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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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HIV Sexual Risk Reduction Intervention (San Francisco, CA)

Note: This practice has been Archived.

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

Goal: To increase consistent condom use among low-income African American young adults.

Homeward Bound of Marin (HBOM) (Marin, CA)

Note: This practice has been Archived.

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

Goal: Homeward Bound of Marin's mission is to address and solve the homelessness problem in Marin County.

Information & Education Campaign for Health Care Providers (Santa Cruz County, CA)

Note: This practice has been Archived.

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The goal of the project was to publish an up-to-date Essential Reporting Guidelines which would be distributed to approximately 90% of healthcare providers in Santa Cruz county. As mentioned above, they wanted to increase reporting and surveillance activities with the primary physicians and also educate them on bioterrorism agents.

Internet-Based Case Management for Secondary Prevention of Heart Disease (Virginia)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults, Older Adults

Goal: The goal of this program is to provide risk factor management training and services to individuals with cardiovascular disease.

Impact: Intervention participants had significantly fewer cardiovascular events than patients who received usual care (4.1% vs. 15.7%, p = 0.053). Reduced hospitalization and emergency room expenses resulted in a gross cost savings of $1,418 per patient.

Intimate Partner Violence Intervention

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Community / Domestic Violence & Abuse, Women

Goal: The goal of this clinic-based and counseling intervention is to reduce Intimate Partner Violence by encouraging behaviors that promote safety for women.

Low Literacy Intervention to Promote Discussion of Prostate Cancer (Atlanta, GA)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Cancer, Men

Goal: To educate men over the age of 45 about prostate cancer and to increase prostate cancer screening in order to reduce the incidence of prostate cancer.

Nurse-Directed Inpatient Asthma Intervention (St. Louis, MO)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Adults

Goal: The goal of the Nurse-Directed Inpatient Asthma Intervention is to improve health quality and reduce hospitalization readmissions due to asthma.

Project Students Helping Others Understand Tobacco (SHOUT) (San Diego County, CA)

Note: This practice has been Archived.

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

Goal: The goal of Project Students Helping Others Understand Tobacco (SHOUT) is to use a school-based curriculum to prevent tobacco use among adolescents.

Seat Belt Enforcement Zones (Marion County, IN)

Note: This practice has been Archived.

Filed under Effective Practice, Community / Transportation, Families

Goal: Indiana has a primary seat belt law which enables law enforcement officers to issue citations when they are observed. However, the Indiana Supreme Court has ruled that officers may not indiscriminately stop motorists to see if they are wearing their seat belts. To increase safety belt usage compliance, members of the Traffic Safety Partnership developed Seat Belt Enforcement Zones. The primary objectives of these enforcement zones are to: combine public awareness initiatives and enforcement efforts; utilize multi-agency personnel from participating law enforcement agencies; operate on a zero tolerance policy for violations; inform residents about current seat belt usage rates using metal signs posted at various county locations.

Sunwise Stampede: Promoting Sun Safety among Zoo Visitors (San Diego, CA)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Cancer, Children, Families

Goal: To encourage and increase safe sun behaviors in children and adults by limiting their exposure to ultraviolet rays through the use of sunscreen and hat wear.

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