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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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Impact of Community Health Workers on Use of Healthcare Services in the United States: A Systematic Review

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study was to determine the effect Community Health Worker programs have on healthcare spending.

Impact: The studies show that CHW programs can help reduce emergency department visits and hospital use.

Increasing Colorectal Screening Among Filipino Americans (Los Angeles)

Filed under Evidence-Based Practice, Health / Cancer, Women, Men, Racial/Ethnic Minorities, Urban

Goal: The goal of this intervention was to increase colorectal cancer screening among an Asian American population.

Impact: A multicomponent intervention, including an educational session, can increase colorectal screening rates among Filipino Americans, even without the distribution of free fecal occult blood test kits.

Integration of Family Planning Services at Denver Metro Health Clinic (Denver, CO)

Filed under Effective Practice, Health / Family Planning, Women

Goal: The goal of this program is to provide reproductive health care services to women and men in the Denver STD clinic.

Impact: Enrollment in family planning services increased significantly. Among women returning within 12 months, pregnancies were lower among enrolled versus non-enrolled women. Total additional cost was $29.95/visit, and 40.1 minutes of additional staff time.

Isles, Inc (Trenton, NJ)

Filed under Effective Practice, Economy / Housing & Homes, Children, Adults, Families, Urban

Goal: Isles' mission is to foster more self-reliant families in healthy, sustainable communities.

IT'S TIME (Chicago, IL)

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

Goal: The goal of IT'S TIME is to help women of child-bearing age quit smoking.

Impact: The IT'S TIME program succeeded in helping women quit smoking.

Jefferson County Juvenile Gun Court (Jefferson County, AL)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children

Goal: The program’s goals are to provide early intervention and greater accountability for juveniles charged with weapons offenses, help juveniles recognize and use nonviolent means to promote their safety and preserve their self-esteem, and effectively deliver the message that gun violence hurts victims, families, and communities.

Just Food (New York, NY)

Filed under Effective Practice, Environmental Health / Built Environment, Urban

Goal: The goal of Just Food is to build a more just food system in which family farmers make a fair profit for their efforts, and all people have access to affordable, healthy food. Just Food envisions a strong regional food system -- incorporating a diversity of rural farms and a robust urban farming component -- that preserves ecosystems, reduces pollution, promotes social justice, provides education about the environment, and invigorates rural and urban economies.

Kartini Clinic (Portland, OR)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Teens, Urban

Goal: The overriding treatment goal of Kartini Clinic is to secure lasting remission of eating disorder symptoms, allowing patients and their families to return to their own communities. Using a holistic approach, embracing medical as well as psychological and social interventions, patients are treated with the belief that parents do not cause eating disorders and children do not choose to have them.

Impact: Since 1998, Kartini Clinic has treated more than 2,000 patients and their families for a range of eating disorders.

Keepin' it R.E.A.L. (Refuse, Explain, Avoid, Leave) (Phoenix, AZ)

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

Goal: The objective of this program is to increase life skills such as risk assessment, decision-making and drug resistance, while enhancing anti-drug norms and attitudes.

Impact: Evaluation findings suggest that Keepin' it R.E.A.L. succeeded in decreasing substance use, in reducing negative attitudes/behaviors, and in improving positive attitudes/behaviors.

Keepin' it REAL (USA)

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

Goal: Keepin' it REAL aims to reduce adolescent alcohol, marijuana, and tobacco use.

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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