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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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Dental Caries (Cavities): Community Water Fluoridation

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends community water fluoridation to reduce tooth decay (i.e., dental caries or cavities).

Dental Caries (Cavities): School-Based Dental Sealant Delivery Programs

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based programs to deliver dental sealants and prevent dental caries (tooth decay) among children.

Detroit's Asthma Education Project (Detroit, MI)

Filed under Good Idea, Health / Children's Health, Children, Teens, Families

Goal: The objectives of the program were to educate students, parents, and school staff about asthma management and to control exposure to factors that trigger asthma attacks.

Diabetes Management for the Homeless: Sojourner Clinic (Kansas City, MO)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Sojourner Health Clinic is to pick up where the current medical system leaves off by providing free acute and ongoing healthcare to patients who do not have access--or are reluctant to access—traditional routes to a doctor or medicine.

Impact: During 2012, the Sojourner Health Clinic managed to increase the number of diabetic patients with A1C levels below 9 percent from 15% to 83%, reducing the average blood glucose level of patients and giving them a better sense of control over their diabetes.

Diabetes Self Management Education (Brinkley, AR)

Filed under Good Idea, Health / Diabetes, Rural

Goal: Please define your project/intervention goals:

The goals of this project are:
-to promote individual control of diabetes.
-to help patients become partners with their healthcare providers in the care of their disease.
-to help diabetes patients realize that small continous changes do make big differences.

DO-IT (Disabilities Opportunities Internetworking Technology) Scholars Program (Seattle, WA)

Filed under Effective Practice, Economy / Employment, Children

Goal: The goal of the DO-IT Scholars Program is to increase the participation of individuals with disabilities in challenging academic programs and careers. Its mission is to promote the use of computing and networking technologies to increase independence, productivity, and participation in education and employment.

Driving and Dementia Toolkit (Ottawa, Canada)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: The goal of this toolkit is increase health care provider knowledge and confidence in assessing the driving skills of patients with dementia.

Drug User Intervention Trial (DUIT) (USA)

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

Goal: The goal of this peer-education intervention is to reduce injection risk behaviors for HIV and hepatitis C virus infection in young injection drug users.

DrugRehab.com

Filed under Good Idea, Health / Alcohol & Drug Use, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Goal: At DrugRehab.com, our mission is to equip patients and families with the best information, resources and tools to overcome addiction and lead a lifelong recovery.

Early HeartSmarts Program (Salt Lake City)

Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The goal of this program is to help preschool children learn emotional self-regulation and facilitate their psychosocial development.

Impact: The Early HeartSmarts program was effective in increasing children’s social/emotional, physical, cognitive and language development in a classroom setting.

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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