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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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Trying Alternative Cafeteria Options in Schools (TACOS) (Minneapolis and St. Paul, Minnesota)

Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Urban

Goal: The goal of the TACOS program was to use an environmental intervention to increase the availability and consumption of lower-fat foods in a la carte areas of secondary school cafeterias.

Impact: The TACOS program successfully increased both the availability and sale of lower-fat foods in a la carte areas of secondary school cafeterias.

Village Building Convergence (Portland, Oregon)

Filed under Good Idea, Community / Social Environment, Urban

Goal: The goal of VBC is to recreate a sense of kinmanship and collaboration through community building and the creative reclamation of public space.

Violence Intervention Program (VIP) (Baltimore, MD)

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

Goal: The program aims to reduce the frequency and the severity of recidivism
for violent injury and criminal activity among persons
living in and around Baltimore.

Impact: Participants of the Violence Intervention Program saw a decrease in repeat hospitalizations, a decrease in violent crime and a higher rate of employment compared to those not in the program.

WalkSafe (Florida)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Urban

Goal: The WalkSafe program was developed to improve pediatric pedestrian safety, increase physical activity levels by encouraging children to walk to and from school, and improve the walkability in and around elementary schools.

Workplace Implementation of Act in Time (Montana)

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

Goal: The goal of the Act in Time campaign is to increase awareness to the signs and symptoms of heart attack and the need to call 911 for emergency medical services.

Youth Speaks (San Francisco, CA)

Filed under Good Idea, Education / Literacy, Teens

Goal: Youth Speaks aims to empower youth and effect change through written and oral literacy.

Youth Suicide Public Service Announcement (PSA) (Suburban Chicago)

Filed under Good Idea, Community / Social Environment, Children, Teens, Urban

Goal: Community Memorial Foundation's goal was two-fold: to decrease stigma surrounding youth depression and suicide and increase teen utilization of the Crisis Text Line.

Impact: An awareness campaign that incorporates age- and culturally-appropriate actors through various media can successfully increase teen and adolescent usage of a crisis text hotline.

A Matter of Balance

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

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

Access to Transportation and Health Care Visits for Medicaid Enrollees With Diabetes

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

Goal: The goal of the study was to evaluate the association between Medicaid‐provided nonemergency medical transportation and diabetes care visits.

Impact: The findings of this study underscore the importance of ensuring transportation to Medicaid populations with diabetes, particularly in the rural areas where the prevalence of diabetes and complications are higher and the availability of medical resources lower than in the urban areas.

Active Design Guidelines (New York City, NY)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Adults, Women, Men, Older Adults, Families, Urban

Goal: The goal of the Active Design Guidelines is to provide architects and urban designers with tools to create healthier buildings, urban spaces, and outdoor places based on current academic research and best practices.

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