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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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The HEALTHY Study (USA)

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

Goal: The primary goal of the intervention was to reduce overweight and obesity prevalence among middle school students. Ancillary goals were to improve BMI and fasting insulin values, increase water consumption, reduce consumption of beverages with added sugar, increase healthy food choices, improve self-monitoring, and increase exercise time among sixth, seventh, and eighth grade students.

Impact: School-based programs that aim to address childhood obesity and adiposity may reduce individuals' risk of developing childhood-onset of non-insulin dependent diabetes mellitus.

The Toolbox for Congestion Relief (USA)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goals of the study was to assess the benefits of using multiple and systematic strategies to reduce traffic congestion in three metropolitan areas in the U.S.

Together Learning Choices (TLC) (Los Angeles, New York, San Francisco, and Miami)

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

Goal: The goal of Together Learning Choices was to help HIV-infected youth increase their use of health care, decrease drug and alcohol use and risky sexual behaviors, and improve their quality of life.

Impact: Together Learning Choices (TLC) showed that prevention programs can effectively reduce risk acts among HIV-infected youths.

Too Good for Violence (Tampa, FL)

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens

Goal: The goal of the TGFV program is to help students learn the skills they need to get along peacefully with others and avoid violence.

Impact: Too Good programs empower children with the social-emotional learning and substance abuse prevention skills they need to lead happy and healthy lives.

Transgender Economic Empowerment Initiative (TEEI) (San Francisco, CA)

Filed under Good Idea, Economy / Employment, Urban

Goal: To help members of the San Francisco bay area transgender community to secure stable employment in safe environments.

Trauma Center Intervention for Alcohol Disorders (Albuquerque, NM)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Adults

Goal: The goal of the Trauma Center Intervention for Alcohol Disorders is to reduce driving under the influence.

Treatment Foster Care Oregon (Eugene, OR)

Filed under Evidence-Based Practice, Community / Social Environment, Teens

Goal: The goal of the TFCO program is to decrease problem behavior and to increase developmentally appropriate normative and prosocial behavior in children and adolescents who are in need of out-of-home placement.

Impact: When compared with the control group, TFCO youths spent 60% fewer days in incarceration, had significantly fewer subsequent arrests, and had significantly less hard-drug use.

Triple P - Positive Parenting Program: Palm Beach County (Palm Beach County, FL)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: Triple P aims to enhance the knowledge, skills, and confidence of parents to prevent behavioral, emotional, and developmental problems in children and prevent child maltreatment.

Impact: Triple P increased confidence in parenting ability and reduced the incidence of verified maltreatment among participants in the program.

Uniting for Solutions Beyond Shelter (New York, NY)

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

Goal: The goals of Uniting for Solutions Beyond Shelter are:
- To reduce street homelessness and the shelter population by two-thirds in five years.
- To eliminate chronic, or long-term, homelessness on City streets and shelters in five years.

The plan's objectives include initiatives to better serve individuals and families who are at-risk of homelessness or who become homeless, as well as ensure that the City and its citizens are maximizing public resources. The plan has nine points - encompassing 60 initiatives - that seek to:

- Overcome street homelessness
- Prevent homelessness
- Coordinate discharge planning
- Coordinate city services and benefits
- Minimize disruption to homeless families and children
- Minimize duration of homelessness
- Shift resources into preferred solutions
- Provide resources for vulnerable populations to access and afford housing
- Measure progress, evaluate success, and invest in continuous quality improvement.

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