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.
Filed under Good Idea, Health / Wellness & Lifestyle, Adults, Racial/Ethnic Minorities, Urban
Goal: Global Gardens aims to increase household access to affordable fresh vegetables among newly resettled refugee individuals living in the Historic Northeast of Kansas City, Missouri. Program participants are provided use of land, water, seeds, and plant starts at community gardening sites in the Lykins and Indian Mound neighborhoods, maintained by Global Gardens staff.
During the course of the program, growers receive ongoing education and support from staff and interpreters, reducing language and cultural barriers that have historically limited refugee access to community gardening engagement. The Global Gardens curriculum focuses on increasing refugee growers’ skills in community and household gardening, utilizing a garden-based learning theory of education, and implementing participatory, learner-centered assessment techniques. The curriculum empowers growers to take the lead in their learning experience and increase connection to and responsibility for their physical environment.
Additionally, Global Gardens aims to increase participant knowledge of how to access local community gardening resources in Kansas City. Each growing season, participants are connected to Kansas City Community Gardens (KCCG), a non-profit that seeks to assist low-income households to produce vegetables from garden plots in backyards and community sites. Global Gardens participants receive membership information and introduction to the seed and plant ordering process, and practice using this resource during the course of the program, building individual self-sufficiency in navigating the process, and increasing likelihood of utilizing KCCG in future.
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).
Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.
CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.
Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke
Filed under Good Idea, Health / Health Care Access & Quality, Adults, Urban
Goal: The goal of this program is to educate during every visit, to assist patients in developing a longitudinal personal record of medical history and care plans, and to provide a tangible way to engage patients in their own care. The overarching goal was better compliance, recognition of medication side effects, and improved adherence to specific and agreed upon lifestyle changes.
Impact: Sixty percent of patients participate in care plan tracking with a health notebook, and 80% percent of patients complete a prep form to help organize visits.
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke
Impact: The Community Preventive Services Task Force (CPSTF) recommends tailored pharmacy-based adherence interventions for cardiovascular disease prevention. Evidence shows interventions delivered by pharmacists in community and health system pharmacies increased the proportion of patients who reported taking medications as prescribed. The CPSTF also finds these interventions are cost-effective for cardiovascular disease prevention.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults
Goal: HIV Big Deal seeks to promote safer sex practices among men who have sex with men via internet-based video drama.
Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Teens, Rural
Goal: The primary goal of the Independence Youth Court is to reduce incidents of juvenile crime, divert offending youth from the Juvenile Justice System and to provide an alternative to the Jackson County Family court process and further contact with the police.
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.
Filed under Effective Practice, Economy / Economic Climate
Goal: Memphis Fast Forward is the shared vision and unprecedented action plan to create good jobs, a better-educated workforce, a safer community, a healthier citizenry and efficient government in Memphis and Shelby County.
Impact: Major violent and property crime were reduced by 22.8% and 25.5%. The pool of high-potential teacher candidates increased from 21 to 1,800 in one year. More than 15,000 jobs were created. New capital investment of $4.2 billion was generated. Local governments saved more than $75 million.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health
Impact: The Community Preventive Services Task Force (CPSTF) recommends exercise programs for pregnant women to reduce the development of gestational hypertension.