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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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Child Day Care Facility Siting Review (Nassau, NY)

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

Goal: The goal of this program is to ensure the health and safety of children attending day care facilities and the staff who care for them.

Colon Cancer Risk Counseling (Hawaii)

Filed under Effective Practice, Health / Cancer, Families

Goal: The goal of this program is to increase cancer screening among individuals with first-degree relatives who have had colorectal cancer.

Colorectal Cancer Screening in Chinese Americans Project (Seattle, WA)

Filed under Effective Practice, Health / Cancer, Racial/Ethnic Minorities, Urban

Goal: The goal of this project was to promote colorectal cancer screening among Chinese Americans.

Community-Based Multiple Risk Factor Intervention for Cardiovascular Risk (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities

Goal: The goal of this program is to reduce the risk of coronary heart disease among African American families with a history of coronary disease.

Comparative Cost Analysis of Housing and Case Management Program for Chronically Ill Homeless Adults Compared to Usual Care (Chicago, Illinois)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Urban

Goal: To assess the costs of a housing and case management program in a novel sample: homeless adults with chronic medical illnesses.

Impact: Compared to usual care, the intervention group generated an average annual cost savings of (−)$6,307 per person (95 percent CI: −16,616, 4,002; p = .23). Subgroup analyses of chronically homeless and those with HIV showed higher per person, annual cost savings of (−)$9,809 and (−)$6,622.

Complex Care Program (Washington, D.C.)

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

Goal: CCP aims to provide ongoing comprehensive care coordination to children with medically complex, chronic conditions within Children's National health care system.

Consumer Product Safety - Recalled Products in Child Care Settings (Idaho)

Filed under Effective Practice, Health / Children's Health, Children

Goal: The goal of this program is to improve the safety of child care centers in Idaho by making sure that recalled products are removed.

Early Care and Education Program (Los Angeles)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Children, Families

Goal: The Early Care and Education Program's goal is to provide the highest quality childcare and early education services to children from disadvantaged families.

Early Childhood Cavities Prevention Program

Filed under Effective Practice, Health / Oral Health, Children, Women

Goal: The Early Childhood Cavities Prevention Program (ECCPP) is a community-based intervention program to promote preventive oral care for both mothers and their infants in Klamath County, Oregon.

Impact: The Early Childhood Cavities Prevention Program (ECCPP) educates pregnant women about dental hygiene to prevent dental infection in their children. Ninety-three percent of all participating infants were 100% cavity-free on their second birthday.

Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial (Chicago, Illinois)

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

Goal: To assess the effectiveness of a case management and housing program in reducing the use of urgent medical services among homeless adults with chronic medical illnesses.

Impact: For every 100 homeless adults offered the intervention, the expected benefits over the next year would be 49 fewer hospitalizations, 270 fewer hospital days, and 116 fewer ED visits.

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.