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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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Emergency Department Means Restriction Education

Filed under Evidence-Based Practice, Health / Prevention & Safety

Goal: The goal of Emergency Department Means Restriction Education is to help parents and adult caregivers of at-risk youth recognize the importance of taking immediate action to restrict access to firearms, alcohol, and prescription and over-the-counter drugs in the home in order to lessen the risk of self harm.

Impact: The Means Restriction program shows that ED-based programs and provided practical information can help parents and adult caregivers of at-risk youth recognize the importance of taking immediate, new action to restrict access to dangers in the home.

Exercise Training for Stroke Survivors (Chicago, IL)

Filed under Effective Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to use education and exercise improve outcomes for urban African American stroke survivors.

Family and Children's Services: Co-locating to Provide Trauma Services (Nashville, TN)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Families

Goal: The goal oft his program is to provide direct services to children who have suffered or witnessed violence in their homes or neighborhoods.

Family Peer Support (Hamilton County, Ohio)

Filed under Evidence-Based Practice, Economy / Poverty, Adults, Women, Men, Families, Urban

Goal: The goal of the Family Peer Support program is to increase family economic and social self-sufficiency, and to connect parents to needed physical health, behavior health, and educational resources for their child. Family peer support programs generally focus on fostering encouragement of personal responsibility and self-determination, improving family health and wellness, and supporting engagement and communication with providers and systems of care. Research shows that peer support programs promote empowerment and self-esteem, self-management, engagement and social inclusion, as well as improving the social networks of families who receive these services. Research evidence qualifies peer support services as evidence-based through the Agency for Healthcare Research and Quality guidelines.

Salzer MS, Schwenk E, Brusilovskiy E: Certified peer specialist roles and activities: results from a national survey. Psychiatric Services 61:520–523, 2010.
Repper J, Carter T: A review of the literature on peer support in mental health services. Journal of Mental Health 20: 392–411, 2011.
Cook JA: Peer-delivered wellness recovery services: from evidence to widespread implementation. Psychiatric Rehabilitation Journal 35:87–89, 2011

First Step to Success

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

Goal: The mission of the Institute on Violence and Destructive Behavior (IVDB) is to empower schools and social service agencies to address violence and destructive behavior, at the point of school entry and beyond, in order to ensure safety and to facilitate the academic achievement and healthy social development of children and youth. The primary goal of this program is to divert antisocial kindergartners from an antisocial behavior pattern during their subsequent school careers and to develop in them the competencies needed to build effective teacher- and peer-related, social-behavioral adjustments.

Fit Kids/Fit Families (Wisconsin)

Filed under Evidence-Based Practice, Health / Physical Activity, Children

Goal: To improve children's nutritional status, increase their activity level, enhance their self-esteem, and create life-long health habits by using a multidisciplinary, community- and family-based system approach, and by engaging local health care professionals with community agencies.

Impact: The Fit Kids/Fit Families program shows that multidisciplinary, community- and family-based approaches to children's exercise, weight, & nutrition can have an effect on healthier nutritional choices, increased physical activity, decreased sedentary activity, healthier behaviors, and BMI reductions.

Flex Your Power Case Study: City of Napa (Napa, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: Napa's goal was to save up to 15 percent in electricity usage in 2001.

Flex Your Power Case Study: North Tahoe Public Utilities District (PUD) (Placer County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of this project was to provide a safe fresh-water supply in an efficient manner.

Flex Your Power Case Study: Patterson Irrigation District (Stanislaus County, CA)

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

Goal: The goal of this project was to reduce electricity usage by 10-20 percent.

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