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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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Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

Chain Restaurant Menu Labeling Law (Multnomah Country Oregon)

Filed under Good Idea, Health / Physical Activity

Goal: To enable consumers to make healthier choices when ordering food at chain restaurants.

Cooperative Learning

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

Goal: The goal of cooperative learning is to establish positive interdependence among students. When positive interdependence is established in group learning situations, the quality of peer interaction improves. Instead of competing with or ignoring one another, students are more likely to promote the success of one another through mutual assistance, emotional support, and the sharing of ideas or resources. These positive social interactions, in turn, encourage greater social acceptance and the development of positive relationships among students and, in educational contexts, promote greater academic motivation and achievement (Johnson & Johnson, 1989, 2005). In fact, research on social interaction suggests that gains in social skills alone are insufficient to reduce social problems among students and encourage more positive peer relations. Only positive interdependence, and the subsequent positive social interactions that arise from it, can motivate youth to re-evaluate previous conclusions regarding the social desirability of others (Bierman, 2004).

Impact: Cooperative learning can have positive effects on adolescent bullying, alcohol use, and tobacco use.

Coping with Stress Course (Portland, OR)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Children, Teens

Goal: The goal of this program is to prevent depression and other mood disorders in adolescents.

Health & Wellness for Teens Living with Disabilities (Portland, OR)

Filed under Effective Practice, Health / Disabilities, Teens

Goal: The project goals included sensitizing professionals-in-training to core areas of health promotion for teens with disabilities and increasing professionals' competence in understanding the issues and addressing the needs of teens or referring teens to appropriate resources.

Health in Housing: Exploring the Intersection between Housing and Health Care (Oregon)

Filed under Effective Practice, Health

Goal: To assess the impact of affordable housing on health care outcomes in a low-income population who have experienced housing instability.

Impact: Costs to health care systems were lower after people moved into affordable housing. Primary care visits went up after move-in; emergency department visits went down. Residents reported that access to care and quality of care improved after moving into housing.

Healthy Active Lents (Portland, OR)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The goal of this program is to promote active people in active neighborhoods

I Have a Dream

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

Goal: The "I Have a Dream"® Program helps children from low-income areas reach their education and career goals by providing a long-term program of mentoring, tutoring, and enrichment with an assured opportunity for higher education.

Independent Transportation Network (Portland, ME)

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

Goal: The mission of this program is to provide a community-based, and community supported, economically viable and consumer-oriented, quality transportation service for seniors.

Kartini Clinic (Portland, OR)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Teens, Urban

Goal: The overriding treatment goal of Kartini Clinic is to secure lasting remission of eating disorder symptoms, allowing patients and their families to return to their own communities. Using a holistic approach, embracing medical as well as psychological and social interventions, patients are treated with the belief that parents do not cause eating disorders and children do not choose to have them.

Impact: Since 1998, Kartini Clinic has treated more than 2,000 patients and their families for a range of eating disorders.

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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