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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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Northern Michigan Diabetes Initiative: Provider Education Program (Michigan)

Filed under Evidence-Based Practice, Health / Diabetes, Rural

Goal: The overall goal is to reduce the prevalence of diabetes and improve the care of people with diabetes by improving provider education.

Impact: The results indicate that a half-day site visit with an experienced diabetologist can lead to sustained, improved glycemic and lipid control in previously-uncontrolled diabetic patients. The online iDose tool provides an easy way for healthcare providers to calculate insulin dosage.

Obesity: Multicomponent Interventions to Increase Availability of Healthier Foods and Beverages in Schools

CDC

Filed under Evidence-Based Practice, Health / Weight Status

Impact: The Community Preventive Services Task Force (CPSTF) recommends multicomponent interventions to increase availability of healthier foods and beverages in schools. This finding is based on evidence that they reduce or maintain the rate of obesity or overweight.

Oklahoma Billboard Control and Removal Program (Oklahoma)

Filed under Good Idea, Community / Transportation, Adults

Goal: The goal of the Oklahoma Billboard Control and Removal Program is to comply with the requirements of the Oklahoma Highway Beautification Act by removing non-permitted billboards and regulating the installation of new billboards.

Opportunity NYC Demonstrations- Family Rewards (New York City)

Filed under Evidence-Based Practice, Economy / Poverty, Families, Urban

Goal: The goal of this program was to help poor families build up their “human capital” and avoid long-term poverty.

Opportunity NYC Demonstrations- Work Rewards (New York City)

Filed under Evidence-Based Practice, Economy / Poverty, Adults, Urban

Goal: The goal of this program was to increase the workforce efforts of low-income adults living in subsidized housing.

Options/Opciones Project (New Haven and Hartford, CT)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Urban

Goal: The goal of the Options/Opciones Project is to reduce or eliminate risky sexual and drug use behaviors of HIV-infected patients.

Impact: The Options/Opciones Project shows that a clinician-delivered HIV prevention intervention targeting HIV-infected patients can result in reductions in unprotected sex and that interventions of this kind should be integrated into routine HIV clinical care.

Orange County Juvenile Substance Abuse Treatment Court (Orange County, FL)

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

Goal: Florida started the drug court movement by creating the first treatment-based drug court in the nation in 1989. The drug court concept was developed in Dade County (Miami, Florida) stemming from a federal mandate to reduce the inmate population or suffer the loss of federal funding. The Supreme Court of Florida recognized the severity of the situation and directed Judge Herbert Klein to research the problem. Judge Klein determined that a large majority of criminal inmates had been incarcerated because of drug charges and were revolving back through the criminal justice system because of underlying problems of drug addiction. It was decided that the delivery of treatment services needed to be coupled with the criminal justice system and the need for strong judicial leadership and partnerships to bring treatment services and the criminal justice system together.

Outdoor Air Quality Flag Program (San Joaquin Valley Air Pollution Control District)

Filed under Effective Practice, Environmental Health / Air, Children

Goal: The program aims to accomplish two things in Central California: (1) permanently change local policy with respect to existing operating procedures in school districts and schools to help reduce exposure of students, teachers, staff and nearly communities to outdoor environmental asthma triggers ;and (2) provide education on air quality and potential health effects from exposure to air pollutants.

Parent-Child Assistance Program (Washington)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Women

Goal: The goals of the program are to 1) assist mothers in obtaining treatment, maintaining recovery, and resolving the complex problems associated with their substance abuse, 2) guarantee that the children are in a safe environment and receiving appropriate health care, 3) effectively link families with community resources, and 4) demonstrate successful strategies for working with this population and thus reduce the numbers of future drug- and alcohol-affected children.

Impact: At a 36-month follow-up women in PCAP were more likely to have received alcohol/drug treatment than the control group. Cost savings were suggested by a reduction in length of out-of-home care and prevention of Fetal Alcohol Syndrome.

Parent-Child Home Program (USA)

Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: To prepare children of disadvantaged families for academic success and to strengthen families through intensive home visiting.

Impact: When families are engaged in facilitated discussion, the participating families tend to talk more, read more, and have more positive interactions with their children. They engage in more educational activities at home and in their communities.

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.