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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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Asian American Diabetes Initiative

Filed under Good Idea, Health / Diabetes, Racial/Ethnic Minorities

Goal: Joslin's Asian American Diabetes Initiative has a mission to enhance the quality of life and health outcomes for Asian Americans living with diabetes through research, education, outreach and culturally appropriate treatments.

Impact: Joslin's Asian Clinic provides comprehensive and culturally appropriate diabetes care for Asian Americans.

ASPIRE (Houston)

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

Goal: A.S.P.I.R.E aims to reduce teen tobacco use by helping current smokers to quit and preventing non-smokers from beginning to smoke.

Aspiritech (Chicago, IL)

Filed under Good Idea, Economy / Employment, Adults

Goal: Aspiritech's mission is to provide a path for high-functioning individuals on the autism spectrum to realize their potential through meaningful employment.

ASSIST: A Stop Smoking in Schools Trial (United Kingdon)

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

Goal: ASSIST aims to develop a diverse group consisting of young people that will then influence their peers to defy the idea of smoking thus reducing the number of adolescent smokers and reducing its health effects.

Impact: A peer-led intervention reduced smoking among adolescents at a modest cost: the ASSIST program cost of £32 ($42 USD) (95% CI = £29.70–£33.80) per student. The incremental cost per student not smoking at 2 years was £1,500 ($1984 USD) (95% CI = £669–£9,947).

Assisting in Rehabilitating Kids (ARK) (Mississippi)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens

Goal: The goal of Assisting in Rehabilitating Kids (ARK) is to increase abstinence and safer sex behaviors among substance-dependent adolescents.

Impact: The ARK program successfully increased sexual abstinence among those who received all components: health information, behavior skills training, and risk-sensitization manipulation, with the inclusion of the latter being more resistant to decay over time.

Asthma Care Training (ACT) for Kids (Bronx, NY)

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

Goal: Effective asthma control can improve quality of life, reduce medical costs, and reduce the number of asthma-related emergency department visits, hospitalizations, school and work days missed, days of restricted activity, and deaths each year.

At the Crossroads (ATC) (San Francisco, CA)

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

Goal: The mission of At The Crossroads is to reach out to homeless youth and young adults at their point of need, and provide them with services and programs that will empower them and improve their lives.

Baby, Be Safe (Washington D.C.)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Children, Families

Goal: The goal of Baby, Be Safe is to increase the use of child injury prevention measures.

Impact: Participants who received tailored educational materials reported greater adoption of home and car safety behaviors than those receiving generic information. This study offers promising findings to help prevent injuries to young children.

BackPack Program (USA)

Filed under Good Idea, Economy / Poverty, Children, Families

Goal: The mission of the BackPack program is to provide food to hungry children at times when other resources are not available, such as weekends and school vacations.

Baltimore Needle Exchange Program (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Women, Men, Racial/Ethnic Minorities, Urban

Goal: The goal of the Baltimore Needle Exchange Program is to reduce HIV, hepatitis, and other infections by reducing the use of unclean needles and to help individuals overcome substance abuse by connecting them to harm reduction services and drug treatment programs. The experimental case manager intervention program at the Baltimore NEP looked to increase the percentage of intravenous drug users who enrolled in city sponsored substance abuse programs following referral at the Baltimore NEP sites.

Impact: The intervention program through Baltimore NEP was effective in increasing entry of intravenous drug users into drug drug treatment programs and highlights the need for more accessible treatment programs and harm-reduction services, such as mobile treatment facilities.

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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