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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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Buckle Up, Stay Safe (Virginia)

Filed under Evidence-Based Practice, Community / Public Safety, Adults, Older Adults

Goal: The goal of this program is to increase safety belt use among senior drivers.

Drinker's Check-up (Albuquerque, NM)

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

Goal: Drinker's Check-up is designed to help problem drinkers reduce their alcohol use and alcohol-related consequences.

Impact: Study participants had a significant reduction in alcohol use, alcohol-related consequences, symptoms of alcohol dependence, and a decrease in ambivalence about reducing alcohol use.

Green Guerillas (New York City, NY)

Filed under Effective Practice, Environmental Health / Built Environment, Urban

Goal: Green Guerillas' goal is to help gardeners cultivate and manage community gardens that thrive as parks, urban farms, and outdoor community centers.

Northern Michigan Diabetes Initiative: Provider Education Program (Michigan)

Filed under Evidence-Based Practice, Health / Diabetes, Rural

Goal: The overall goal is to reduce the prevalence of diabetes and improve the care of people with diabetes by improving provider education.

Impact: The results indicate that a half-day site visit with an experienced diabetologist can lead to sustained, improved glycemic and lipid control in previously-uncontrolled diabetic patients. The online iDose tool provides an easy way for healthcare providers to calculate insulin dosage.

Safe Streets (Baltimore, MD)

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: To combat the epidemic of violence among Baltimore’s youth and support traditional public safety strategies using a combination of public health and human service models to reduce violence.

Impact: It was estimated that the program was associated with 5.4 fewer homicide incidents and 34.6 fewer nonfatal shooting incidents during 112 cumulative months of intervention post observations.

Sun Smart Tips (Denver, CO)

Filed under Good Idea, Health / Cancer

Goal: The goal of this campaign was to educate park visitors about the need to protect themselves from the damaging rays of the sun and how best to prevent skin cancer.

Trauma Center Intervention for Alcohol Disorders (Albuquerque, NM)

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

Goal: The goal of the Trauma Center Intervention for Alcohol Disorders is to reduce driving under the influence.

A Living Laboratory: The City of Chattanooga, USA (Chattanooga, TN)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: Chattanooga's vision is to become a city where ecological initiatives generate a strong economic base, nurture social institutions and enhance the natural and made environment.

Active Design Guidelines (New York City, NY)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Adults, Women, Men, Older Adults, Families, Urban

Goal: The goal of the Active Design Guidelines is to provide architects and urban designers with tools to create healthier buildings, urban spaces, and outdoor places based on current academic research and best practices.

Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative (Alameda County, CA)

Filed under Good Idea, Health, Urban

Goal: The goal of the Place Matters initiative is to improve the health of participating communities by “addressing social conditions that lead to poor health” through “identifying the complex root causes of health disparities and defining strategies to address them.”

Impact: AC Place Matters has identified 10 best practices that could help other programs address social determinants of health: find and foster strong leadership, dedicate staff resources to the work, engage staff from across the local health department, contribute to building grassroots power, address root causes, partner with community organizations and leaders, partner with government institutions across sectors, work reactively and proactively, build capacity, and use tools that ensure a focus on health equity.

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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