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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 and Physician Reminders to Promote Colorectal Cancer Screening (Massachusetts)

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

Goal: The goal of this program is to increase colorectal cancer screening rates among older primary care patients.

Peers Reaching Out and Modeling Intervention Strategies (PROMISE) (Texas, Colorado, California, New York, Washington)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Urban

Goal: The goal of Community PROMISE is to encourage HIV prevention practices.

Impact: PROMISE leads to significant community-wide progress toward consistent HIV risk reduction.

Prohibiting Smoking in Pedestrian Plazas and Public Parks (New York City, NY)

Filed under Good Idea, Health / Respiratory Diseases, Children, Teens, Adults, Women, Men, Older Adults, Families, Urban

Goal: The goal of the law is to protect the health of New Yorkers by reducing second hand smoke exposure.

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.

Protocol for the Isolation and Quarantine of Communicable Disease (Rockland County, NY)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The main objective of the Protocol is to provide a medicolegal framework for the protection of public health and safety in the face of emerging threats of infectious diseases and bioterrorism agents with due regard to a citizen's right to due process.

Reach Out and Read: Palm Beach (Palm Beach)

Filed under Effective Practice, Education / Literacy, Children, Families, Urban

Goal: The mission of Reach Out and Read is to help prepare young children to succeed in school, by partnering with physicians to encourage parents and children to read aloud together.

Red Rock Ridge and Val­ley Trail Sys­tem (Jefferson County, AL)

Filed under Good Idea, Environmental Health / Built Environment, Adults, Families

Goal: The Red Rock Ridge & Valley Trail System will be a complete network of bike lanes, sidewalks, and trails connecting communities across Jefferson County.

Impact: The master plan for over 200 miles of shared-use greenways and trails and over 600 miles of street-based bicycle and pedestrian pathways will improve alternative transportation and recreational opportunities.

Save Money and the Environment Too (San Francisco Bay Area, CA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: Through regional media campaigns BayROC promotes personal action and behavior change to reduce waste.

Senior Health and Resource Eligibility System (SHARES) (Florida)

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

Goal: Both local and state governments face huge challenges in providing senior populations access to public, agency, professional and family caregivers, and community services that allow seniors to remain independent. The complex maze of constantly changing program and service eligibility rules challenge even the most knowledgeable senior service providers. Fragmentation within senior service agencies further results in duplication of services, unnecessary waiting lists, and caregiver and volunteer burnout. This resource attempts to address those problems by providing quick and easy access to a variety of programs.

Syringe Expanded Access and Disposal (Erie County, NY)

Filed under Effective Practice, Health / Prevention & Safety, Urban

Goal: The goal of this program is to educate syringe users about access to clean syringes and proper medical waste disposal and to provide sharps containers and disposal sites to syringe users.

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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