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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/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.

Peacemakers Program

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens, Urban

Goal: The goal of this program is to reduce aggressive behavior among children and adolescents.

Impact: An evaluation found significant, positive program effects on six of the seven variables assessed, including knowledge of psychosocial skills, self-reported aggression, and teacher-reported aggression, with a 41% decrease in aggression-related disciplinary incidents and a 67% reduction in suspensions for violent behavior.

Physician Asthma Care Education (PACE) (USA)

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

Goal: The goal of Patient Asthma Care Education is to improve asthma health outcomes for children through clinician education and skill building.

Promoting Water Consumption in Schools to Prevent Overweight (Germany)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Urban

Goal: To promote water consumption with an educational and environmental intervention in elementary schools of deprived urban areas to prevent overweight.

Impact: This program shows that environmental and educational, school-based interventions can have effective impact in the prevention of overweight among children in elementary school, even in a population from socially-deprived areas.

Required Influenza Vaccination for Children in Licensed Child Care or Preschool Programs

Filed under Evidence-Based Practice, Community / Governance, Children

Goal: The goal of requiring that all Connecticut children receive at least 1 dose of influenza vaccine each year to attend a licensed child care program and preschool setting is to reduce influenza transmission and decrease influenza-associated hospitalizations statewide.

Impact: Requiring vaccination for admission into a licensed child care program or preschool program has helped to increase vaccination rates among children in Connecticut and reduced serious morbidity from influenza statewide.

Safer Sex Skills Building (SSSB) (USA)

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

Goal: The goal of the Safer Sex Skills Building intervention is to decrease unsafe sexual behaviors through increasing condom use, safer sex negotiation skills, and HIV/STD awareness.

Impact: Safer Sex Skills Building decreases unsafe vaginal and anal sexual behaviors and instances.

Say It Straight

Filed under Evidence-Based Practice, Health / Adolescent Health, Children, Teens

Goal: The goals of Say It Straight (SIS) training are prevention of risky or destructive behaviors, such as alcohol, tobacco, other drug (ATOD) use, violence, school drop-out, teen pregnancy, behaviors leading to HIV/AIDS; and promotion of wellness, personal and social responsibility, positive self-esteem and positive relationships.

Impact: SIS training results in statistically significant reductions in alcohol/drug related school suspensions. Juvenile criminal police offenses such as assaults, vandalism, burglary, etc. were also lower among trained students.

School Nutrition Policy Initiative (Philadelphia, PA)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Urban

Goal: The goal of the School Nutrition Policy Initiative is to prevent and reduce overweight and obesity among low-income children.

School-Based Asthma Therapy (Rochester, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

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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