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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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Drug User Intervention Trial (DUIT) (USA)

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

Goal: The goal of this peer-education intervention is to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users.

Elev8 (Chicago, Oakland, Baltimore, and New Mexico)

Filed under Effective Practice, Education / Student Performance K-12, Children, Teens, Families, Racial/Ethnic Minorities

Goal: Elev8 brings together schools, families and the community in low-income areas to ensure that students succeed in school and in life.

Enhanced Patient-Based Referral for Sexually Transmitted Infection Notification (New York (Brooklyn))

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities, Urban

Goal: The goal of this intervention is to promote patient referral among patients with a recent STI diagnosis.

Impact: Program participants were more likely to report sexual partner notification at 1 month and were more likely to report no unprotected sexual intercourse at 6 months.

Expect Respect (Austin, TX)

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

Goal: Expect Respect is a program designed to promote healthy teen relationships and prevent dating abuse.

FAmily-CEntered (FACE) Advance Care Planning (Washington, D.C.)

Filed under Effective Practice, Health / Children's Health, Teens, Adults, Families

Goal: The goal of FACE-ACP is to give adolescents and adults living with a serious medical condition a voice by facilitating conversations between patients and their caregivers so they can achieve their goals and match medical treatment to their goals.

Foster Children's Project (Palm Beach)

Filed under Evidence-Based Practice, Community / Governance, Children, Urban

Goal: To advocate for children and help them resolve their most pressing legal problem: being in the custody of the state when they need to be in the custody of a family - biological or adoptive - within the 12 months provided by law.

Impact: Children represented by the Foster's Children Project were more likely to exit the foster system to permanency due to higher rates of adoption and long-term custody, but not reunification, than their peers not represented by FCP.

Hair, Heart & Health (Baltimore, MD and Washington, D.C.)

Filed under Good Idea, Health / Heart Disease & Stroke, Adults, Racial/Ethnic Minorities, Urban

Goal: The Hair, Heart & Health program embraces the notion that health education at the community level is an effective intervention strategy for preventable diseases like CHD, stroke and kidney disease.

Hartslag Limburg (Heartbeat Limburg) (Maastricht, Netherlands)

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

Goal: The goal of the Hartslag Limburg intervention is to reduce heart disease among low-income, high-risk community members.

Health and Safety Intervention with First-Time Mothers

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women

Goal: The goal of CBFRS is to advance the health and development of first-time mothers and infants through a home visit program.

Impact: The findings indicate positive health and safety outcomes for first-time mothers and infants in the program: higher household safety levels, higher use of birth control methods, lower smoking behavior, higher knowledge of the effects of smoking on child development, and higher use of county clinics.

Health in All Policies

Filed under Good Idea, Community / Governance

Goal: The goal of Health in All Policies is to ensure that health effects are routinely taken into consideration when developing policy.

Impact: Health in All Policies initiatives have helped create healthier communities through implementing policies with health consequences in mind. For many counties, this includes creating cross-agency teams and workgroups to address problems in their community.

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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