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.
Filed under Effective Practice, Environmental Health / Built Environment
Goal: The overall mission of the Civano Community is:
- To create a sense of place that fosters community and connects people to one another and their natural environments
- To tread lighter on the land through innovative design, and
- To introduce sustainable construction materials and new technologies to advance the quality of life.
Specific performance targets include:
- Reduce energy consumption by 75%
- Reduce potable water consumption by 65%
- Reduce landfill-destined solid waste by 90%
- Reduce internal vehicle trip miles by 40%, and
- Create one community job for every 2 residences.
Complete Health Improvement Program (CHIP) (formerly the Coronary Health Improvement Project) (Rockford, IL)
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults
Goal: The goal of the CHIP lifestyle intervention is to lower blood cholesterol, hypertension, and blood sugar levels and reduce excess weight.
Impact: CHIP has over 55,000 graduates worldwide and sustains adherence to the program guidelines through an active "ClubCHIP" member support organization.
Filed under Good Idea, Environmental Health / Built Environment
Goal: Complete Streets aims to increase physical activity and contribute to creating safer communities for all users of the road.
Impact: Complete Streets has contributed to safer communities and streets for all users of the road by working with community residents, policy-makers, and the development community.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults, Urban
Goal: The goal of Connect is to increase relationship communication and safer sex practices among couples.
Filed under Evidence-Based Practice, Health / Physical Activity, Children
Goal: The goal of Coordinated Approach to Child Health (CATCH) is to improve nutrition, increase physical activity, and reduce obesity in preschool, elementary, and middle school aged children.
Impact: CATCH is successful in improving participants' diet and physical activity, and the results lasted three years after participation.
Filed under Effective Practice, Health / Health Care Access & Quality
Goal: The goals of this promising practice were to identify the transportation-disadvantaged population that lacks nonemergency medical care because of low access to transportation; determine the medical conditions that this population experiences and describe other characteristics of these individuals, including geography; estimate the cost of providing the transportation necessary for this population to obtain medical transportation according to various transportation service needs and trip modes; estimate the healthcare costs and benefits that would result if these individuals obtained transportation to non-emergency medical care for key healthcare conditions prevalent for this population; and compare the relative costs (from transportation and routine healthcare) and benefits (such as improved quality of life and better managed care, leading to less emergency care) to determine the cost-effectiveness of providing transportation for selected conditions.
Impact: These results show that adding relatively small transportation costs do not make a disease-specific, otherwise cost-effective environment non-cost-effective. Providing increased access to non-emergency medical care does improve quality of life and saves money per patient.
Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens
Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.
Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens
Goal: The goal of this program is to reduce drug and alcohol use among teenagers.
Impact: Evaluations found significant increases in knowledge and healthy beliefs about alcohol, tobacco, and other drug abuse by parents. Youth in the program significantly increased their use of community services and delayed onset of ATOD use. Families participating in the program significantly increased youth involvement in setting and following family ATOD rules.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Goal: The goal of the Critical Time Intervention is to prevent homelessness among people with severe mental illness.
Impact: Evaluations of this program have found sizable reductions (24-67%) in average number of nights spent homeless over the 18-month follow-up period and more than a 60% reduction in likelihood of being homeless in the final weeks of the 18-month follow-up. Cost offsets and savings have been shown.
Filed under Evidence-Based Practice, Health / Cancer, Racial/Ethnic Minorities, Urban
Goal: The goal of this program is to decrease barriers and increase rates for colorectal cancer screening among low-income, non-English speaking patients.