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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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Countywide Concussion Program (Miami Concussion Model) (Miami-Dade County, FL)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens

Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.

Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.

Green Ribbon Month to Reduce Speeding in School and Residential Areas (Utah)

Filed under Good Idea, Health / Prevention & Safety, Children, Teens, Adults

Goal: To decrease the number of children hit by motor vehicles in school zones and crosswalks.

High-School Based Screening for Chlamydia and Gonorrhea (Philadelphia, PA)

Filed under Effective Practice, Health / Adolescent Health, Teens

Goal: The goal of this program is to educate high school students regarding the risks of STDs, prevention methods, and the need for testing if sexually active.

King County Asthma Program (King County, WA)

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

Goal: The goal of the King County Asthma Forum is to improve asthma outcomes among low-income children.

Salem County School-to-Careers Initiative (Salem County, NJ)

Filed under Effective Practice, Education / Educational Attainment, Children, Rural

Goal: The goal of this program is to help at-risk youth and young adults to finish high school, take college-level classes, and have structured work experiences that will lead to successful transitions to adulthood.

School Lunch Initiative (Berkeley, CA)

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

Goal: The primary goal of the School Lunch Initiative is to transform the way Berkeley public school students eat lunch and to educate children about food, health, and the environment.

Impact: Three years after its conception, the program successfully eliminated nearly all processed foods from the school district dining halls and introduced fresh and organic foods to the daily menu. There was evidence that greater exposure to the School Lunch Initiative was significantly associated with higher nutrition knowledge scores among fourth graders and seventh graders. Furthermore, elementary school students from the schools with highly developed School Lunch Initiative components clearly expressed a higher preference for fruits and vegetables.

See You in School (Whatcom, WA)

Filed under Good Idea, Education / Student Performance K-12, Children, Teens

Goal: The goal of See You in School is to improve the grades, self confidence and engagement of high school students through mentor/mentee relationships. Decreasing the dropout rates in Whatcom County is a long term goal that begins with the mentor/mentee relationship and a network inside the schools.

Targeted Tuberculosis Screening in Tarrant County (Tarrant County, TX)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The goal of this program is to prevent the spread of tuberculosis among the homeless population.

Trying Alternative Cafeteria Options in Schools (TACOS) (Minneapolis and St. Paul, Minnesota)

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

Goal: The goal of the TACOS program was to use an environmental intervention to increase the availability and consumption of lower-fat foods in a la carte areas of secondary school cafeterias.

Impact: The TACOS program successfully increased both the availability and sale of lower-fat foods in a la carte areas of secondary school cafeterias.

Walking School Bus (Houston, TX)

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

Goal: The goal of the "walking school bus" is to increase children's rates of active commuting to school and physical activity.

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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