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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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Healthy Kids Express - Asthma Program (St. Louis, Missouri)

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

Goal: The mission of the Healthy Kids Express Asthma Program is to provide quality asthma care and education to children with asthma and their caretakers in a school environment to work towards goals set by Healthy People 2020 and the National Asthma Education and Prevention Program (NAEPP).

Impact: The Healthy Kids Express Asthma Program serves approximately 600 children a year, improving inhaler technique and asthma knowledge among participants. Children enrolled in the program for two consecutive years have lower school absentee rates and hospitalizations due to asthma.

Healthy Kids Express Dental Van (St. Louis, Missouri)

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

Goal: The mission of Healthy Kids Express Dental is to improve oral healthcare in children through education on the importance of regular brushing, flossing, and using fluoride as well as through restorative treatments when necessary.

Impact: During the 2014-2015 school year, children pre-Kindergarten through 7th grade saw their average score on a dental knowledge test rise from 64.7% on the pretest to 72.1% on the posttest.

Healthy Moves

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

Goal: The mission of the program is to shape the evolving health system by developing and spreading high-value models of community-based care and self-management for diverse populations with chronic conditions.

Healthy Start

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women

Goal: The initiative's primary purpose was to reduce infant mortality by 50 percent and generally improve maternal and infant health in at-risk communities.

Impact: 20% of the Healthy Start program sites had significantly lower rates of low-birth-weight babies than their comparisons. 20% of the sites also had significantly lower rates of very-low-birth-weight babies than their comparisons. Four of the sites had significantly lower pre-term birth rates.

Healthy Steps for Older Adults (HSOA) (Pennsylvania)

Filed under Evidence-Based Practice, Community / Public Safety, Older Adults

Goal: The Pennsylvania Department of Aging offers this fall risk screening and prevention program to adults 50 years of age and older. The program is designed to raise awareness of falls, introduce steps on how to reduce falls, improve overall health, and provide referrals and resources.

Healthy Steps for Young Children: Palm Beach (Palm Beach, FL)

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

Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.

Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).

Itchy's Alphabet (Canada and USA)

Filed under Evidence-Based Practice, Education / Literacy, Children

Goal: The goal of Itchy's Alphabet is to help children improve their literacy levels.

L.A. County's Emergency Survival Program (Los Angeles)

Filed under Good Idea, Community / Governance, Urban

Goal: The goal is to help prepare communities for earthquakes, fires, floods, terrorism, and other natural and man-made disasters.

Lead Free Wheels (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The "Lead Free Wheels" program has three goals:

- direct reduction of 6,000-7,500 kg of lead use on vehicles in Michigan and the Midwest;
- demonstrate the viability of lead-free wheel weight installation at Michigan tire retailers, state and municipal fleets and other points vehicle service and:
- encourage domestic production of lead-free wheel weights and a phase out of lead use in wheel weights.

Maine Youth Overweight Collaborative (Maine)

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

Goal: MYOC aims to improve clinical practice, care, and outcome regarding children's weight.

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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