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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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Worcester Area Trial for Counseling in Hyperlipidemia (WATCH) (Massachusetts)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults

Goal: To decrease total and saturated fat intake, serum low-density lipoprotein cholesterol levels, and body weight.

Impact: The dietitian-delivered intervention effectively improved the care of patients with hyperlipidemia.

Worcester Goods for Guns Buyback (G4G) Program (Worcester, MA)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Teens, Adults, Families, Urban

Goal: The goals of this program are three-fold: first, to remove unwanted improperly stored guns from homes; second, to educate the community about the increased risk of gun-related injuries in the home and the importance of safe gun storage; and third, to identify individuals possessing improperly stored guns at home and provide them with safety information and alternatives.

Impact: This program shows a strong collaboration between health care providers and public safety offices and showcases a low-cost means of removing unwanted firearms from the community. Additionally, most participants felt their homes were safer after turning in their firearm(s).

Workplace Implementation of Act in Time (Montana)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of the Act in Time campaign is to increase awareness to the signs and symptoms of heart attack and the need to call 911 for emergency medical services.

Wraparound Milwaukee (Milwaukee, WI)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Families, Urban

Goal: Managed through the Child and Adolescent Services Branch of the Milwaukee County Mental Health Division in Wisconsin, Wraparound Milwaukee attempts to meet the mental heath, substance abuse, social service, and other supportive needs of the most complex youths in the Milwaukee community.

Year Up

Filed under Evidence-Based Practice, Economy, Adults

Goal: Year Up's mission is to close the Opportunity Divide by ensuring that young adults gain the skills, experiences, and support that will empower them to reach their potential through careers and higher education.

Impact: These approaches tend to be intensive and comprehensive, address psycho-social skills as well as occupation-specific competencies, provide opportunities for work-based learning, engage employers, incorporate evidence-based practices, and emphasize continuous improvement.

Youth Fit for Life (Atlanta, GA)

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

Goal: Youth Fit for Life aims to increase physical activity among children enrolled in after-school care programs.

Youth with Disabilities Demonstration Project (Seattle, WA)

Filed under Effective Practice, Economy / Employment

Goal: The overall objective of the project was to identify and provide additional support and services to those youth, ages 14-21 enrolled in WIA-supported youth programs with mental health care needs.

Zoning for a Healthy Baltimore

Filed under Effective Practice, Environmental Health / Built Environment, Adults, Racial/Ethnic Minorities

Goal: The goal of Zoning for a Healthy Baltimore is to influence the final version of Baltimore’s new zoning code by informing stakeholders and decision-makers about the new zoning code’s potential to create healthy communities and decrease health disparities, with an emphasis on preventing obesity and crime.

Impact: Zoning for a Healthy Baltimore is an HIA of the Baltimore zoning code rewrite in order to maximize the potential to create healthier communities. Since publication, Baltimore has revised its zoning code to incorporate dispersal standards and other strategies related to placement of alcohol outlets.

Substance Use Disorder Assessment and Resource Navigation (Austin, TX)

Filed under Good Idea, Health / Alcohol & Drug Use, Adults, Urban

Goal: To engage patients who may benefit from early intervention and/or education about substance use disorders, and to direct the individuals toward treatment options at the most appropriate levels of care.

11th Street Family Health Services (Philadelphia, PA)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Families, Urban

Goal: The goal of the 11th Street Family Health Services Center is to provide healthcare to underserved, low-income community members.

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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