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.
Filed under Evidence-Based Practice, Health / Older Adults, Adults, Older Adults, Urban
Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.
Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.
Complete Health Improvement Program (CHIP) (formerly the Coronary Health Improvement Project) (Rockford, IL)
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults
Goal: The goal of the CHIP lifestyle intervention is to lower blood cholesterol, hypertension, and blood sugar levels and reduce excess weight.
Impact: CHIP has over 55,000 graduates worldwide and sustains adherence to the program guidelines through an active "ClubCHIP" member support organization.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women
Goal: The goal of CBFRS is to advance the health and development of first-time mothers and infants through a home visit program.
Impact: The findings indicate positive health and safety outcomes for first-time mothers and infants in the program: higher household safety levels, higher use of birth control methods, lower smoking behavior, higher knowledge of the effects of smoking on child development, and higher use of county clinics.
Filed under Evidence-Based Practice, Economy / Housing & Homes
Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).
Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.
CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.
Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.
Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Teens, Families
Goal: The mission of the Healthy Kids Express Asthma Program is to provide quality asthma care and education to children with asthma and their caretakers in a school environment to work towards goals set by Healthy People 2020 and the National Asthma Education and Prevention Program (NAEPP).
Impact: The Healthy Kids Express Asthma Program serves approximately 600 children a year, improving inhaler technique and asthma knowledge among participants. Children enrolled in the program for two consecutive years have lower school absentee rates and hospitalizations due to asthma.
Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Women, Men
Goal: The goal of Healthy Relationships is to reduce the risk of HIV transmission by people who know they are HIV-positive by reducing the frequency with which they have unprotected sex.
Impact: Healthy Relationships seeks to develop decision making and problem making skills to reduce the risk and transmission of HIV through behavioral intervention. An intervention study resulted in significantly less unprotected intercourse and greater condom use with lower estimated HIV rates post-intervention.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women
Goal: The initiative's primary purpose was to reduce infant mortality by 50 percent and generally improve maternal and infant health in at-risk communities.
Impact: 20% of the Healthy Start program sites had significantly lower rates of low-birth-weight babies than their comparisons. 20% of the sites also had significantly lower rates of very-low-birth-weight babies than their comparisons. Four of the sites had significantly lower pre-term birth rates.
Filed under Evidence-Based Practice, Health / Physical Activity, Women
Goal: The Illinois WISEWOMAN program (IWP) aims to lower heart disease and other chronic disease risk factors through screening and lifestyle classes for women in high-risk populations in service counties throughout Illinois.
Impact: The Illinois WISEWOMAN Program addresses the disproportionate risk of cardiovascular disease among disadvantaged, low-income women. Participation in the program has been shown to improve dietary, physical activity and cardiovascular outcomes.
Filed under Evidence-Based Practice, Health / Health Care Access & Quality
Goal: The John Hopkins Community Health Partnership's (J-CHiP) goal is to improve care coordination with Medicare and Medicaid beneficiaries.
Impact: The John Hopkins Community Health Partnership participants saw lower spending and improved health outcomes in regards to hospital admissions, re-admissions, and emergency department visits.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens
Goal: The goal of this program is to reduce substance abuse among adolescents.
Impact: Evaluations of LST showed significantly lower smoking, alcohol, and marijuana use 6 years after initial baseline assessment. Prevalence of use of these substances was 44% lower and weekly use of multiple drugs was 66% lower for those receiving LST than for the control students.