Promising Practices

Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities

Goal: The goal of the FoCaS Project is to improve breast and cervical cancer screening participation among low-income women.

Filed under Evidence-Based Practice, Community / Social Environment, Children, Teens, Families

Goal: The goal of this program is to provide positive family strengthening resources to youth at risk and in need.

Filed under Good Idea, Health / Physical Activity, Adults, Families

Goal: The contest is designed as a fun way for community members to get more exercise, with a target of 30 minutes or more of physical activity per day.

Filed under Good Idea, Health / Wellness & Lifestyle, Adults, Racial/Ethnic Minorities, Urban

Goal: Global Gardens aims to increase household access to affordable fresh vegetables among newly resettled refugee individuals living in the Historic Northeast of Kansas City, Missouri. Program participants are provided use of land, water, seeds, and plant starts at community gardening sites in the Lykins and Indian Mound neighborhoods, maintained by Global Gardens staff.

During the course of the program, growers receive ongoing education and support from staff and interpreters, reducing language and cultural barriers that have historically limited refugee access to community gardening engagement. The Global Gardens curriculum focuses on increasing refugee growers’ skills in community and household gardening, utilizing a garden-based learning theory of education, and implementing participatory, learner-centered assessment techniques. The curriculum empowers growers to take the lead in their learning experience and increase connection to and responsibility for their physical environment.

Additionally, Global Gardens aims to increase participant knowledge of how to access local community gardening resources in Kansas City. Each growing season, participants are connected to Kansas City Community Gardens (KCCG), a non-profit that seeks to assist low-income households to produce vegetables from garden plots in backyards and community sites. Global Gardens participants receive membership information and introduction to the seed and plant ordering process, and practice using this resource during the course of the program, building individual self-sufficiency in navigating the process, and increasing likelihood of utilizing KCCG in future.

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke

Goal: The goal of the Hartslag Limburg intervention is to reduce heart disease among low-income, high-risk community members.

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children, Teens, Families, Urban

Goal: The mission of Head to Toe is to teach children and their families the skills to manage body weight as they grow by living a healthy lifestyle that includes regular physical activity, healthy eating habits, and a positive self-image.

Impact: From August 2011 to May 2016, 485 children and their parents or guardians have enrolled in the Head to Toe program. Head to Toe has effectively increased knowledge of nutrition, physical activity and emotional health among participants.

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).

Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.

CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.

Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.

CDC

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke

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

Goal: The goal of this program is to educate during every visit, to assist patients in developing a longitudinal personal record of medical history and care plans, and to provide a tangible way to engage patients in their own care. The overarching goal was better compliance, recognition of medication side effects, and improved adherence to specific and agreed upon lifestyle changes.

Impact: Sixty percent of patients participate in care plan tracking with a health notebook, and 80% percent of patients complete a prep form to help organize visits.

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

Goal: The goal of Healthy IDEAS is to detect and address depression through effective, evidence-based screening and health promotion education.

Impact: Studies show that after 6 months in the Healthy IDEAS program, significantly more of the participants knew how to get help for depression (93% versus 68%), reported that increasing activity helped them feel better (89% versus 72%), and reported reduced pain (45% versus 16%) than at the beginning.