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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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Northern Michigan Diabetes Initiative: Provider Education Program (Michigan)

Filed under Evidence-Based Practice, Health / Diabetes, Rural

Goal: The overall goal is to reduce the prevalence of diabetes and improve the care of people with diabetes by improving provider education.

Impact: The results indicate that a half-day site visit with an experienced diabetologist can lead to sustained, improved glycemic and lipid control in previously-uncontrolled diabetic patients. The online iDose tool provides an easy way for healthcare providers to calculate insulin dosage.

Switch-Play (Melbourne, Australia)

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

Goal: The primary goal of the ‘Switch-Play’ promising practice was to develop and test three approaches towards the achievement of healthy weight maintenance among 10-year-old children: (1) through reducing the time spent in sedentary behaviors (e.g. TV viewing, playing electronic games and recreational computer use); (2) through increasing skills and enjoyment of physical activity; or (3) through a combination of these two strategies.

Impact: Children participating in the behavioral modification and motor skills development components of Switch-Play had improved BMI.

The Los Angeles Jobs-First Greater Avenues for Independence (GAIN) Program

Filed under Evidence-Based Practice, Economy / Government Assistance, Adults, Families

Goal: GAIN is part of a large-scale, welfare-to-work initiative program operating in every county in California. In L.A. County, the initiative is under the supervision of the Department of Public Social Services. It helps local businesses and employers find and hire quality workers who seek meaningful employment. Prospective workers are participants in the state welfare programs known as California Work Opportunities and Responsibility to Kids (CalWORKS) or General Relief Opportunities for Work (GROW).

The Ohio Department of Health School-Based Dental Sealant Program (Ohio)

Filed under Good Idea, Health / Oral Health, Children

Goal: The goal of the Ohio Department of Health School-Based Dental Sealant Program is to provide grants to agencies that aim to conduct dental sealant programs in schools with large proportions of low-income students.

The Strategies for Workforce Inclusion and Family Training (SWIFT) Project (Minneapolis, MN)

Filed under Effective Practice, Economy / Employment

Goal: Since Project SWIFT was not a direct service program, the major goal was for youth to receive direct services from partner agencies. Toward this aim, the project educated parents and staff from partner agencies to better meet the needs of youth with disabilities.

Worcester Area Trial for Counseling in Hyperlipidemia (WATCH) (Massachusetts)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: To decrease total and saturated fat intake, serum low-density lipoprotein cholesterol levels, and body weight.

Impact: The dietitian-delivered intervention effectively improved the care of patients with hyperlipidemia.

Bay Area Transportation Justice Working Group (San Francisco, CA)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goal of the Transportation Justice Working Group is to increase awareness of the relationship between transportation and health.

Green Ribbon Month to Reduce Speeding in School and Residential Areas (Utah)

Filed under Good Idea, Health / Prevention & Safety, Children, Teens, Adults

Goal: To decrease the number of children hit by motor vehicles in school zones and crosswalks.

Mental Health First Aid Training Program (DuPage County, IL)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens, Adults, Urban

Goal: The goals of the Mental Health First Aid course are to: 1) learn to identify risk factors and warning signs for mental health and addiction concerns, 2) utilize evidence-based strategies to help someone in both crisis and non-crisis situations, and 3) become a resource in your community to guide people where to turn for help.

NAMI-DuPage's yearly goal is to complete 70 training courses per year.

Impact: Mental Health First Aid helps community members become aware of signs and symptoms of someone in a mental health crisis and become a resource to mental health and behavioral health programs in their community.

Portland's Local Action Plan to Reduce Carbon Dioxide Emissions (Portland, OR)

Filed under Effective Practice, Environmental Health / Air, Urban

Goal: The 2001 action plan, which is more aggressive than the Kyoto Protocol, calls for a 10 percent reduction below 1990 carbon dioxide emissions by 2010.

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.