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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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Door-to-Door Van Service for Outpatient Services (Aliquippa, PA)

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

Goal: To increase attendance rates and decrease transportation-related barriers to outpatient PT clinic patients.

Impact: When patients were offered a van service, attendance rates increased at the physical therapy clinic.

Driving and Dementia Toolkit (Ottawa, Canada)

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

Goal: The goal of this toolkit is increase health care provider knowledge and confidence in assessing the driving skills of patients with dementia.

Driving Decisions Workbook (Ann Arbor, MI)

Filed under Effective Practice, Community / Public Safety, Older Adults

Goal: The goal of the Driving Decisions Workbook is to increase self-awareness of driving skills in older adults.

DrugRehab.com

Filed under Good Idea, Health / Alcohol & Drug Use, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Goal: At DrugRehab.com, our mission is to equip patients and families with the best information, resources and tools to overcome addiction and lead a lifelong recovery.

Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial (Chicago, Illinois)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities

Goal: To assess the effectiveness of a case management and housing program in reducing the use of urgent medical services among homeless adults with chronic medical illnesses.

Impact: For every 100 homeless adults offered the intervention, the expected benefits over the next year would be 49 fewer hospitalizations, 270 fewer hospital days, and 116 fewer ED visits.

Elder Farmers' Market Nutrition Program - Florida (Florida)

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

Goal: The goal of the Elder Farmers' Market Nutrition Program is to help low-income elders improve their nutrition through access to fresh produce that they may not otherwise be able to afford.

EnhanceWellness (Missouri)

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

Goal: The goal of EnhanceWellness is to improve the health and functioning of older adults.

Evergreen Action Nutrition Program (Guelph, Ontario)

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

Goal: The goal of the Evergreen Action Nutrition program is to prevent chronic diseases and encourage health eating and nutrition among seniors in the community.

Every Baby to 1

Filed under Good Idea, Health / Children's Health, Adults, Women, Men, Older Adults, Families

Goal: Every Baby to 1 works to ensure every infant survives and thrives during their first year of life. Every Baby to 1 engages the faith community to develop education efforts and initiatives that address infant mortality. As a part of this, Every Baby to 1 promotes the "3 S" approach of Safe Sleep, Safe Space, and Social Support to reduce the risk of Sudden Unexpected Infant Death (SUID).

Fall Prevention (Dickinson County, Kansas)

Filed under Good Idea, Health / Older Adults, Adults, Women, Men, Older Adults, Rural

Goal: To reduce the risk of falls among residents over 65 years of age through education in fall awareness and prevention.

Impact: After the program, participants spoke with healthcare providers regarding dizziness and medication side effects, scheduled overdue eye exams, and implemented home safety ideas to reduce the risk of falling.

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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