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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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School Nutrition Policy Initiative (Philadelphia, PA)

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

Goal: The goal of the School Nutrition Policy Initiative is to prevent and reduce overweight and obesity among low-income children.

School-Based Asthma Therapy (Rochester, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

School-Based Intervention to Promote Tooth Brushing (Scotland)

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

Goal: The goal of this intervention was to reduce dental caries among children by promoting twice daily tooth brushing.

Impact: Supervised tooth brushing and positive reinforcement in a school setting decreased the rate of dental caries in participating children.

Sea Lion Club (Germany)

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

Goal: The goal of this program was to lower the Body Mass Index (BMI) of obese children, and thus decrease the prevalence of obesity, through a multi-faceted lifestyle intervention program.

Impact: Group based interventions are beneficial in reducing BMI and creating healthy lifestyles in young, obese individuals.

Second Step: A Violence Prevention Curriculum

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

Goal: The Second Step program is designed to increase students’ school success and decrease problem behaviors by promoting social-emotional competence and self-regulation.

Impact: A number of evaluations of the Second Step program have been conducted. Evaluations have found reductions in fighting and physical aggression, gains in pro-social skills and behavior, increased social competence, and increased knowledge of social skills.

SIDS Risk Reduction Training for Child Care Providers (Washington, D.C.)

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Families, Racial/Ethnic Minorities, Urban

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position, use of cribs (instead of adult beds and couches), and elimination of bedding.

Impact: Childcare provider behavior related to safe sleep practices can be improved from short, in-person targeted educational sessions.

SIDS Risk Reduction Training for Parents and Family Members (Washington, D.C.)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families, Racial/Ethnic Minorities

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position and roomsharing without bedsharing.

Impact: A 15-minute educational session with small groups of parents is effective in informing parents about the importance of safe sleep position and in changing parent behavior for at least the first 6 months of the infant's life.

The Crest Cavity-Free Zone Program (USA)

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

Goal: The goal of the Crest Cavity-Free Zone Program is to improve the oral health of underprivileged children.

Impact: The educational program was effective in promoting improved oral health in these children over a four-week period.

The HEALTHY Study (USA)

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

Goal: The primary goal of the intervention was to reduce overweight and obesity prevalence among middle school students. Ancillary goals were to improve BMI and fasting insulin values, increase water consumption, reduce consumption of beverages with added sugar, increase healthy food choices, improve self-monitoring, and increase exercise time among sixth, seventh, and eighth grade students.

Impact: School-based programs that aim to address childhood obesity and adiposity may reduce individuals' risk of developing childhood-onset of non-insulin dependent diabetes mellitus.

The Seattle-King County Healthy Homes Project (Seattle-King County, Washington)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families

Goal: The goals of the Seattle-King Healthy Homes project are: to increase knowledge of home environmental health threats and asthma self-management among households with a child who suffers from asthma; help households reduce environmental threats in the household; improve health status and reduce asthma-related medical care utilization.

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