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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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With All Families: Parents (Hamilton County, OH)

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban

Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.

Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.

References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.

Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.

Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.

Women Take PRIDE in Managing Heart Disease (Albany, NY)

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

Goal: This project seeks to demonstrate the effectiveness of both providing the intervention and recruiting participants in a community setting.

Young Parents Program (Boston, MA)

Filed under Effective Practice, Health / Adolescent Health, Children, Teens, Urban

Goal: The goal of the Young Parents Program is to help inner city teenage parents learn positive attitudes, behaviors, and parenting skills so that their children experience healthy growth and development a during their early and critical years.

Youth Villages YVLifeSet

Filed under Effective Practice, Community / Social Environment, Teens

Goal: Youth Villages helps children and families live successfully.

A Text Message-Based Intervention for Weight Loss (San Diego County, CA)

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

Goal: To reduce weight in overweight and obese patients using mobile-based text and multimedia messaging.

Impact: At the end of a 4-month period, participants in the text-message based intervention showed greater weight loss than the control group.

Abriendo Puertas / Opening Doors Network (USA)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families, Racial/Ethnic Minorities

Goal: Abriendo Puertas, developed for and by Latino parents, aims to increase the number of Latino children in the United States that enter school ready to learn and be able to succeed in life by building the capacity and confidence of parents to be strong advocates in the lives of their children.

Active Choices (San Francisco)

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: The goal of this promising practice is to increase physical activity in a diverse older adult population.

Impact: Participants in the Active Choices program showed significant increases in physical activity and a greater satisfaction with their body appearance and function. Participants of the program also showed decreases in their BMI.

Adventures in Learning (Greater Kansas City area)

Filed under Good Idea, Health / Older Adults, Adults, Older Adults, Urban

Goal: Shepherd's Center Central is a local leader in the regional effort to ensure that all people can age successfully with dignity, security, and respect.

Impact: In 2016, Adventures in Learning experienced attendance of 80 members per week and offered a total of 520 classes during the four 10-week sessions available.

Aiming High (Sonoma, CA)

Filed under Effective Practice, Education / Student Performance K-12, Children

Goal: The goal of Aiming High is to increase the percentage of English learners scoring at or above proficient on California Standardized tests in language arts and math by three percentage points annually.

Asian American Diabetes Initiative

Filed under Good Idea, Health / Diabetes, Racial/Ethnic Minorities

Goal: Joslin's Asian American Diabetes Initiative has a mission to enhance the quality of life and health outcomes for Asian Americans living with diabetes through research, education, outreach and culturally appropriate treatments.

Impact: Joslin's Asian Clinic provides comprehensive and culturally appropriate diabetes care for Asian Americans.

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.