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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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Septic Systems (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: Septic systems serve approximately 25 percent of the U.S. population and about 40 percent of new developments. The U.S. Census Bureau has indicated that at least 10 percent of septic systems have stopped working. Some communities report failure rates as high as 70 percent! The goal of this program is to improve the performance of decentralized septic systems.

SIDS Risk Reduction Training for Parents and Family Members (Washington, D.C.)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Families, Racial/Ethnic Minorities

Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position and roomsharing without bedsharing.

Impact: A 15-minute educational session with small groups of parents is effective in informing parents about the importance of safe sleep position and in changing parent behavior for at least the first 6 months of the infant's life.

Smart Growth (Maryland)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: Smart Growth has three straightforward goals:
- to save our most valuable remaining natural resources before they are forever lost,
- to support existing communities and neighborhoods by targeting state resources to support development in areas where the infrastructure is already in place or planned to support it, and
- to save taxpayers millions of dollars in the unnecessary cost of building the infrastructure required to support sprawl.

SmartWay Transport Partnership (USA)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal of this partnership is to improve the environmental performance and fuel efficiency of the US freight sector (truck & rail) through the use of a voluntary market incentive system and to encourage retailers/end users to choose trucking and/or rail companies that are environmental leaders in their respective industry segments.

Smile Programs... the mobile dentists (USA)

Filed under Good Idea, Health / Oral Health, Children, Families

Goal: The Smile Programs... the mobile dentists mission is to bring state-of-the-art, dental care to those students in need in the most comfortable and effective way possible.

Impact: Smile Programs provides mobile dental care to children in schools in over a dozen states.

Spark (San Francisco, Los Angeles, Chicago, Philadelphia)

Filed under Effective Practice, Education / Student Performance K-12, Children, Teens, Urban

Goal: Spark's mission is to provide life-changing apprenticeships to youth in underserved communities across the United States.

SPORT (USA)

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

Goal: The goal of SPORT is to help adolescents avoid substance use by increasing physical activity and bettering their self images.

Impact: This program provides a whole body experience, where youth focus on improvements in their lives instead of drugs.

Sports Medicine Physicals (Montgomery, AL)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Teens, Families, Urban

Goal: The free sports medicine physicals provided by Jackson Hospital & Clinic helps thousands of parents, 25 schools, and hundreds of coaches ensure that students are healthy enough to participate in athletic programs when school starts in the fall.

Starting Right Initiative

Filed under Good Idea, Health / Physical Activity, Children, Families

Goal: The Starting Right Initiative works to prevent, treat and reverse childhood obesity and malnutrition in low-income communities.

Impact: The Starting Right Initiative aims to encourage healthy eating habits in children and their families and works to reduce childhood obesity and malnutrition at seven project locations nationwide.

Staying Alive Drug Overdose Prevention and Response Program (Baltimore, MD)

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

Goal: The goals of the Staying Alive program are to teach drug users about how to recognize opiate overdose signs and symptoms, how to respond to any overdose cases by calling 911, and how to use rescue breathing and naloxone administration to reduce life-threatening drug overdose.

Impact: Staying Alive reduces mortality due to opiate and heroin drug overdose.

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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