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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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Communities That Care (USA)

Filed under Evidence-Based Practice, Health / Adolescent Health, Children, Teens, Families

Goal: The goal of Communities That Care is to mobilize communities to prevent future substance abuse by reducing risk factors for children between the ages of 10 and 14.

Impact: Communities That Care reduces initiation of substance abuse behaviors in youth aged 10-14.

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 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.

Consumer Product Safety - Recalled Products in Child Care Settings (Idaho)

Filed under Effective Practice, Health / Children's Health, Children

Goal: The goal of this program is to improve the safety of child care centers in Idaho by making sure that recalled products are removed.

Coordinated Approach To Child Health (CATCH) (USA)

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

Goal: The goal of Coordinated Approach to Child Health (CATCH) is to improve nutrition, increase physical activity, and reduce obesity in preschool, elementary, and middle school aged children.

Impact: CATCH is successful in improving participants' diet and physical activity, and the results lasted three years after participation.

Coping Cat

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

Goal: The goal of this program is to help children recognize and deal with anxiety.

Impact: Studies have found that participants in the Coping Cat program show significant reductions in anxiety and fear, improvements in ability to cope with dreaded situations, and a reduction in the frequency of negative thoughts during the week.

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.

Dental Caries (Cavities): School-Based Dental Sealant Delivery Programs

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based programs to deliver dental sealants and prevent dental caries (tooth decay) among children.

Green Ribbon Month to Reduce Speeding in School and Residential Areas (Utah)

Filed under Good Idea, Health / Prevention & Safety, Children, Teens, Adults

Goal: To decrease the number of children hit by motor vehicles in school zones and crosswalks.

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.