At DrugRehab.com, our mission is to equip patients and families with the best information, resources and tools to overcome addiction and lead a lifelong recovery.

Eat Well, Play Hard (Elyria, OH)

Filed under Good Idea, Health / Wellness & Lifestyle, Children

Goal: The goals of this program are to increase developmentally appropriate physical activity, to increase the consumption of fruit and vegetables by children, and to increase the consumption of low-fat milk products and calcium-rich foods. The long-range goal is to incorporate this theme into the life of Lorain County children through collaboration with schools, agencies and facilities that provide services and activities for children and their families.

Edible Trees

Filed under Good Idea, Environmental Health / Built Environment, Adults

Goal: The Edible Trees Program seeks to increase local access to fruiting trees and provide equitable access to healthy foods.

Impact: The Edible Trees Program provides communities access to fruit and nut trees. The program has funded 19 projects resulting in 1,320 trees & shrubs planted.

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