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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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Adults and Children Together - Parents Raising Safe Kids (ACT-PRSK) (USA)

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

Goal: The goal of the program is to teach parents/caregivers effective parenting skills, create a support system for their children, and equip participants with non-violent techniques to encourage a safe environment at home and in the community.

Impact: ACT program has been shown to prevent child maltreatment and promote positive parenting skills, including reducing physical violence towards children, improving knowledge of appropriate discipline, and improving parent methods for teaching children nonviolent social skills.

Advancing Diabetes Self Management: La Clinica de La Raza (Oakland, CA)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Advancing Diabetes Self Management at La Clinica de La Raza was to improve health outcomes of those suffering from type 2 diabetes.

Affordable Housing in Arlington, Virginia (Arlington, VA)

Filed under Good Idea, Economy / Housing & Homes

Goal: The mission of AHC is twofold: to preserve the supply of affordable housing in the mid-Atlantic region, especially Northern Virginia and Baltimore, Maryland; and to ensure that properties developed or owned by AHC enhance the quality of life in the neighborhoods where they are located.

American Brain Tumor Association (ABTA) (Des Plaines, IL)

Filed under Good Idea, Health / Cancer

Goal: The American Brain Tumor Association exists to eliminate brain tumors through research and to meet the needs of brain tumor patients and their families.

Antismoking Media Campaign (Massachusetts)

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

Goal: To reduce the number of older adolescents who progress to established smoking.

Impact: The television component of the Massachusetts antismoking media campaign may have reduced the rate of progression to established smoking among young adolescents.

Arthritis Foundation Exercise Program (USA)

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

Goal: The goal of the Arthritis Foundation Exercise Program is to increase joint flexibility, range of motion, and muscle strength among individuals with arthritis.

Assisting in Rehabilitating Kids (ARK) (Mississippi)

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

Goal: The goal of Assisting in Rehabilitating Kids (ARK) is to increase abstinence and safer sex behaviors among substance-dependent adolescents.

Impact: The ARK program successfully increased sexual abstinence among those who received all components: health information, behavior skills training, and risk-sensitization manipulation, with the inclusion of the latter being more resistant to decay over time.

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.

Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.

Asthma Basics for Children (ABC) (New York, NY)

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

Goal: The goal of the program was to provide a multi-layered asthma management program for parents, children, and staff of early childhood centers.

Impact: The ABC program demonstrates that a multi-layered approach can improve asthma outcomes among preschoolers with a combination of parent and provider education having the greatest impact.

At the Crossroads (ATC) (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Adults, Urban

Goal: The mission of At The Crossroads is to reach out to homeless youth and young adults at their point of need, and provide them with services and programs that will empower them and improve their lives.

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