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.
Filed under Evidence-Based Practice, Health / Physical Activity, Children, Rural
Goal: The goal of the Winning With Wellness (WWW) project is to promote physical activity and healthier eating habits in order to reduce and prevent childhood obesity.
Impact: School wellness programs that are acceptable to teachers and utilize some already existing resources can create impact for rural youth by improving nutrition offerings in school and increasing physical activity during the school day.
Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban
Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.
Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.
References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.
Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.
Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.
Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.
Filed under Evidence-Based Practice, Health / Physical Activity, Women
Goal: The goal of the WOMAN Study is to reduce the progression of subclinical atherosclerosis by reducing weight and waist circumference through dietary changes and physical activity.
Filed under Evidence-Based Practice, Health / Women's Health, Women, Rural
Goal: Women to Women aims to provide social support for chronically ill rural women to positively affect social support, self-esteem, empowerment, self-efficacy in order to decrease stress, depression, and loneliness to improve one’s adaptation to living with a chronic disease.
The overall goal of WTW is to use technology to enhance the potential for rural women to more successfully adapt to their chronic illnesses through computer-based support and education research by providing support groups and health education via the Internet.
Impact: The WTW project shows that computer-based interventions can result in improved self-esteem, social support, and empowerment among rural women with chronic illness.
Filed under Evidence-Based Practice, Health / Physical Activity, Adults
Goal: To decrease total and saturated fat intake, serum low-density lipoprotein cholesterol levels, and body weight.
Impact: The dietitian-delivered intervention effectively improved the care of patients with hyperlipidemia.
Filed under Good Idea, Health / Diabetes, Adults
Goal: The goal is for participants to lose seven percent of their body weight and increase their physical activity to 150 minutes per week in order to reduce the risk of developing type 2 diabetes.
Filed under Evidence-Based Practice, Health / Children's Health, Children
Goal: Youth Fit for Life aims to increase physical activity among children enrolled in after-school care programs.
Filed under Effective Practice, Education / Student Performance K-12, Children
Goal: The McLean County program's mission is "to offer young people a once in a lifetime opportunity to build their futures and their communities through education, leadership development, job training, and the rehabilitation and production of affordable housing, while keeping a profound respect for and a commitment to real partnership with youth."
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Racial/Ethnic Minorities
Goal: The goal of Cuídate is to reduce HIV transmission among Latino youth through culturally tailored programming.
Filed under Effective Practice, Environmental Health / Toxins & Contaminants
Goal: Chattanooga's vision is to become a city where ecological initiatives generate a strong economic base, nurture social institutions and enhance the natural and made environment.