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.
Filed under Effective Practice, Health / Health Care Access & Quality
Goal: The goals of this promising practice were to identify the transportation-disadvantaged population that lacks nonemergency medical care because of low access to transportation; determine the medical conditions that this population experiences and describe other characteristics of these individuals, including geography; estimate the cost of providing the transportation necessary for this population to obtain medical transportation according to various transportation service needs and trip modes; estimate the healthcare costs and benefits that would result if these individuals obtained transportation to non-emergency medical care for key healthcare conditions prevalent for this population; and compare the relative costs (from transportation and routine healthcare) and benefits (such as improved quality of life and better managed care, leading to less emergency care) to determine the cost-effectiveness of providing transportation for selected conditions.
Impact: These results show that adding relatively small transportation costs do not make a disease-specific, otherwise cost-effective environment non-cost-effective. Providing increased access to non-emergency medical care does improve quality of life and saves money per patient.
Filed under Good Idea, Education / Literacy, Teens, Families, Rural
Goal: Since late 1996 the Silver Valley Learning Center has been helping students with low reading levels improve literacy and achieve personal educational goals. By offering these services, the Silver Valley Learning Center hopes to enhance self-esteem and motivation for the adults in its community, which can hedge against depression and related problems such as alcohol abuse and domestic violence.
Filed under Effective Practice, Health / Diabetes, Children, Teens, Rural
Goal: The goal of DETS project is to increase the understanding and awareness of diabetes among American Indian and Native Alaskan students in kindergarten through high school through a combination of science lesson and traditional value.
Filed under Evidence-Based Practice, Health / Diabetes, Children, Teens, Racial/Ethnic Minorities
Goal: The goal of the Diabetes-Based Science Education for Tribal Schools (DETS) curriculum is to slow or reverse the rising rate of type 2 diabetes in American Indian/Alaskan Native (AI/AN) youth through a pedagogy based in a combination of a science-based diabetes/health education curriculum and culturally relevant contexts.
Impact: Overall, the DETS curriculum shows that collaboratively-developed curriculums and education courses can have an effective impact across grade levels with students having significant knowledge gains, and can also serve as a supplement for other science and social science curriculums in schools.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Goal: The goal of Dialectical Behavior Therapy is to use a cognitive-behavioral treatment approach to treat patients with multiple disorders.
Impact: After 1 year of treatment, a smaller percentage of DBT participants reported suicide attempts compared with TBE patients. DBT also reduced Nonsuicidal Self-Injury (NSSI) behavior over the course of 1-year treatment.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens, Urban
Goal: The goal of this peer-education intervention is to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users.
Filed under Evidence-Based Practice, Community / Social Environment, Children, Adults
Goal: The overall goal of the FAST program is to intervene early to help at-risk youth succeed in the community, at home, and in school and thus avoid problems such as adolescent delinquency, violence, addiction, and dropping out of school.
Impact: FAST has generally improved aggressive behaviors and increased positive behaviors amongst participants as reported by teachers and parents.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children, Teens
Goal: The main goals of this program are to increase communication and bonds between and among the three domains of school, home, and the individual; to enhance children's social, cognitive, and problem-solving skills; to improve peer relationships; and ultimately to decrease disruptive behavior at home and in school.
Filed under Evidence-Based Practice, Health / Food Safety, Children, Families, Racial/Ethnic Minorities
Goal: The goal of the Fight BAC! campaign is to educate the public about four basic practices - clean, separate, cook and chill - that reduce the risk of foodborne illness.
Impact: The study showed that culturally competent, social marketing campaigns are likely to improve awareness, knowledge, and attitudes around food safety among Latino consumers.
Filed under Evidence-Based Practice, Health / Physical Activity, Children
Goal: To improve children's nutritional status, increase their activity level, enhance their self-esteem, and create life-long health habits by using a multidisciplinary, community- and family-based system approach, and by engaging local health care professionals with community agencies.
Impact: The Fit Kids/Fit Families program shows that multidisciplinary, community- and family-based approaches to children's exercise, weight, & nutrition can have an effect on healthier nutritional choices, increased physical activity, decreased sedentary activity, healthier behaviors, and BMI reductions.