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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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Health Plan of San Mateo Housing Supports Pilot (San Mateo County, CA)

Filed under Effective Practice, Health, Older Adults, Urban

Goal: The goal of the program was to target the housing support needs of its members with the objective of reducing institutionalization, improving quality of life, and reducing total costs of care.

Impact: The large majority of participants surveyed indicated that their quality of life was maintained or increased during the pilot and that they were satisfied with the program.

San Francisco Organics Recycling Program (San Francisco, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program is to redistribute food waste to food banks, farmers, and compost.

San Francisco SafeStart Initiative (San Francisco, CA)

Filed under Good Idea, Community / Crime & Crime Prevention, Children, Families, Urban

Goal: The goal of the SafeStart Initiative is to reduce the incidence and impact of violence on children ages 6 and under.

San Francisco Unified School District Healthy Food Policy (San Francisco)

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

Goal: SFUSD aimed to provide students with healthy and appealing food choices and to diminish the dependence of schools and school-related organizations on selling unhealthy foods.

Santa Clarita Adult Day Health Care Center (Santa Clarita, CA)

Filed under Good Idea, Health / Older Adults, Adults

Goal: The ongoing goals of the ADHC include maintaining functional independence and preventing premature institutionalization while providing respite and a support system for caregivers and providing a therapeutic environment involving; physical , occupational, speech, recreation, psycho-social and creative arts therapy to increase the quality of life for participants.

Germ Fighters Student Illness Prevention Program (Johnson County, IA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Children

Goal: The overall objective of the program is to reduce student absence due to communicable illness.

Project Open Hand (San Francisco)

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: The goal of the study was to evaluate a community-based food support intervention in the San Francisco Bay Area for people living with HIV and/or type 2 diabetes mellitus (T2DM) to determine the feasibility, acceptability, and potential impact of the intervention on nutritional, mental health, disease management, healthcare utilization, and physical health outcomes.

Impact: Comprehensive, medically appropriate food support is feasible and may improve multiple health outcomes for food-insecure individuals living with chronic health conditions.

Active Choices (San Francisco)

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

Goal: The goal of this promising practice is to increase physical activity in a diverse older adult population.

Impact: Participants in the Active Choices program showed significant increases in physical activity and a greater satisfaction with their body appearance and function. Participants of the program also showed decreases in their BMI.

Bayview Safe Haven (San Francisco, CA)

Filed under Effective Practice, Community / Social Environment, Children, Teens, Racial/Ethnic Minorities, Urban

Goal: To provide academic, vocational, recreational and life skills for at risk youth ages 12-21 in the Bayview Hunters Point neighborhood of San Francisco.

Behavioral Intervention to Prevent STDs among Minority Women in Texas (Texas)

Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of the study was to prevent STDs in high-risk minority women through three culture-specific small group education and counseling sessions, delivered over time.

Impact: Reinfection rates of chlamydia and gonorrhea were significantly lower at each follow-up among participants in the small-group counseling sessions than in the control group. Integration of behavior-change theory with extensive qualitative data collected in target communities enabled the study to create culturally meaningful strategies to promote the recognition of risk and to stimulate motivation to effect personal change.

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