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.
Filed under Evidence-Based Practice, Health / Prevention & Safety, Older Adults
Goal: Stepping On aims to reduce the prevalence of falls among older adults. Falls are not a normal part of aging and the risk and/or prevalence of falls may be decreased by taking certain steps, including vision checks, medication management, strength & balance exercises, and home safety checks. Falls and/or the fear of falling often lead to a loss of independence.
Impact: This evidence-based program demonstrated a 31% reduction in falls among participants in an Australian trial. It reached a 50% reduction in falls among participants in a U.S. workshop.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.
Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.
Filed under Evidence-Based Practice, Health, Teens, Urban
Goal: To enable teens from disadvantaged circumstances to develop healthy behaviors, life skills, and a sense of purpose in order to prevent problem behaviors.
Impact: This program equips teens to better develop healthy behaviors and relationships,
develop life and leadership skills, and achieve educational
success.
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.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: Reduce hospital/nursing home readmissions and improve care for older adults.
Impact: Reduced 30-day readmission rate from 18.2 to 8.9 percent over the course of 2 years, resulting in estimated savings of more than $17 million through 1,804 avoided readmissions.
Filed under Evidence-Based Practice, Health / Tobacco Use
Impact: The Community Preventive Services Task Force (CPSTF) recommends community mobilization combined with additional interventions such as stronger local laws directed at retailers, active enforcement of retailer sales laws, and retailer education with reinforcement on the basis of sufficient evidence of effectiveness in reducing youth tobacco use and access to tobacco products from commercial sources.
Filed under Evidence-Based Practice, Community / Public Safety, Racial/Ethnic Minorities
Goal: The goal of tribal motor vehicle injury prevention programs is to reduce disparities in rates of motor vehicle-related injuries and deaths.
Impact: Projects to increase motor vehicle safety on tribal reservations increased seat belt use among drivers, increased use of child safety seats, and decreased motor vehicle crashes.
Filed under Evidence-Based Practice, Community / Social Environment, Children, Families
Goal: Triple P aims to prevent maltreatment and behavioral, emotional and developmental problems in children by strenghtening the knowledge, skills and confidence of parents.
Impact: The program found a 25-35% reduction in child maltreatment, child maltreatment related hospitalizations and injuries, and foster home placements of children for young children at two-year followup of the program.
Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Urban
Goal: The goal of the TACOS program was to use an environmental intervention to increase the availability and consumption of lower-fat foods in a la carte areas of secondary school cafeterias.
Impact: The TACOS program successfully increased both the availability and sale of lower-fat foods in a la carte areas of secondary school cafeterias.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends home visits to increase vaccination rates in children and adults. The CPSTF notes, however, that economic evidence shows home visits can be resource-intensive and costly relative to other options.