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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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Environmental Improvements Brought by the Legal Interventions in the Homes of Poorly Controlled Inner-City Adult Asthmatic Patients (New York City, New York)

Filed under Evidence-Based Practice, Environmental Health / Built Environment, Urban

Goal: The goal is to use a medical-legal collaborative intervention to force landlords into maintaining healthy living conditions for residents with poorly controlled asthma.

Impact: This proof-of concept study exhibits that medical-legal collaboration can significantly impact the control of inner-city asthmatics by improving their domestic environment.

Poder Latino: Community AIDS Prevention Program for Inner-City Latino Youth (Boston, MA)

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

Goal: The goal of the Community AIDS Prevention Program is to educate inner city Latino adolescents about how to reduce risk related to HIV/AIDS, and to encourage sexually active teens to use condoms.

Impact: This program shows that prevention programs targeting HIV/AIDS risk-reduction strategies and condom use encouragement can delay male initiation of sexual intercourse, reduce females' number of sexual partners, and increase likelihood of possessing a condom among sexually active youth.

A Living Laboratory: The City of Chattanooga, USA (Chattanooga, TN)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: Chattanooga's vision is to become a city where ecological initiatives generate a strong economic base, nurture social institutions and enhance the natural and made environment.

Flex Your Power Case Study: City of Atascadero (Atascadero, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of this project was to reduce energy usage in government buildings. Long-term objectives were: Research solar, wind and new roofing project; and consider replacing and upgrading wastewater treatment equipment, which was the city's biggest energy user (representing approximately 47 percent of the annual kilowatt usage.)

Flex Your Power Case Study: City of Colton (Colton, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The objectives of the program were:
-assist lowincome customers,
-reduce energy use at city facilities and
-coordinate action between the city and its largest electric customers to implement emergency demand reduction/ load-shedding programs.

Habitat for Humanity Kansas City ReStore (Kansas City, MO)

Filed under Good Idea, Economy / Housing & Homes, Adults, Urban

Goal: ReStore Kansas City was created to be an entrepreneurial, fundraising arm for Habitat for Humanity Kansas City through sales of donated new and used building materials, furniture and appliances. By salvaging useable materials from people who no longer need them, ReStore is saving space in landfills, giving the public affordable materials, and helping to further the mission of affordable housing in the Kansas City area.

Impact: Two stores raised more than $5 million and approximately 60,000,000 lbs. of material were diverted from going into the local landfill.

San Diego County Breaking Cycles (San Diego County, CA)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Teens

Goal: The goals of this program are to

- Prevent youth from becoming delinquent by focusing strengths-based, family-centered community resources and programs on "at-risk" youth and their families.
- Improve the juvenile justice and community intervention for juvenile offenders through a system of Graduated Sanctions (Intervention).

SEXINFO: A Sexual Health Text Messaging Service for San Francisco Youth (San Francisco, CA)

Filed under Effective Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities

Goal: The mission of SEXINFO is to provide sexual health information to those at high risk for acquiring STIs in San Francisco, CA.

The City of Chula Vista's CO2 Reduction Plan (Chula Vista, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: The CO2 Reduction Plan was officially adopted by the Chula Vista City Council in November 2002 and aims to reduce CO2 emissions to 80% of 1990 levels by the year 2010. Specific action measures include:

- Municipal clean fuel vehicle purchases
- Green power use and public education program
- Telecommuting and telecenters
- Enhanced pedestrian connections and increased housing and employment density near transit
- Bicycle lanes, paths, and routes
- Energy efficient landscaping
- Solar pool heating
- Traffic signal and system upgrades

Blue Zones Vitality City Project: Albert Lea, MN (Albert Lea, MN)

Filed under Effective Practice, Health / Wellness & Lifestyle

Goal: To increase quality of life and longevity among members of a community through community-wide interventions which address community, social network, habitat, and inner self.

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.