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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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Patient and Physician Reminders to Promote Colorectal Cancer Screening (Massachusetts)

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

Goal: The goal of this program is to increase colorectal cancer screening rates among older primary care patients.

PeaceBuilders (Pima County, AZ)

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goal of this program is to reduce youth violence and aggressive behavior by initiating prevention early in childhood, increasing children's resilience, and reinforcing positive behaviors.

Impact: One evaluation found that there was an 89% decrease in physical aggression and an 82% decrease in verbal aggression for participating students.

Physical Activity and Teenage Health (PATH) Program (New York, NY)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Urban

Goal: The goal of the PATH Program is to improve knowledge of cardiovascular health and reduce risk factors associated with cardiovascular disease.

Picture Me Healthy (Madera County, CA)

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

Goal: The goal of this program is to improve immunization rates in Madera County.

Positive Action

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens

Goal: The goal of this program is to improve academic success, behavior, and character development.

Impact: Multiple studies have consistently found PA effective for improving achievement scores, attendance, and self-concept and for reducing drug use, violence, and other problem behaviors. Results were often better in more disadvantaged schools.

Post-Assistance Self-Sufficiency (PASS) Program (Riverside, CA)

Filed under Evidence-Based Practice, Economy / Employment, Adults, Families

Goal: The goal of the PASS Program is to promote job retention and advancement among individuals leaving the Temporary Assistance for Needy Families (TANF) program.

Impact: The PASS program did not meet the goal of having its participants retain their initial jobs. However, PASS did result in PASS participants being more likely to find new jobs (occasionally with higher earnings) after having lost or moved on from previous jobs.

Pregnancy Health: Exercise Programs to Prevent Gestational Hypertension

CDC

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends exercise programs for pregnant women to reduce the development of gestational hypertension.

Primary Project

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goals of this program are:
- Detect school adjustment difficulties
- Prevent social and emotional problems
- Enhance learning skills

Impact: One study demonstrated that participants made significant improvements in task orientation, specifically in working more independently and completing tasks faster. In behavior control, program students showed increased coping skills and lower levels of aggressiveness and produced fewer disruptions. In assertiveness, students had improved participation in activities, were better at expressing ideas, and showed increased leadership and decreased shyness. Improvements in peer sociability included increases in the quality of peer relationships and improved social skills. Several other evaluations of the Primary Project present evidence of improved school adjustment and decreases in problem behaviors for participants.

Project Dulce (San Diego County, CA)

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

Goal: The goal of Project Dulce is to improve the lives of people with diabetes through culturally appropriate, community-based diabetes management, education, and support programs.

Promotores de la Salud de los Niños (King County, WA)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of the Promotores de la Salud de los Niños Program is to use volunteers from the Latino community to locate families in King County that are eligible for services and help families get connected to those services.

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.