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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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Prolonged Exposure Therapy

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

Goal: The goal of this program is to improve treatment outcomes for patients with post-traumatic stress disorder.

Impact: PE Therapy is considered by expert consensus the treatment of choice for PTSD clients whose prominent symptoms include intrusive thoughts, flashbacks, and trauma-related fear and avoidance. One study demonstrated that the treatment group showed significant improvement in PTSD symptoms and depressive symptoms at posttest, and these treatment effects were maintained at 6-month follow-up.

Publication: Best Practices for Chiropractic (Lexington, SC)

Filed under Good Idea, Health / Alternative Medicine

Goal: The publication will address the disparity of best practices information for certain types of spinal and neuromusculoskeletal conditions.

Reach Out and Read (Nationwide)

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

Goal: The mission of Reach Out and Read is to help prepare young children to succeed in school, by partnering with physicians to encouraging parents and children to read aloud together.

Impact: Reach Out and Read improves children's language development by 3-6 months and improves language ability with increased exposure to the program.

Resident and Community Services (Omaha, NE)

Filed under Good Idea, Economy / Housing & Homes

Goal: The Omaha Housing Authority's goal is to provide quality housing for those who receive assistance through rental and homeownership programs.

Rideshare-Based Medical Transportation for Medicaid Patients (Philadelphia area, PA)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality

Goal: To evaluate the impact of rideshare-based medical transportation on the proportion of Medicaid patients attending scheduled primary care appointments.

Rikers Health Advocacy Program (New York)

Filed under Effective Practice, Health / Adolescent Health, Teens, Men, Urban

Goal: The mission of the Rikers Health Advocacy Program is to provide an intensive AIDS education designed to reduce HIV risk behaviors for incarcerated adolescent male drug users.

Rural medical-legal partnership and advocacy: a three-year follow-up study. (southern Illinois)

Filed under Evidence-Based Practice, Economy, Rural

Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).

Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.

Safe Sidewalks and Safe Routes to School

Filed under Good Idea, Environmental Health / Built Environment

Goal: Safe Routes to School programs aim to make it safer for students to walk and bike to school and encourage more walking and biking where safety is not a barrier.

Safe STEPS (Safe and Successful Transition of Elderly Patients Study) Intervention Program (PA, MD, NC)

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

Goal: The goal of the program is to ensure effective discharge of patients from the hospital back to their homes, and to reduce 30-day hospital readmission.

School-Based Asthma Therapy (Rochester, NY)

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

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

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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