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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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Homecoming Services Program (San Francisco, CA)

Filed under Effective Practice, Health / Older Adults, Older Adults, Urban

Goal: The program’s mission is to serve San Francisco’s isolated seniors 60 and older in making the transition from hospital to home.

Mpowerment (San Francisco, CA)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Men, Urban

Goal: The goals of Mpowerment are to mobilize young gay and bisexual men to reduce sexual risk taking, encourage regular HIV testing, and build positive social connections with peers.

Impact: The Mpowerment intervention successfully developed a mechanism to socialize young gay men to safer sex. Since this intervention relies primarily on volunteers, it is relatively inexpensive for communities to maintain and can continue to be made available for future generations.

Pasos Adelante (Arizona)

Filed under Evidence-Based Practice, Health / Physical Activity, Racial/Ethnic Minorities

Goal: Pasos Adelante is a lifestyle intervention that aims to prevent and control chronic disease such as heart disease and diabetes in Mexican Americans by providing a supporting environment for improving nutrition and increasing walking activity in U.S.-Mexico border communities.

Peacekeepers (San Francisco, CA)

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

Goal: The goal of Peacekeepers is to prevent violence among youth in the Hunters Point neighborhood of San Francisco.

Project Homeless Connect (San Francisco)

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

Goal: The mission of Project Homeless Connect (PHC) is to connect homeless San Franciscans with the care they need to move forward. The goals of Project Homeless Connect are to:

- Improve access to services for homeless San Franciscans.
- Improve the system of care through collaboration and the sharing of best practices among San Francisco’s homeless service provider community.
- Engage and increase the involvement of the business, nonprofit community, and individual volunteers to work together to provide access to services for homeless San Franciscans.
- To leverage the private sector, corporations, and foundations to expand service capacity and funds.

Safe in the City (Denver, Long Beach, and San Francisco)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

SF Health Code Article 38: Enhanced Ventilation for Urban Sensitive Use Development (San Francisco, CA)

Filed under Good Idea, Community / Governance, Children, Teens, Adults, Older Adults, Families, Urban

Goal: The purpose of SF Health Code Article 38 is to protect residents from the effects of living in a poor air quality zone by requiring enhanced ventilation in new and renovated residential buildings.

Impact: The City of San Francisco implemented a law requiring enhanced ventilation in new and renovated residential buildings to protect residents from harmful particulate matter.

Shape Up SF (San Francisco, CA)

Filed under Good Idea, Health / Physical Activity, Racial/Ethnic Minorities, Urban

Goal: Shape Up SF aims to reduce health disparities by creating healthy eating and active living environments and improving physical activity and nutrition.

Impact: Shape Up SF implemented Safe Routes to School, Bayview HEAL Zone, PE4SF, Rethink Your Drink, Southeast Food Access (SEFA) Working Group, SEFA Food Guardians, and Walking Challenge, and increased physical activity and access to healthy foods in San Francisco.

Student Talking About Non-violent Dating (STAND) (San Francisco, CA)

Filed under Good Idea, Community / Domestic Violence & Abuse, Teens, Urban

Goal: The goal of the program is to provide education, support, and training to middle and high school students in San Francisco on how to address sexual violence.

Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

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