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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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Community Aging in Place - Advancing Better Living for Elders (CAPABLE) (Baltimore, MD)

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

Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.

Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.

Community-based Diabetes and Hypertension Preventive Program (Honolulu)

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

Goal: The purpose of this project was to develop rapport with a Chinese Community Association and then establish preventive diabetic and hypertension programs with the Chinese in Chinatown, Hawaii.

Community-Based Multiple Risk Factor Intervention for Cardiovascular Risk (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities

Goal: The goal of this program is to reduce the risk of coronary heart disease among African American families with a history of coronary disease.

Community-Based Secondary Stroke Prevention (Hong Kong, China)

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

Goal: The goal of this program is to increase knowledge of stroke, encourage self-monitoring, and maintain healthy lifestyle changes to prevent secondary stroke.

Complete Health Improvement Program (CHIP) (formerly the Coronary Health Improvement Project) (Rockford, IL)

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

Goal: The goal of the CHIP lifestyle intervention is to lower blood cholesterol, hypertension, and blood sugar levels and reduce excess weight.

Impact: CHIP has over 55,000 graduates worldwide and sustains adherence to the program guidelines through an active "ClubCHIP" member support organization.

Connect (New York, NY)

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

Goal: The goal of Connect is to increase relationship communication and safer sex practices among couples.

Consistency Management & Cooperative Discipline (Houston, TX)

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens, Urban

Goal: The goal of this program is to improve classroom management in order to provide a better learning environment that fosters academic success.

Cornwall Housing and Health

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

Goal: The goal of this study was to reduce pediatric asthma-related symptoms by installing central heating in homes.

Impact: Central heating successfully improves home heating, dampness, and energy efficiency. Through home modifications, asthma-related symptoms (nocturnal cough and days lost from school) can be reduced among children.

Critical Time Intervention

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders

Goal: The goal of the Critical Time Intervention is to prevent homelessness among people with severe mental illness.

Impact: Evaluations of this program have found sizable reductions (24-67%) in average number of nights spent homeless over the 18-month follow-up period and more than a 60% reduction in likelihood of being homeless in the final weeks of the 18-month follow-up. Cost offsets and savings have been shown.

d-up: Defend Yourself!

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Men, Racial/Ethnic Minorities

Goal: The overall goal of d-up! is to increase the number of black MSM who use a condom when they have sex.

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