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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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Dental Caries (Cavities): Community Water Fluoridation

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends community water fluoridation to reduce tooth decay (i.e., dental caries or cavities).

Multifaceted Mass Media Campaign on the Warning Signs of Stroke (Canada)

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

Goal: The goal of this media campaign was to increase public knowledge of the warning signs of stroke.

Impact: The ability to name the warning signs of stroke increased in communities exposed to television ads.

Promoting Water Consumption in Schools to Prevent Overweight (Germany)

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

Goal: To promote water consumption with an educational and environmental intervention in elementary schools of deprived urban areas to prevent overweight.

Impact: This program shows that environmental and educational, school-based interventions can have effective impact in the prevention of overweight among children in elementary school, even in a population from socially-deprived areas.

Walking School Bus (Houston, TX)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Urban

Goal: The goal of the "walking school bus" is to increase children's rates of active commuting to school and physical activity.

WalkSafe (Florida)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Urban

Goal: The WalkSafe program was developed to improve pediatric pedestrian safety, increase physical activity levels by encouraging children to walk to and from school, and improve the walkability in and around elementary schools.

Adopt Your Watershed (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Children, Adults

Goal: The goal of Adopt Your Watershed is to encourage environmental stewardship.

Cornell Waste Management Institute Food Scrap Composting Project (New York)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The goal of the Cornell Waste Management Institute project was to increase the capacity to compost the tremendous amount of food scraps produced in New York State.

Drinking Water Nitrification Surveillance Program (Lee County, FL)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health

Goal: The goal of this program is to detect nitrification in drinking water in order to protect infants under six months old from methemoglobinemia and prevent other consequential bacteriological problems.

EPA's Clean Water Act Recognition Awards (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The objectives of the program are to educate the public about the contributions that publicly-owned wastewater treatment facilities make to clean water; to encourage public support for municipal and industrial efforts in effective wastewater management, biosolids management, and wet weather pollution control; and to recognize communities that go much beyond the minimum needed to meet Clean Water Act requirements.

Flex Your Power Case Study: Otay Water District (San Diego County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of these projects was to promote water and energy conservation.

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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