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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 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.

HIV Prevention Intervention for African American Adolescent Girls

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

Goal: The intervention aimed to reduce sexual risk behaviors, sexually transmitted diseases (STDs), and pregnancy, and enhance mediators of HIV-preventive behaviors.

I Can Problem Solve (ICPS)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children

Goal: The goal of this program is to teach children effective problem-solving skills.

Impact: Studies demonstrated that ICPS participants scored better than the control group on impulsiveness, inhibition, and total behavior problems; showed fewer high-risk behaviors than never-trained controls; showed improvement in positive, prosocial behaviors and decreases in antisocial behaviors; and performed better on standardized achievement tests.

Illinois Dental Sealant Grant Program (Illinois)

Filed under Good Idea, Health / Oral Health, Children

Goal: The goal of the Illinois Dental Sealant Grant Program is to provide grant funds and technical assistance to public health service providers to develop and implement school-based dental sealant programs.

Illinois WISEWOMAN Program (Illinois)

Filed under Evidence-Based Practice, Health / Physical Activity, Women

Goal: The Illinois WISEWOMAN program (IWP) aims to lower heart disease and other chronic disease risk factors through screening and lifestyle classes for women in high-risk populations in service counties throughout Illinois.

Impact: The Illinois WISEWOMAN Program addresses the disproportionate risk of cardiovascular disease among disadvantaged, low-income women. Participation in the program has been shown to improve dietary, physical activity and cardiovascular outcomes.

InShape

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

Goal: To reduce drug abuse and increase positive mental and physical health outcomes among college students ages 18-25 years old.

Impact: Tailored health and wellness interventions may reduce risk factors facing college students, while perhaps improving their health-related quality of life.

Insights (Washington and North Carolina)

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

Goal: The goal of Insights is to increase condom use among young women at risk for HIV and other STDs.

Impact: Insights proves that tailored cognitive/behavioral minimal self-help interventions hold promise as HIV/STD prevention strategies for diverse populations of young at-risk women.

Integration of Family Planning Services at Denver Metro Health Clinic (Denver, CO)

Filed under Effective Practice, Health / Family Planning, Women

Goal: The goal of this program is to provide reproductive health care services to women and men in the Denver STD clinic.

Impact: Enrollment in family planning services increased significantly. Among women returning within 12 months, pregnancies were lower among enrolled versus non-enrolled women. Total additional cost was $29.95/visit, and 40.1 minutes of additional staff time.

Jail Linkage Project (Pinellas County, FL)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of the Jail Linkage Project is to connect the incarcerated population with health care screening and prevention services.

Keepin' it R.E.A.L. (Refuse, Explain, Avoid, Leave) (Phoenix, AZ)

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

Goal: The objective of this program is to increase life skills such as risk assessment, decision-making and drug resistance, while enhancing anti-drug norms and attitudes.

Impact: Evaluation findings suggest that Keepin' it R.E.A.L. succeeded in decreasing substance use, in reducing negative attitudes/behaviors, and in improving positive attitudes/behaviors.

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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