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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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Smart Meal Program (Sonoma)

Filed under Good Idea, Health / Physical Activity

Goal: To promote optimal nutritional and physical health for Sonoma County residents, especially children, by increasing the capacity of residents to make informed and healthy food choices.

Social Determinants of Health: Permanent Supportive Housing with Housing First (Housing First Programs)

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends permanent supportive housing with Housing First (Housing First programs) to promote health equity for people who are experiencing homelessness and have a disabling condition.

Evidence shows Housing First programs decrease homelessness, increase housing stability, and improve quality of life for homeless persons living with disabling conditions, including those with HIV infection. For clients living with HIV infection, these programs also improve clinical indicators and mental health and reduce mortality. Housing First programs also lead to reduced hospitalization and use of emergency departments for homeless persons with disabling conditions, including HIV infection.

The CPSTF finds the economic benefits exceed the intervention cost for Housing First Programs in the United States. Because homelessness is associated with lower income and is more common among racial and ethnic minority populations, Housing First Programs are likely to advance health equity.

Something to Smile About Dental Program (Garrett County, MD)

Filed under Effective Practice, Health / Oral Health, Children, Women

Goal: The purpose of the "Something to Smile About" dental program is to improve dental outcomes for children in Garrett County, Maryland.

STOP-DWI (New York)

Filed under Effective Practice, Community / Transportation, Adults

Goal: The goal of the Broome County STOP-DWI comprehensive DWI countermeasure program is to improve highway safety by preventing drunk driving through increased certainty of arrest and conviction.

Support Healthy Active Kids in Education (SHAKE) (Sonoma, CA)

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

Goal: The goal of the SHAKE program is to use elementary school-based programming to promote childhood health and fitness.

Tailored Caregiver Assessment and Referral (TCARE)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: TCARE supports Area Agencies on Aging (AAAs) by strengthening agencies' abilities to support family caregivers through its Evidence-Based software and protocol.

Teen Choices (Collier County, FL)

Filed under Good Idea, Health / Family Planning, Teens

Goal: The goal of this program is to reduce the repeat birth rate for teen women in Collier County and to encourage positive choices for teen mothers to ensure a brighter future for them and their children.

The 16th Avenue Tiled Steps Project (San Francisco)

Filed under Good Idea, Community / Social Environment, Adults, Older Adults, Families, Urban

Goal: The 16th Avenue Tiled Steps Project was a neighborhood effort to create a mosaic running up the risers of 163 steps.

The AIMS Model

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

Goal: The Ambulatory Integration of the Medical and Social (AIMS) model aims to address social and environmental factors patients face that may prevent them from following their plan of care, thus impacting their health.

Impact: The AIMS model helps create better supported, less stressed, and better informed consumers and caregivers. There is also evidence to suggest that this model reduces ED usage and 30-day readmissions in participants.

The Effect of Guided Care Teams on the Use of Health Services

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults

Goal: The goal of this study was to determine the effect of interdisciplinary primary care teams on health care utilization by patients with multiple chronic conditions.

Impact: This study concluded that guided care models can significantly impact home health care episodes.

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.