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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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CDC COMMUNITY GUIDE: Adolescent Health: Person-to-Person Interventions to Improve Caregivers' Parenting Skills (USA)

CDC

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

Goal: To modify adolescents' risk and protective behaviors by improving their caregivers' parenting skills based on sufficient evidence of effectiveness in reducing adolescent risk behaviors.

Impact: Although the estimated effects varied substantially and were not statistically significant, risk behaviors decreased and youth participants reported increased refusal skills and self efficacy for avoiding risky behaviors in the future.

CDC COMMUNITY GUIDE: Asthma Control: Home-Based Multi-Trigger, Multicomponent Environmental Interventions (USA)

CDC

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

Goal: To improve overall quality of life and productivity for children and adolescents that suffer from asthma.

Impact: Home-based multi-trigger, multi-component interventions with a combination of minor or moderate environmental remediation with an education component provide good value based on improvement in symptoms free days.

CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket Costs: Breast Cancer (USA)

CDC

Filed under Evidence-Based Practice, Health / Cancer, Adults, Women

Goal: The goal of the interventions is to reduce client out-of-pocket costs to minimize or remove economic barriers that make it difficult for clients to access cancer screening services.

Impact: Costs can be reduced through a variety of approaches, including vouchers, reimbursements, reduction in co-pays, or adjustments in federal or state insurance coverage. Efforts to reduce client costs may be combined with client education, information about programs, or measures to reduce barriers.

CDC COMMUNITY GUIDE: Reducing Tobacco Use Initiation: Increasing the Unit Price of Tobacco Products (USA)

CDC

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

Goal: The goals is to make the use of tobacco products less attractive to young people
who have limited incomes and a variety of ways to spend their money.

Impact: These interventions that increase the price of tobacco products
showed strong evidence of their effectiveness in:
• Reducing tobacco use among adolescents and adults
• Reducing population consumption of tobacco products
• Increasing tobacco use cessation

Central Oregon Shots For Tots (Deschutes County, OR)

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

Goal: The primary goal of Shots for Tots is to increase public awareness and provide reliable opportunities to immunize 0-2 year olds.

Colorectal Cancer Screening Intervention for Veterans (Chicago, IL)

Filed under Evidence-Based Practice, Health / Cancer, Adults, Urban

Goal: The goal of this program was to increase colorectal cancer screening recommendations and completion rates at a Veterans Affairs medical center.

Impact: Veterans Affairs (VA) patients in the intervention group received more recommendations for colorectal cancer screening and completed more screening tests compared to those in the control group.

Columbia County Healthy Neighborhoods Program (Columbia County)

Filed under Evidence-Based Practice, Environmental Health / Toxins & Contaminants, Families

Goal: The Healthy Neighborhoods program seeks to reduce housing related illness and injury through prevention and education.

Impact: In the past five years, the HNP visited 31,000 homes with 85,000 residents, and provided the asthma intervention to 11,000 adults and children with asthma. The assessments created a valuable data set about the health effects of housing hazards.

Communities Caring for Children (Minnesota)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Children, Rural

Goal: The goal of Communities Caring for Children is to increase the number of infants and children who receive immunizations on schedule.

Community Nursing Program (Indiana (northeast))

Filed under Good Idea, Health / Health Care Access & Quality, Children, Racial/Ethnic Minorities

Goal: This initiative strives to alleviate nursing shortages in underserved areas.

Community Trials Intervention to Reduce High-Risk Drinking

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

Goal: The goal of this program is to reduce high-risk drinking behaviors.

Impact: Studies demonstrate that the program resulted in decreases in substance use and behaviors related to risk factors. Participants had significant reductions in drinking quantities, variances in drinking quantities, rates of driving when having had too much to drink, and rates of driving over the legal limits relative to nonparticipants. There was also a significant decrease in the number of nighttime crashes per month and the monthly rates of driving under the influence (DUI) crashes.

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.