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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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Families Facing the Future (Seattle, WA)

Note: This practice has been Archived.

Filed under Good Idea, Health / Alcohol & Drug Use, Families, Urban

Goal: The goal of this program is to prevent parents who are addicted to drugs from relapsing, and to prevent substance abuse among their children.

Impact: Although studies evaluating the effectiveness of this program on the behaviors of drug-using parents and their children showed some positive findings, the overall evidence suggested no effects.

Free Nicotine Patch Program (New York, NY)

Note: This practice has been Archived.

Filed under Effective Practice, Health / Alcohol & Drug Use, Urban

Goal: The program was designed to direct-mail a free, six-week course of nicotine treatment to eligible callers, thereby increasing access and reducing cost to people who wanted to stop smoking and improve their health.

Good Behavior Game (Baltimore, MD)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The Good Behavior Game (GBG) is designed to improve aggressive/disruptive classroom behavior and prevent later criminality.

Healthy Employee Lifestyle Program (HELP) (Little Rock, AR)

Note: This practice has been Archived.

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

Goal: The goal of the Healthy Employee Lifestyle Program is to increase healthy behaviors such as eating fruits and vegetables and engaging in regular exercise.

Hospitals for a Healthy Environment (USA)

Note: This practice has been Archived.

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: Specific goals of this program include:
- Virtually eliminating mercury-containing waste from health care facilities' waste streams by 2005
- Reducing the overall volume of waste (both regulated and non-regulated waste) by 33 percent by 2005 and by 50 percent by 2010
- Identifying hazardous substances for pollution prevention and waste reduction opportunities, including hazardous chemicals and persistent, bioaccumulative, and toxic pollutants

Internet-Based Case Management for Secondary Prevention of Heart Disease (Virginia)

Note: This practice has been Archived.

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

Goal: The goal of this program is to provide risk factor management training and services to individuals with cardiovascular disease.

Impact: Intervention participants had significantly fewer cardiovascular events than patients who received usual care (4.1% vs. 15.7%, p = 0.053). Reduced hospitalization and emergency room expenses resulted in a gross cost savings of $1,418 per patient.

Intimate Partner Violence Intervention

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Community / Domestic Violence & Abuse, Women

Goal: The goal of this clinic-based and counseling intervention is to reduce Intimate Partner Violence by encouraging behaviors that promote safety for women.

Linking Education, Activity, and Food (LEAF): Fiscal Impact Report (California)

Note: This practice has been Archived.

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

Goal: The goal of the study was to conduct a multi-component, cross-site evaluation of California's LEAF program. The report analyzes the fiscal impacts experienced by the 16 LEAF schools as a result of the implementation of SB 19/56.

Low Literacy Intervention to Promote Discussion of Prostate Cancer (Atlanta, GA)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Cancer, Men

Goal: To educate men over the age of 45 about prostate cancer and to increase prostate cancer screening in order to reduce the incidence of prostate cancer.

Mailed Brochure for Colorectal Screening (Denver, CO)

Note: This practice has been Archived.

Filed under Evidence-Based Practice, Health / Cancer, Adults

Goal: The goal of this mailing is to increase colorectal cancer screening completion rates.

Impact: Colonoscopy screening adherence rates in the intervention group of the trial were higher than the rates in the control group.

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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