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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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Addressing Health Equity in Evaluation Efforts (Boston, MA)

Filed under Good Idea, Community / Governance, Racial/Ethnic Minorities, Urban

Goal: The Boston Public Health Commission worked to ensure their efforts were effective in reaching the populations experiencing obesity and tobacco-related health inequities.

Impact: Boston Public Health Commissions' strategic evaluation design allowed the department to make mid-course adjustments and enhanced their ability to contribute to the evidence-base regarding the influence of their initiative on advancing health equity.

Adolescents Living Safely (New York City, NY)

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

Goal: The goal of Adolescents Living Safely is to prevent HIV infection and AIDS among runaway adolescents.

Impact: Adolescents Living Safely changes youth sexual behavior to reduce transmission of HIV among runaways.

Advancing Diabetes Self Management (Connecticut)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities

Goal: The goal of the Advancing Diabetes Self Management program at the Community Health Center was to improve the health outcomes of people with type 2 diabetes.

Impact: The diabetes self-management intervention showed patient improvements in glycemic control, blood pressure, and LDL cholesterol. The team was able to develop and adapt the program to meet the unique needs of the population to create an effective intervention.

Antismoking Media Campaign (Massachusetts)

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

Goal: To reduce the number of older adolescents who progress to established smoking.

Impact: The television component of the Massachusetts antismoking media campaign may have reduced the rate of progression to established smoking among young adolescents.

Around the World Kid2Kid (Oakland, CA)

Filed under Good Idea, Community / Civic Engagement, Children, Urban

Goal: The overall goals of Kid2Kid are to: enable children to become responsible, caring world citizens by assisting them to develop compassion and empathy for other children around the world; increase students' global awareness and cultural understanding, while strengthening social studies and geography content knowledge; provide support, acknowledgement, encouragement and hope for traumatized children worldwide; encourage peace in the world, promote non-violence, and initiate pro-social behavior, among all children worldwide; facilitate an on-line culture learning process, whereby participating Kid2Kid children will learn about themselves and others around the world on a deep, meaningful level; and encourage and improve Kid2Kid children's artistic and communicative skills as well as provide an outlet for emotional expression.

ASPIRE (Houston)

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

Goal: A.S.P.I.R.E aims to reduce teen tobacco use by helping current smokers to quit and preventing non-smokers from beginning to smoke.

ASSIST: A Stop Smoking in Schools Trial (United Kingdon)

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

Goal: ASSIST aims to develop a diverse group consisting of young people that will then influence their peers to defy the idea of smoking thus reducing the number of adolescent smokers and reducing its health effects.

Impact: A peer-led intervention reduced smoking among adolescents at a modest cost: the ASSIST program cost of £32 ($42 USD) (95% CI = £29.70–£33.80) per student. The incremental cost per student not smoking at 2 years was £1,500 ($1984 USD) (95% CI = £669–£9,947).

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.

Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.

Asthma Basics for Children (ABC) (New York, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The goal of the program was to provide a multi-layered asthma management program for parents, children, and staff of early childhood centers.

Impact: The ABC program demonstrates that a multi-layered approach can improve asthma outcomes among preschoolers with a combination of parent and provider education having the greatest impact.

Availability and Consumption of Drinking Water in Middle Schools: A Pilot Study (Los Angeles)

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

Goal: To improve drinking water consumption among adolescents.

Impact: This study shows that provision of filtered, chilled drinking water in school cafeterias coupled with promotion and education is associated with increased consumption of drinking water at school.

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.