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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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Emergency Department Means Restriction Education

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

Goal: The goal of Emergency Department Means Restriction Education is to help parents and adult caregivers of at-risk youth recognize the importance of taking immediate action to restrict access to firearms, alcohol, and prescription and over-the-counter drugs in the home in order to lessen the risk of self harm.

Impact: The Means Restriction program shows that ED-based programs and provided practical information can help parents and adult caregivers of at-risk youth recognize the importance of taking immediate, new action to restrict access to dangers in the home.

Exercise Training for Stroke Survivors (Chicago, IL)

Filed under Effective Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to use education and exercise improve outcomes for urban African American stroke survivors.

Family Friends (Philadelphia, PA)

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

Goal: The goal of Family Friends is to offer support to families who are raising children with developmental disabilities or special needs.

First Step to Success

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children

Goal: The mission of the Institute on Violence and Destructive Behavior (IVDB) is to empower schools and social service agencies to address violence and destructive behavior, at the point of school entry and beyond, in order to ensure safety and to facilitate the academic achievement and healthy social development of children and youth. The primary goal of this program is to divert antisocial kindergartners from an antisocial behavior pattern during their subsequent school careers and to develop in them the competencies needed to build effective teacher- and peer-related, social-behavioral adjustments.

Flu in 15 (Baltimore, MD)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of "Flu in 15" is to increase the acceptance of the seasonal flu vaccine among healthcare workers.

FRIENDS Programs

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

Goal: The goal of the FRIENDS Programs is to teach cognitive-behavioral skills to reduce anxiety in elementary school students who are or were exposed to violence.

Impact: The FRIENDS Programs and specific studies of them indicate that school-based anxiety prevention programs can increase standardized mathematics achievement scores, decrease life stressors, and reduce victimization by community violence in children.

Geriatric Initiative (Charleston, West Virginia)

Filed under Good Idea, Health / Older Adults, Older Adults, Urban

Goal: The goal of the Geriatrics Initiative is to make healthcare more accessible and of higher quality for the elderly population served by Charleston Area Medical Center.

Great Body Shop

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

Goal: The goal of this program is to educate children about health and to prevent substance abuse and violence.

Impact: The Great Body Shop shows that comprehensive substance abuse and violence prevention and health curriculums in schools for elementary and middle school students can improve knowledge, values, thinking skills, and behaviors around substance abuse and violence topic areas.

Hair, Heart & Health (Baltimore, MD and Washington, D.C.)

Filed under Good Idea, Health / Heart Disease & Stroke, Adults, Racial/Ethnic Minorities, Urban

Goal: The Hair, Heart & Health program embraces the notion that health education at the community level is an effective intervention strategy for preventable diseases like CHD, stroke and kidney disease.

Head Start & Early Head Start

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families

Goal: The goal of Early Head Start (EHS) is to promote healthy prenatal outcomes for pregnant women, enhance the development of very young children, and promote healthy family functioning. The goal of Head Start is to increase school readiness of young children in low-income families.

Impact: Studies have demonstrated positive effects of the program for both 3- and 4-year-old children on pre-reading, pre-writing, vocabulary, and parent reports of children’s literacy skills. For 3-year-olds, a greater number of parents reported improved access to health care and better health status.

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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