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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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Patient-Centered Community Health Worker Intervention to Improve Post-hospital Outcomes

Filed under Evidence-Based Practice, Health / Health Care Access & Quality

Goal: The Goal of this Promising Practice is to determine whether a tailored community health worker (CHW) intervention would improve post-hospital outcomes among low-SES patients.

Impact: This intervention would improve access to primary care and quality of discharge while controlling recurrent readmissions in a high-risk population. Health systems may leverage the CHW workforce to improve post-hospital outcomes by addressing behavioral and socioeconomic drivers of disease.

Patient/Provider Communication Assistant (Vermont)

Filed under Evidence-Based Practice, Health / Cancer, Adults, Rural

Goal: The goal of this program is to improve communication between providers and patients about colorectal cancer screening.

Program of All-Inclusive Care for the Elderly (PACE)

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

Goal: PACE provides comprehensive medical and social services to certain frail, elderly people (participants) still living in the community. Most of the participants who are in PACE are dually eligible for both Medicare and Medicaid.

Impact: Key research findings demonstrate PACE effectiveness in delivering gold-standard care for older adults and its approach can be a model for others looking to improve the health care system.

Progressive Agriculture Safety Day Camp® (USA)

Filed under Effective Practice, Health / Children's Health, Children, Rural

Goal: The goal of the Farm Safety Day Camp is to make farm and ranch life safer and healthier for children through education and training.

Project CAFE (Los Angeles)

Filed under Good Idea, Health / Physical Activity, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Project CAFE is to identify ways to increase access and availability of healthy foods in Los Angeles neighborhoods in order to decrease obesity and diabetes.

Project Link (Providence, RI)

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

Goal: The goal of this program is to improve health outcomes for pregnant and postpartum women with substance abuse problems and their infants.

Impact: Improvement in birth weight and gestational age, and reduction in admittance to neonatal intensive care unit and positive infant toxicology screens.

Project PREVENT (Massachusetts and North Carolina)

Filed under Evidence-Based Practice, Health / Cancer, Adults

Goal: The goal of Project PREVENT is to reduce behavioral risk factors for colorectal cancer among individuals with positive screenings.

Impact: A significantly greater proportion of Project PREVENT participants reduced their multiple risk factor score when compared to the control group (47% vs. 35%). Intervention participants also had significantly greater multivitamin intake and significantly reduced red meat consumption.

Residential Student Assistance Program

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

Goal: The goal of this program is to prevent and reduce substance use and abuse among high risk, multi-problem adolescents placed in residential child care facilities.

Impact: One evaluation showed that adolescents participating in RSAP showed significant reductions in their use of alcohol, marijuana, and tobacco from pretest to posttest measures.

Safety Stop: Child Passenger Safety Education (St. Louis, MO)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Adults, Families, Urban

Goal: The mission of Safety Stop is to increase the number of children who are properly secured in safety seats during trips made in a vehicle by educating parents and caregivers participating in Safety Stop car seat fittings and consultations.

Impact: Safety Stop increased mean scores on child safety seat knowledge by 5% (p < 0.01) among participating parents and caregivers.

Santa Clarita Adult Day Health Care Center (Santa Clarita, CA)

Filed under Good Idea, Health / Older Adults, Adults

Goal: The ongoing goals of the ADHC include maintaining functional independence and preventing premature institutionalization while providing respite and a support system for caregivers and providing a therapeutic environment involving; physical , occupational, speech, recreation, psycho-social and creative arts therapy to increase the quality of life for participants.

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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