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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 Action Model (San Francisco, CA)

Filed under Effective Practice, Health / Alcohol & Drug Use, Racial/Ethnic Minorities

Goal: The original goal of the Community Action Model has been to improve the health and environment of a community by reducing tobacco influences while building community capacity. It can be applied to a variety of health and welfare issues and has been used successfully in many communities with multiple topics of intervention.

Impact: The Community Action Model has resulted in new tobacco control policies within San Francisco, many of which serve as models for other communities.

Community Based Mentoring Program: Palm Beach (Palm Beach and Martin, FL)

Filed under Effective Practice, Education / Student Performance K-12, Children, Teens, Adults

Goal: The goal of the program is to make a positive difference in the lives of children, primarily through professionally guided one-to-one relationships with caring adults, and to assist them in achieving their highest potential, as they grow to become confident, competent and caring individuals.

Community Dental Clinic (Crawford-Sebastian County, AK)

Filed under Good Idea, Health / Oral Health, Families

Goal: The goal of this program is to improve the health of all its community members, while providing the same quality of service paid for by privately insured patients.

Community Trials Intervention to Reduce High-Risk Drinking

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use

Goal: The goal of this program is to reduce high-risk drinking behaviors.

Impact: Studies demonstrate that the program resulted in decreases in substance use and behaviors related to risk factors. Participants had significant reductions in drinking quantities, variances in drinking quantities, rates of driving when having had too much to drink, and rates of driving over the legal limits relative to nonparticipants. There was also a significant decrease in the number of nighttime crashes per month and the monthly rates of driving under the influence (DUI) crashes.

Community Voice: Palm Beach (Palm Beach)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Racial/Ethnic Minorities, Urban

Goal: Community Voice is a grassroots program that utilizes community residents to provide factual perinatal information throughout the community in an effort to reduce African American infant mortality.

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.

Compassionate Healthcare (San Francisco, CA)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: Compassionate Healthcare seeks to provide affordable, accessible, and quality healthcare to the homeless and poor, offering a full range of traditional health care services, as well as HIV/AIDS, diabetes, mental health, substance abuse, and non-Western medicine services.

Comprehensive Diabetes Lower Extremity Amputation Prevention Program (Louisiana)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Racial/Ethnic Minorities, Rural

Goal: The goal of the Comprehensive Diabetes – Lower Extremities Amputation Prevention initiative is to improve foot care and reduce lower extremity amputations among people with diabetes.

Congenital Heart Disease Screening Program (Washington, D.C.)

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

Goal: The Congenital Heart Disease Screening Program values early diagnosis of Congenital Heart Disease (CHD) with a goal of making screening for CHD a standard practice for all newborns.

Impact: The physicians at Children's National in the National Heart Institute created a toolkit that nurseries may use to start a screening program to improve detection of serious CHD.

Cool School Challenge (Washington)

Filed under Effective Practice, Environmental Health / Air, Teens

Goal: The goals of the Cool School Challenge are to:
* Educate young people, and by proxy their families, about climate change and everyday actions they can take to reduce their impact locally and globally;
* Reduce carbon dioxide emissions and other greenhouse gas emissions in and around schools;
* Encourage student leadership and empowerment;
* Foster a community of teachers/students working together to reduce their greenhouse gas emissions; and
* Foster a new generation of environmental/air quality advocates.

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.