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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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Quality Improvement Project to Improve the Immunization Rate in the Women, Infant, and Children Program (Reno County, KS)

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

Goal: The goal of this program is to increase the immunization rate of WIC children.

Impact: The WIC immunization rate for 2 year olds increased from 33% in the 3rd quarter of 2011 to 83% in the 4th quarter of 2012. The no-show rate for WIC appointments decreased from 68% to 27.6%.

Reaching Educators, Children, and Parents (RECAP) (Nashville, TN)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Children

Goal: The primary goal of the program is to reduce the level of children's psychological problems, as well as preventing the development of more serious problems among children who are not referred for formal mental health services.

SMARTteam (Students Managing Anger and Resolution Together)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Teens

Goal: The goal of this program is to teach conflict-resolution skills to middle-school students.

Impact: Studies showed a statistically significant increase in students' awareness of how their own behaviors contribute to the escalation of a conflict situation for students participating in SMARTteam when compared with the control group not receiving the intervention. Students in the intervention group were also less likely to value violence as an option in conflict situations than their peers in the control group.

Summer Bridge (Marin)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The program's goal is to help four- and five-year old children become better prepared for kindergarten.

The Breast and Cervical Cancer Control Program (Missouri)

Filed under Good Idea, Health / Cancer, Women

Goal: The goal of this program is to improve the quality of life for women diagnosed with cancer.

The Missouri Diabetes Prevention and Control Program (Missouri)

Filed under Effective Practice, Health / Diabetes

Goal: The goal of this program is to improve diabetes care in Missouri.

A Population Health Approach to Clinical Social Work with Complex Patients in Primary Care (Portland, Maine)

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: Patients with the highest medical and social vulnerability require a population-specific social work intervention in primary care to achieve positive medical outcomes and to decrease inefficient use of services, especially inpatient admissions and ED visits.

Impact: The study exhibits promise in decreasing inpatient visits and cost. The evidence also supports population-specific social work interventions integrated in primary care.

Active Choices (San Francisco)

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

Goal: The goal of this promising practice is to increase physical activity in a diverse older adult population.

Impact: Participants in the Active Choices program showed significant increases in physical activity and a greater satisfaction with their body appearance and function. Participants of the program also showed decreases in their BMI.

Activity Bursts in the Classroom (ABC) Fitness Program (Independence, MO)

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

Goal: The project aims to promote a healthy lifestyle and reverse the trend of obesity among students and their families.

Impact: The ABC Fitness Program demonstrates the feasibility of bursts of structured physical activity for elementary school students with the beneficial effects on fitness and other health measures.

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.

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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