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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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North Carolina Breast Cancer Screening Program (North Carolina)

Filed under Effective Practice, Health / Cancer, Women, Racial/Ethnic Minorities, Rural

Goal: The goal of the North Carolina Breast Cancer Screening Program is to increase breast cancer screening among older African American women.

Physician Asthma Care Education (PACE) (USA)

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

Goal: The goal of Patient Asthma Care Education is to improve asthma health outcomes for children through clinician education and skill building.

Portland's Local Action Plan to Reduce Carbon Dioxide Emissions (Portland, OR)

Filed under Effective Practice, Environmental Health / Air, Urban

Goal: The 2001 action plan, which is more aggressive than the Kyoto Protocol, calls for a 10 percent reduction below 1990 carbon dioxide emissions by 2010.

Project TRACK (Teaching, Reaching, and Collaborating for Knowledge) and Steps for Health (Town of Edenton)

Filed under Good Idea, Health / Physical Activity, Children

Goal: The goal of this program is to promote increased physical activity and a balanced diet.

Prompting and Reminding at Encounters for Prevention (PREP) (Michigan)

Filed under Effective Practice, Health / Cancer, Adults, Rural

Goal: The goal of the PREP computerized reminder system is to increase colorectal cancer screening.

Provider Intervention to Improve Colorectal Cancer Screening Rates Among African American Patients (Washington D.C.)

Filed under Effective Practice, Health / Cancer, Adults, Racial/Ethnic Minorities

Goal: The goal of this intervention is to improve colorectal cancer screening rates for African Americans.

Providers And Teens Communicating for Health (PATCH) Program

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens

Goal: PATCH envisions a supportive environment in which all adolescents are able to reach optimal health, safety, and economic security.

MISSION: To improve adolescent health and well being by engaging, educating, and empowering youth and adults as trusted partners in care.

Impact: Health care providers and teens who participate in the PATCH program show significant improvements in knowledge, self-efficacy, and behavioral intentions to seek and provide quality sexual health care.

Reconciliation Services Depression and Trauma Therapy Services (Kansas City/Jackson/Missouri)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Women, Men, Urban

Goal: The mission of Reconciliation Services is to cultivate a community seeking reconciliation to transform Troost from a dividing line into a gathering place, revealing the strength of all. Our mental health services are at the heart of how we strive to help clients see their own strength and work towards being reconciled to their own health and well-being.

Impact: Over the past three years, our therapy program participants reported a 71 percent decrease for depression and 79 percent decrease for PTSD.

Resident and Community Services (Omaha, NE)

Filed under Good Idea, Economy / Housing & Homes

Goal: The Omaha Housing Authority's goal is to provide quality housing for those who receive assistance through rental and homeownership programs.

Rural medical-legal partnership and advocacy: a three-year follow-up study. (southern Illinois)

Filed under Evidence-Based Practice, Economy, Rural

Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).

Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.

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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