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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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SIDS Risk Reduction Training for Parents and Family Members (Washington, D.C.)

Local

Filed under Local, Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families, Racial/Ethnic Minorities

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position and roomsharing without bedsharing.

Impact: A 15-minute educational session with small groups of parents is effective in informing parents about the importance of safe sleep position and in changing parent behavior for at least the first 6 months of the infant's life.

SIDS Risk Reduction Training for Child Care Providers (Washington, D.C.)

Local

Filed under Local, Evidence-Based Practice, Health / Children's Health, Adults, Women, Families, Racial/Ethnic Minorities, Urban

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position, use of cribs (instead of adult beds and couches), and elimination of bedding.

Impact: Childcare provider behavior related to safe sleep practices can be improved from short, in-person targeted educational sessions.

Children's National Parish Nursing Program (Washington, D.C.)

Local

Filed under Local, Good Idea, Health / Children's Health, Children, Teens, Families, Urban

Goal: The goal is to increase awareness in faith-based communities regarding preventative care for children and services available at Children's National Medical Center for patients and families.

Impact: The Parish Nursing Program will train eight nurses to become Faith Community Nurses in Summer 2013.

Sleeve Gastrectomy in Adolescents with Morbid Obesity (Washington, D.C.)

Local

Filed under Local, Good Idea, Health / Adolescent Health, Children, Teens, Urban

Goal: The goal of sleeve gastrectomy in adolescents with morbid obesity is to provide a safe, minimally invasive surgical solution to weight loss when modifications to exercise and diet fail.

Congenital Heart Disease Screening Program (Washington, D.C.)

Local

Filed under Local, Good Idea, Health / Children's Health, Children, Families

Goal: The Congenital Heart Disease Screening Program values early diagnosis of Congenital Heart Disease (CHD) with a goal of making screening for CHD a standard practice for all newborns.

Impact: The physicians at Children's National in the National Heart Institute created a toolkit that nurseries may use to start a screening program to improve detection of serious CHD.

FAmily-CEntered (FACE) Advance Care Planning (Washington, D.C.)

Local

Filed under Local, Effective Practice, Health / Children's Health, Teens, Adults, Families

Goal: The goal of FACE-ACP is to give adolescents and adults living with a serious medical condition a voice by facilitating conversations between patients and their caregivers so they can achieve their goals and match medical treatment to their goals.

Special Edition Sickle Cell Newscast (District of Columbia)

Local

Filed under Local, Good Idea, Health / Children's Health, Children, Teens, Families

Goal: The objective of the Special Edition Sickle Cell Newscast is to increase the public's awareness of Sickle Cell Disease and to train lifelong advocates for SCD among the teen population.

Home-Delivered Meals Postdischarge From Heart Failure Hospitalization (GOURMET-HF) (Columbia University Medical Center, the Ann Arbor Veterans Affairs Health System, and the University of Michigan Health System)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults, Women, Men, Older Adults

Goal: The goals of GOURMET-HF are to assess the safety of the intervention, including effects on cardiac biomarkers and rehospitalization burden.

Impact: Home-delivered DASH/SRD after HF hospitalization appear safe in selected patients and had favorable effects on HF clinical status and 30-day readmissions. The GOURMET-HF pilot study suggests that postdischarge nutritional support has the potential to improve HF symptoms and reduce readmissions

826 National (Chapters in CA, NY, IL, WA, MI, MA, DC)

Filed under Effective Practice, Education / Literacy, Children, Teens, Urban

Goal: The mission of 826 National is to help children ages 6-18 develop their writing skills, and to help teachers get their students excited about writing. The mission is based on the understanding that great leaps in learning can happen with one-on-one attention, and that strong writing skills are fundamental to future success.

Lead Free Wheels (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The "Lead Free Wheels" program has three goals:

- direct reduction of 6,000-7,500 kg of lead use on vehicles in Michigan and the Midwest;
- demonstrate the viability of lead-free wheel weight installation at Michigan tire retailers, state and municipal fleets and other points vehicle service and:
- encourage domestic production of lead-free wheel weights and a phase out of lead use in wheel weights.

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.