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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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AIDS Insurance Continuation Program (Florida)

Local

Filed under Local, Effective Practice, Health / Health Care Access & Quality, Adults, Families

Goal: The goal of the AIDS Insurance Continuation Program is to provide low-income Floridians living with HIV/AIDS with continuous private health insurance coverage.

Living for Health (Miami, FL)

Local

Filed under Local, Effective Practice, Health / Heart Disease & Stroke, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the program is to identify and follow underserved adult residents with undiagnosed or untreated high blood pressure, cholesterol or glucose, provide education to encourage healthy lifestyle changes and encourage them to seek treatment – anyone without a primary care physician is referred to a participating FQHC.

Impact: Among those participants who were followed over time and were able to be reached by phone, there were significant increases in healthy food consumption as well as significant decreases in smoking, fat consumption, and fast food frequency.

Sugar Smart for Life (Miami Dade County, FL)

Local

Filed under Local, Effective Practice, Health / Physical Activity, Adults

Goal: The goal of Sugar Smart for Life is to reduce the rate of diabetes in our community by empowering those with prediabetes to make lifestyle changes that may prevent or delay onset of the disease.

Impact: These findings suggest that this technology-based intervention is well-received by patients at high-risk for developing diabetes in terms of satisfaction, delivering appropriate health education, and supporting and encouraging positive health behavior changes.

The Key Clubhouse of South Florida (Miami-Dade County, FL)

Local

Filed under Local, Good Idea, Health / Mental Health & Mental Disorders, Adults, Urban

Goal: The mission of The Key Clubhouse is to afford people who have been disrupted by mental illness the opportunity to recover meaningful and productive lives through reintegration in the workplace and the community.

Impact: Individuals who participate in a Clubhouse program have been found to have higher rates of employment, reduced hospitalization, reduced incarceration, and improved well-being as compared with other mental health programs.

A Text Message-Based Intervention for Weight Loss (San Diego County, CA)

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

Goal: To reduce weight in overweight and obese patients using mobile-based text and multimedia messaging.

Impact: At the end of a 4-month period, participants in the text-message based intervention showed greater weight loss than the control group.

Accelerated Benefits (AB) Demonstration (USA)

Filed under Evidence-Based Practice, Health / Disabilities, Adults

Goal: The program's goal was to eliminate the waiting period for access to health care benefits for newly entitled SSDI beneficiaries, and see if this investment has long-term benefits.

Impact: The AB Demonstration project successfully increased the use of health care services and reduced the reported unmet health care needs of participants in the program.

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.

Advancing Diabetes Self Management: La Clinica de La Raza (Oakland, CA)

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

Goal: The goal of Advancing Diabetes Self Management at La Clinica de La Raza was to improve health outcomes of those suffering from type 2 diabetes.

Better Choices, Better Health (USA)

Filed under Evidence-Based Practice, Health / Other Conditions, Adults, Older Adults

Goal: Better Choices, Better HealthTM gives people with chronic conditions the skills to coordinate all the things needed to manage their heath, as well as to help them keep active in their lives.

Buckle Up, Stay Safe (Virginia)

Filed under Evidence-Based Practice, Community / Public Safety, Adults, Older Adults

Goal: The goal of this program is to increase safety belt use among senior drivers.

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.
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