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

Goal: The goal of Commit to Quit is to help female smokers quit smoking through group programming and exercise.

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families

Goal: The purpose of the Community Supporting Breastfeeding (CSB) designation program is to create a culture of breastfeeding support in communities, ultimately increasing breastfeeding initiation and duration rates and the health and well-being of families.

The CSB program’s immediate goals are to increase positive perceptions toward breastfeeding, increase the availability of breastfeeding resources, and reduce barriers experienced in the community by women of child-bearing age. The long-term goal of the project is to increase exclusive breastfeeding rates through a sustainable model of cross-sector support for breastfeeding.

The project also effectively addresses the racial and socioeconomic disparities in breastfeeding rates. The Kansas Breastfeeding Coalition’s collective impact approach supports efforts of those serving African-American and lower income women. As a result of this project, these organizations receive the support they need to increase their impact when they become aligned with other, larger organizations working toward similar goals, creating a synergy across groups working on breastfeeding support.

Impact: Based on results from our evaluation, along with improved exclusive breastfeeding rates in the majority of the communities that could be associated with the CSB criteria, we believe the CSB program is impactful.

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The clear goal of CARE is to foster projects that will become self-sustaining and use CARE funding as seed money. The CARE Process is designed to encourage communities to enlist the support of project partners that will enable the project to continue even without EPA resources. Rather than supporting one time projects, CARE will support community partnerships that will endure and provide environmental benefits long into the future.

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

Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.

Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The overall mission of the Civano Community is:
- To create a sense of place that fosters community and connects people to one another and their natural environments
- To tread lighter on the land through innovative design, and
- To introduce sustainable construction materials and new technologies to advance the quality of life.

Specific performance targets include:
- Reduce energy consumption by 75%
- Reduce potable water consumption by 65%
- Reduce landfill-destined solid waste by 90%
- Reduce internal vehicle trip miles by 40%, and
- Create one community job for every 2 residences.

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

Goal: The goal of this program is to reduce high-risk drinking behaviors.

Impact: Studies demonstrate that the program resulted in decreases in substance use and behaviors related to risk factors. Participants had significant reductions in drinking quantities, variances in drinking quantities, rates of driving when having had too much to drink, and rates of driving over the legal limits relative to nonparticipants. There was also a significant decrease in the number of nighttime crashes per month and the monthly rates of driving under the influence (DUI) crashes.

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Rural

Goal: The goal of this study was to address the health effects of PFOA pollution, with a strong desire to implement a community-driven communication strategy to communicate the study results.

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of the CHIP lifestyle intervention is to lower blood cholesterol, hypertension, and blood sugar levels and reduce excess weight.

Impact: CHIP has over 55,000 graduates worldwide and sustains adherence to the program guidelines through an active "ClubCHIP" member support organization.

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

Goal: The goal of cooperative learning is to establish positive interdependence among students. When positive interdependence is established in group learning situations, the quality of peer interaction improves. Instead of competing with or ignoring one another, students are more likely to promote the success of one another through mutual assistance, emotional support, and the sharing of ideas or resources. These positive social interactions, in turn, encourage greater social acceptance and the development of positive relationships among students and, in educational contexts, promote greater academic motivation and achievement (Johnson & Johnson, 1989, 2005). In fact, research on social interaction suggests that gains in social skills alone are insufficient to reduce social problems among students and encourage more positive peer relations. Only positive interdependence, and the subsequent positive social interactions that arise from it, can motivate youth to re-evaluate previous conclusions regarding the social desirability of others (Bierman, 2004).

Impact: Cooperative learning can have positive effects on adolescent bullying, alcohol use, and tobacco use.

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

Goal: The goal of Coordinated Approach to Child Health (CATCH) is to improve nutrition, increase physical activity, and reduce obesity in preschool, elementary, and middle school aged children.

Impact: CATCH is successful in improving participants' diet and physical activity, and the results lasted three years after participation.

Santa Cruz