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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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Community-Based Secondary Stroke Prevention (Hong Kong, China)

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

Goal: The goal of this program is to increase knowledge of stroke, encourage self-monitoring, and maintain healthy lifestyle changes to prevent secondary stroke.

Connecting Partners through the Community Information Exchange (San Diego, CA)

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

Goal: Improve care coordination for vulnerable patients through an online platform.

Impact: Among clients enrolled in the CIE, participants experienced a reduced number of emergency medical services trips and increased stable housing rates.

Cool Kids (Australia)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Families

Goal: To teach children and parents how to manage anxiety disorders.

Coordinated Approach To Child Health (CATCH) (USA)

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

Goal: The goal of Coordinated Approach to Child Health (CATCH) is to improve nutrition, increase physical activity, and reduce obesity in preschool, elementary, and middle school aged children.

Impact: CATCH is successful in improving participants' diet and physical activity, and the results lasted three years after participation.

Cornwall Housing and Health

Filed under Evidence-Based Practice, Health / Children's Health, Children

Goal: The goal of this study was to reduce pediatric asthma-related symptoms by installing central heating in homes.

Impact: Central heating successfully improves home heating, dampness, and energy efficiency. Through home modifications, asthma-related symptoms (nocturnal cough and days lost from school) can be reduced among children.

Dental Caries (Cavities): School-Based Dental Sealant Delivery Programs

NewCDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based programs to deliver dental sealants and prevent dental caries (tooth decay) among children.

Dialectical Behavior Therapy

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders

Goal: The goal of Dialectical Behavior Therapy is to use a cognitive-behavioral treatment approach to treat patients with multiple disorders.

Impact: After 1 year of treatment, a smaller percentage of DBT participants reported suicide attempts compared with TBE patients. DBT also reduced Nonsuicidal Self-Injury (NSSI) behavior over the course of 1-year treatment.

Direct Mailing of Fecal Occult Blood Tests to Increase Colorectal Cancer Screening (Wright County, MN)

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

Goal: The goal of this program was to increase colorectal cancer screening using direct mailings of fecal occult blood test (FOBT) kits for noninvasive colon cancer screening.

Impact: Direct mailing of FOBT kits resulted in an increase in self-reported colon cancer screening adherence.

Domestic Violence Emergency Response Teams for Zero Tolerance (DVERT/ZT) (Santa Barbara County, CA)

Filed under Effective Practice, Community / Domestic Violence & Abuse, Families, Urban

Goal: The program works to counsel and assist domestic violence victims by providing them with information about available resources and services, as well as their legal and other options. They also offer medical assistance and emergency shelter, including transportation to the shelter. Through legal advocacy and education, DVERT teams work to reduce domestic violence in Santa Barbara County.

Dramatic Health Education Project: STDs/HIV (Kansas City, MO)

Filed under Good Idea, Health / Adolescent Health, Teens, Urban

Goal: The Coterie exists to provide professional classic and contemporary theater, which challenges the audience and artist alike, and to provide educational, dramatic outreach programs in the community. The Coterie seeks to open lines of communication between races, sexes and generations. The objectives of DHEP are to improve knowledge regarding HIV and STDs and reduce the intentions of teenagers to practice high-risk behavior. DHEP also continues to refine the culturally-specific dramatic workshops and ensure story lines are relevant to teenagers.

Impact: After watching this program, over 75% of students report that they would be less likely to practice high-risk sexual behavior.

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.