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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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Full Child Support Pass-Through and Disregard

Local

Filed under Local, Good Idea, Economy, Children, Families

Goal: Expected Beneficial Outcomes: Increased child support receipt; Increased paternity establishment. Other Potential Beneficial Outcomes: Reduced child maltreatment.

Paid Sick Leave Laws

Local

Filed under Local, Good Idea, Economy, Adults

Goal: Expected Beneficial Outcomes: Increased access to paid leave; Increased access to health care. Other Potential Beneficial Outcomes: Improved health outcomes; Increased use of parental leave.

The Seattle-King County Healthy Homes Project (Seattle-King County, Washington)

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

Goal: The goals of the Seattle-King Healthy Homes project are: to increase knowledge of home environmental health threats and asthma self-management among households with a child who suffers from asthma; help households reduce environmental threats in the household; improve health status and reduce asthma-related medical care utilization.

EnhanceFitness (Seattle, WA)

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

Goal: The goal of EnhanceFitness is to encourage older adults to engage in regular physical activity to improve their health and well-being.

Impact: EnhanceFitness participants reported a 13% improvement in social function, a 52% improvement in depression, and a 35% improvement in physical functioning. Additionally, participants' healthcare costs were 21% less than those of non-participants after one year.

Mailed Psychoeducational Intervention for Colorectal Cancer Screening (England)

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

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

Parent-Child Assistance Program (Washington)

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

Goal: The goals of the program are to 1) assist mothers in obtaining treatment, maintaining recovery, and resolving the complex problems associated with their substance abuse, 2) guarantee that the children are in a safe environment and receiving appropriate health care, 3) effectively link families with community resources, and 4) demonstrate successful strategies for working with this population and thus reduce the numbers of future drug- and alcohol-affected children.

Impact: At a 36-month follow-up women in PCAP were more likely to have received alcohol/drug treatment than the control group. Cost savings were suggested by a reduction in length of out-of-home care and prevention of Fetal Alcohol Syndrome.

Program to Encourage Active, Rewarding Lives for Seniors (PEARLS) (Washington)

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

Goal: The goal of the PEARLS program is to provide home-based counseling in order to manage and treat depression among older adults.

The Chinese Women's Health Project (Seattle, Washington)

Filed under Evidence-Based Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The program aimed to increase the rate of cervical cancer screening in Chinese women living in North America in response to research findings of significantly lower cervical cancer screening rates in Chinese women.

Impact: This intervention program found that women who received an intervention had cervical cancer screenings at a higher rate than those who did not receive any intervention. This shows that culturally and linguistically appropriate interventions might help improve Pap testing rates among Chinese women.

826 National (Chapters in CA, NY, IL, WA, MI, MA, DC)

Filed under Effective Practice, Education / Literacy, Children, Teens, Urban

Goal: The mission of 826 National is to help children ages 6-18 develop their writing skills, and to help teachers get their students excited about writing. The mission is based on the understanding that great leaps in learning can happen with one-on-one attention, and that strong writing skills are fundamental to future success.

Career Pathways (Seattle-King County, WA)

Filed under Effective Practice, Economy / Employment

Goal: The goal of this program is to improve retention of hospital employees to address critical shortages in health care staffing.

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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