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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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Mayor's Healthy Hometown Movement (Louisville, KY)

Filed under Good Idea, Health / Wellness & Lifestyle

Goal: MHHM was rolled out with the following overall goal: to create a community wide culture that encourages and supports healthy lifestyles by promoting increased physical activity (10,000 steps/day goal), optimal nutrition, healthy public policy and access to resources and facilities that bolster the stated goal. Specific goals include:

- Increasing the number of people in Louisville Metro who engage in 30 minutes of moderate physical activity at least 5 days a week by 15%.
- Decreasing the percentage of overweight or obese people in Louisville Metro by 10%.
- Increasing from 22% to 38% the number of people in Louisville Metro who eat five or more servings of fruits and vegetables per day.

Past and future Behavior Risk Factor Surveillance System (BRFSS) surveys will be used to measure baseline and follow-up indicators.

Milwaukee Tobacco-Free Sports Program (Milwaukee, WI)

Filed under Good Idea, Health / Alcohol & Drug Use, Children

Goal: Program objectives are to:

- Plan and conduct five sets of interactive tobacco prevention mini-sessions for youth and parents in multiple school-linked settings;
- Plan and implement one annual media advocacy event coordinated with the national Campaign for Tobacco-Free Kids
- Plan and conduct tobacco educational outreach and implementation guidance for coaches and athletic staff. Teen Presenters deliver tobacco prevention mini-sessions to younger children, grades 1-6.

Mineral Belt Trail (Leadville, CO)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Adults, Families, Rural

Goal: The goal of the Mineral Belt Trail is to provide safe access throughout Leadville, CO to schools, historic areas, and natural landscapes.

Mix It Up!

Filed under Effective Practice, Community / Civic Engagement, Children, Teens

Goal: Mix It Up seeks to create inclusive school communities by breaking down social barriers and conflicts that lead to bullying and violence.

Model Smoking Prevention Program (Minnesota)

Filed under Effective Practice, Health / Alcohol & Drug Use, Children, Teens

Goal: The goals of this program are to 1) help youths identify the reasons kids smoke (peer pressure, advertising, lack of self-confidence), 2) provide youths with resistance tools they can really use, and 3) teach youths the value of social support in resistance through peer leadership activities.

National Clean Diesel Campaign (NCDC) (USA)

Filed under Good Idea, Environmental Health / Air

Goal: NCDC participants are committed to reducing diesel emissions and finding innovative ways to protect human health and the environment. To fully address the challenges of reducing diesel emissions the NCDC is using a multi-pronged approach:

- Commitment to the successful implementation of the 2007 Highway Engine Rule and the Clean Air Nonroad Diesel Rule.
- Developing new emissions standards for locomotive and marine diesel engines.
- Promoting the reduction of emissions for existing diesel engines through cost-effective and innovative strategies, including use of cleaner fuels, retrofitting and repairing existing fleets, idling reduction among others.

New Hope Project (Wisconsin)

Filed under Effective Practice, Economy / Employment, Adults

Goal: New Hope provided full-time workers with several benefits: an earnings supplement to raise their income above poverty, low-cost health insurance, and subsidized child care. For those unable to find full-time work, the program offered help in finding a job and referral to a wage-paying community service job when necessary.

Non-Emergency Medical Transportation: Findings from a Return on Investment Study

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The goal of this study is to examine NEMT’s return on investment and expand research on its financial benefit.

Impact: The findings suggest that NEMT more than pays for itself as part of a care management strategy for people with chronic diseases, resulting in a total positive return on investment of over $40 million per month ($480 million annually) per 30,000 Medicaid beneficiaries.

Nutrition Education for Families with Financial Problems (The Netherlands)

Filed under Good Idea, Health / Physical Activity, Families

Goal: To increase dietary variety, decrease the intake of saturated fat and increase the intake of vegetables during the main meal among families with financial problems.

NYC WasteLe$$ (New York, NY)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of NYC WasteLe$$ is to promote waste prevention at businesses, agencies, schools, and at home.

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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