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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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EnhanceFitness (Seattle, WA)

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

Goal: The goal of EnhanceFitness is to encourage older adults to engage in regular physical activity to improve their health and well-being.

Impact: EnhanceFitness participants reported a 13% improvement in social function, a 52% improvement in depression, and a 35% improvement in physical functioning. Additionally, participants' healthcare costs were 21% less than those of non-participants after one year.

Families And Schools Together (FAST) (USA)

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

Goal: The overall goal of the FAST program is to intervene early to help at-risk youth succeed in the community, at home, and in school and thus avoid problems such as adolescent delinquency, violence, addiction, and dropping out of school.

Impact: FAST has generally improved aggressive behaviors and increased positive behaviors amongst participants as reported by teachers and parents.

Fathers and Sons (Flint, MI)

Filed under Effective Practice, Community / Social Environment, Families, Racial/Ethnic Minorities, Urban

Goal: The Fathers and Sons Project aims to strengthen the bonds between fathers and sons and promote positive health behaviors.

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.

Fitness and Mobility Exercise Program (FAME) (Vancouver, BC)

Filed under Effective Practice, Health / Heart Disease & Stroke, Older Adults

Goal: The goal of the FAME intervention is to improve the fitness and mobility of individuals who have suffered a stroke.

Girls Inc. Preventing Adolescent Pregnancy

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of this program is to decrease pregnancy in adolescent and teenage girls.

Impact: Those who participated in one or more program components were significantly less likely to experience pregnancy than nonparticipants (5.9% vs 12.3%). Those who participated in two or more program components were significantly less likely to engage in sexual intercourse without birth control than those who participated in only a single program component (8.9% vs 20.6%).

Greater Boston Breathes Better (Boston)

Filed under Effective Practice, Environmental Health / Air, Urban

Goal: The mission of Greater Boston Breathes Better is to help greater Boston’s citizens and visitors to breathe better.

Guiding Good Choices

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

Goal: The primary goal of GGC is to reduce youth substance abuse and problem behaviors by increasing family involvement that is rewarding and enhances parent-child bonds.

Impact: Significant positive effects on increasing family involvement and interaction and reducing youth substance abuse were observed. A cost-benefit analysis estimates a $5.85 benefit for every dollar invested in the program.

Healthier Living with Arthritis Online Workshop (USA)

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

Goal: The program is focused on reduction of pain and improvement of function for arthritis patients unable or unwilling to attend small group ASMPs, which have proven effective in changing health-related behaviors and improving health status measures.

Healthy Families America (USA)

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

Goal: Program goals include prevention of negative birth outcomes (low birth weight, substance abuse, criminal activity, child abuse, and neglect), increased parenting skills, healthy pregnancy practices, and the use of social systems.

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