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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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Lead Free Wheels (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The "Lead Free Wheels" program has three goals:

- direct reduction of 6,000-7,500 kg of lead use on vehicles in Michigan and the Midwest;
- demonstrate the viability of lead-free wheel weight installation at Michigan tire retailers, state and municipal fleets and other points vehicle service and:
- encourage domestic production of lead-free wheel weights and a phase out of lead use in wheel weights.

Lighten Up (South Carolina)

Filed under Effective Practice, Health / Wellness & Lifestyle, Racial/Ethnic Minorities

Goal: The goal of the Lighten Up program is to encourage lifestyle change and improve health through faith-based lessons.

National Capital Asthma Coalition (Washington, DC)

Filed under Effective Practice, Health / Respiratory Diseases, Children, Racial/Ethnic Minorities

Goal: The goal of the National Capital Asthma Coalition is to form partnerships between organizations to improving the care and outcomes for children and adults with asthma.

National Clean Diesel Campaign (NCDC) (USA)

Filed under Good Idea, Environmental Health / Air

Goal: NCDC participants are committed to reducing diesel emissions and finding innovative ways to protect human health and the environment. To fully address the challenges of reducing diesel emissions the NCDC is using a multi-pronged approach:

- Commitment to the successful implementation of the 2007 Highway Engine Rule and the Clean Air Nonroad Diesel Rule.
- Developing new emissions standards for locomotive and marine diesel engines.
- Promoting the reduction of emissions for existing diesel engines through cost-effective and innovative strategies, including use of cleaner fuels, retrofitting and repairing existing fleets, idling reduction among others.

Native American Women's Wellness Program (Washington)

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

Goal: The goal of this program is to encourage screening and early detection of cancer among American Indian women.

New York City's Phase Out of Artificial Trans Fat (New York)

Filed under Good Idea, Health / Physical Activity, Urban

Goal: On December 5, 2006, the NYC Board of Health approved an amendment to the Health Code to phase out artificial trans fat in all NYC restaurants and other food service establishments. It is now in full effect.

Parent Navigator Program (Washington, D.C.)

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

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

Powerful Choices for the Environment (Washington)

Filed under Good Idea, Environmental Health / Energy & Sustainability, Children

Goal: The program is designed to empower 6-8th grade students across the region with the knowledge that their everyday choices do make a difference. The program aims to influence how middle school students and their families think about and use natural resources in their daily lives.

Promotores de Salud (community health workers) (Georgia)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Women, Older Adults, Racial/Ethnic Minorities

Goal: The goal of Promotores de Salud is to improve the delivery of healthcare to under-served Latinos by using trained community members (Promotores) to bridge the gap between Latinos and healthcare providers.

Rails-to-Trails Conservancy

Filed under Good Idea, Environmental Health / Built Environment, Adults

Goal: The mission of Rails-to-Trails Conservancy is to create a nationwide network of trails from former rail lines and connecting corridors to build healthier places for healthier people.

Impact: Rails-to-Trails Conservancy encourages people of all ages and abilities to get outside and be active on a rail-trail. The organization serves 150,000 members and supporters on over 20,000 miles of rail-trail.

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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