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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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Rails-to-Trails Conservancy

Filed under Good Idea, Environmental Health / Built Environment, Adults

Goal: The mission of Rails-to-Trails Conservancy is to create a nationwide network of trails from former rail lines and connecting corridors to build healthier places for healthier people.

Impact: Rails-to-Trails Conservancy encourages people of all ages and abilities to get outside and be active on a rail-trail. The organization serves 150,000 members and supporters on over 20,000 miles of rail-trail.

Respiratory Health Association (Chicago, IL)

Filed under Good Idea, Health / Respiratory Diseases

Goal: Respiratory Health Association's mission is to promote healthy lungs and fight lung disease through research, advocacy and education.

Impact: Respiratory Health Association provides ongoing education, research funding, and advocacy for respiratory health. The program also partners with organizations that work with underserved populations to reduce tobacco use.

Rhode Island Greenhouse Gas Action Plan (Rhode Island)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The Rhode Island process builds on a recent agreement among all the New England Governors and Eastern Canadian Premiers to reduce greenhouse gases in the region to 1990 levels by 2010, 10% below those levels in 2020, and by as much as 75% over the longer-term.

Safe in the City (Denver, Long Beach, and San Francisco)

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

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

Senior Health and Resource Eligibility System (SHARES) (Florida)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: Both local and state governments face huge challenges in providing senior populations access to public, agency, professional and family caregivers, and community services that allow seniors to remain independent. The complex maze of constantly changing program and service eligibility rules challenge even the most knowledgeable senior service providers. Fragmentation within senior service agencies further results in duplication of services, unnecessary waiting lists, and caregiver and volunteer burnout. This resource attempts to address those problems by providing quick and easy access to a variety of programs.

SF Health Code Article 38: Enhanced Ventilation for Urban Sensitive Use Development (San Francisco, CA)

Filed under Good Idea, Community / Governance, Children, Teens, Adults, Older Adults, Families, Urban

Goal: The purpose of SF Health Code Article 38 is to protect residents from the effects of living in a poor air quality zone by requiring enhanced ventilation in new and renovated residential buildings.

Impact: The City of San Francisco implemented a law requiring enhanced ventilation in new and renovated residential buildings to protect residents from harmful particulate matter.

StrongPeople Strong Bodies

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

Goal: StrongPeople Strong Bodies is a community-based strength training program aimed at mid-life and older individuals. The benefits of strength training for older individuals have been studied extensively and include increased muscle mass and strength; improved bone density and reduced risk for osteoporosis and related fractures; reduced risk for diabetes, heart disease, arthritis, depression, and obesity; and improved self-confidence, sleep, and vitality.

Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

The Bay-Friendly Landscaping & Gardening Coalition (Bay Area, CA)

Filed under Good Idea, Environmental Health / Built Environment, Urban

Goal: Goals of the Bay-Friendly Landscaping & Gardening Coalition include:

- Reduce waste & help meet recycling goals.
- Reduce water use on landscapes by 50% or more.
- Nurture healthy soils while reducing fertilizer use.
- Use integrated pest management to minimize chemical use.
- Prevent or reduce storm water pollution to our local creeks and bay.
- Lower maintenance associated with mowing and shearing.
- Reduce greenhouse gas emissions.
- Create wildlife habitat.

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.