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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.

NutriActive (Iowa)

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

Goal: The goal of this intervention is to improve motor skills and fitness in young children. Fitness and motor skills development early in life can lay the foundation for successful lifelong physical activity participation.

Impact: A short-duration lifestyle intervention can have a lasting effect on children's fitness and motor skills development.

Nutrition Detectives

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

Goal: The goal of the program is to provide elementary schools with a low-cost, non-invasive curriculum to educate elementary school children on how to read nutrition labels, differentiate between marketing versus reality, and select healthier food options.

Impact: Nutrition Detectives shows that a low-cost, non-invasive educational program based around downloadable videos, presentations, and materials can improve young students' and their parents' ability to make healthier food and nutrition choices.

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.

Parent Connext: Parent Coaching in Pediatric Practices (Cincinnati)

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

Goal: The goal of Parent Connext is to support parents in reducing and/or preventing toxic stress in the family and help children develop critical life skills and coping skills. Recent studies have found that up to 50% of health outcomes are attributable to social and economic factors and that lifetime costs associated with child maltreatment are comparable to other costly healthcare conditions such as stroke or type 2 diabetes. Moreover, 4 in 5 physicians report lacking confidence in their ability to meet patients’ social needs, which can impede their ability to provide high quality medical care. As a result, interventions that target parents’ social needs may have important implications for reducing healthcare costs and have the added benefit of enabling physicians to provide high-quality care to their patients.

Parent Enrichment Program (Hamilton County, OH)

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban

Goal: Parenting education programs are designed to teach and enhance skills and behaviors that enable parents to better understand their child, support their development, and provide a more stable and supportive family environment. Research supports the numerous benefits of such programs, finding that parenting education programs help parents to teach communication and social skills while reducing their stress and improving their sense of competence. Importantly, these positive program outcomes are true for families regardless of whether they are currently dealing with issues of maltreatment or are simply at risk for it.

The Parent Enrichment Program is for families who are at risk for having their children removed from the home or whose children have been removed from the home due to abuse or neglect. The goal of the program is to enhance existing parenting skills, connect participants to needed resources, and support their goals related to social and economic self-sufficiency. Specific program objectives are to improve skills related to positive parenting and financial stability, develop family protective factors that guard against abuse and neglect, and reduce safety threats.

References:
Charlop-Christy, M. H., & Carpenter, M. H. (2000). Modified incidental teaching sessions: A procedure for parents to increase spontaneous speech in their children with autism. Journal of Positive Behavior Interventions, 2, 98–112.
Solomon, R., Necheles, J., Ferch, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism: The PLAY Project Home Consultation program. Autism, 11, 205–224.
Koegel, R. L., Bimbela, A., & Schreibman, L. (1996). Collateral effects of parent training on family interactions. Journal of Autism and Developmental Disorders, 26, 347–359.
Cowen, P. S. (2001). Effectiveness of a parent education intervention for at‐risk families. Journal for Specialists in Pediatric Nursing, 6(2), 73-82.

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.

Partnership for Health (California)

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

Goal: The goal of Partnership for Health is to reach HIV positive patients during regular doctor visits and increase their knowledge, skills, and motivations to practice safer sex.

Impact: Brief provider counseling emphasizing the negative consequences of unsafe sex can reduce HIV transmission behaviors in HIV-positive patients presenting with risky behavioral profiles.

Pathways to Housing, Inc. (NYC, DC, Philadelphia)

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban

Goal: The goal of Pathways to Housing, Inc. is to provide independent housing, treatment services for physical and mental health, and employment to mentally ill individuals who are chronically homeless.

Impact: Pathways to Housing has received numerous awards for its projects in New York City, Philadelphia, and D.C. In addition to achieving large effects in terms of housing outcomes, compared with standard care in the community, Housing First also improves community functioning and quality of life.

Penn Resiliency Program (Pennsylvania)

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

Goal: The Penn Resiliency Program is a depression prevention program that seeks to reduce the longevity of symptoms exhibited and the severity of symptoms at onset of depression, through cognitive-behavioral therapy and problem-solving techniques.

Impact: The Penn Resiliency program shows that a group-based program seeking to prevent the initial onset of and decrease the exacerbation of depression children and teens by incorporating specific coping and problem-solving skills can reduce depressive symptoms over time.

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.