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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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A Matter of Balance

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

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

A Matter of Balance (Clay and Platte Counties, MO)

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

Goal: The goals of the program are to help participants learn how to view falls and the fear of falling as controllable, set realistic goals for increasing activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance.

Impact: After completing the program, 97% of participants are more comfortable in talking about falls, 95% have made environmental changes, and 99.5% plan to continue exercising.

A Safe Place (Oakland, CA)

Filed under Good Idea, Community / Domestic Violence & Abuse

Goal: A Safe Place's mission is to break the cycle of domestic and family violence by providing safe shelter and support services to victims and their children and to prevent violence through outreach and education in at-risk populations.

Acquaintance Rape Prevention Program (Athens, OH)

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

Goal: The goals of this program are to increase awareness of risk factors for sexual assault, provide women with practical strategies to prevent rape, and reduce the incidence of sexual assault among participants.

Active Choices (San Francisco)

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

Goal: The goal of this promising practice is to increase physical activity in a diverse older adult population.

Impact: Participants in the Active Choices program showed significant increases in physical activity and a greater satisfaction with their body appearance and function. Participants of the program also showed decreases in their BMI.

Active Start (Los Angeles, CA)

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

Goal: The goal of this project is to increase physical activity among sedentary older adults over three years. The project recruits older adults who are at risk and encourages them to incorporate physical activity into their lives.

Al's Pals

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

Goal: The goal of the Al's Pals program is to teach children how to practice positive ways to express feelings, relate to others, communicate, brainstorm ideas, solve problems, and differentiate between safe and unsafe substances and situations.

Impact: Studies have shown that the program resulted in higher degrees of positive change in the intervention groups, increases in prosocial behaviors and positive coping behaviors, and decreases in antisocial and negative coping behaviors.

Alcohol Misuse Prevention Study (Southeast Michigan)

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

Goal: The goal of this program is to reduce alcohol misuse among adolescents.

Impact: Middle school students who receive the curriculum have increased knowledge about alcohol misuse when compared to a control group. Students who received programming in the 10th grade had significantly increased alcohol misuse prevention knowledge, decreased alcohol misuse, and increased refusal skills. During their first year of driving, students who received the curriculum were involved in fewer serious traffic or drug offenses than students in the control group.

All Children Excel (ACE) (Ramsey County, MN)

Filed under Effective Practice, Education / Student Performance K-12, Children

Goal: The goal of this program is to prevent delinquency, substance abuse, and school dropout in high risk children.

Antismoking Media Campaign (Massachusetts)

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

Goal: To reduce the number of older adolescents who progress to established smoking.

Impact: The television component of the Massachusetts antismoking media campaign may have reduced the rate of progression to established smoking among young adolescents.

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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