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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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Substance Use Disorder Assessment and Resource Navigation (Austin, TX)

Filed under Good Idea, Health / Alcohol & Drug Use, Adults, Urban

Goal: To engage patients who may benefit from early intervention and/or education about substance use disorders, and to direct the individuals toward treatment options at the most appropriate levels of care.

300-Mile Club (Louisville, KY)

Filed under Good Idea, Health / Wellness & Lifestyle

Goal: The goal of this program is to encourage lifestyle changes that promote healthier living by promoting walking for exercise and educating participants about proper nutrition.

A Matter of Balance (Clay and Platte Counties, MO)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goals of the program are to help participants learn how to view falls and the fear of falling as controllable, set realistic goals for increasing activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance.

Impact: After completing the program, 97% of participants are more comfortable in talking about falls, 95% have made environmental changes, and 99.5% plan to continue exercising.

Access to Transportation and Health Care Visits for Medicaid Enrollees With Diabetes

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The goal of the study was to evaluate the association between Medicaid‐provided nonemergency medical transportation and diabetes care visits.

Impact: The findings of this study underscore the importance of ensuring transportation to Medicaid populations with diabetes, particularly in the rural areas where the prevalence of diabetes and complications are higher and the availability of medical resources lower than in the urban areas.

ACTIVE Louisville’s Healthy Eating Initiative (Louisville, KY)

Filed under Good Idea, Health / Physical Activity

Goal: The goal of this program is to promote healthy eating in lower-income areas of Louiville. The initiative is part of a larger program with the goal of redesigning low-income urban neighborhoods to promote active living.

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.

Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative (Alameda County, CA)

Filed under Good Idea, Health, Urban

Goal: The goal of the Place Matters initiative is to improve the health of participating communities by “addressing social conditions that lead to poor health” through “identifying the complex root causes of health disparities and defining strategies to address them.”

Impact: AC Place Matters has identified 10 best practices that could help other programs address social determinants of health: find and foster strong leadership, dedicate staff resources to the work, engage staff from across the local health department, contribute to building grassroots power, address root causes, partner with community organizations and leaders, partner with government institutions across sectors, work reactively and proactively, build capacity, and use tools that ensure a focus on health equity.

Adolescents Living Safely (New York City, NY)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Urban

Goal: The goal of Adolescents Living Safely is to prevent HIV infection and AIDS among runaway adolescents.

Impact: Adolescents Living Safely changes youth sexual behavior to reduce transmission of HIV among runaways.

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.

Alcohol and Other Drug Death Review (Humboldt County, CA)

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The goal of this program is to involve community partners in reviewing individual deaths, generating recommendations for improved community collaboration, and initiating new practices.

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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