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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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Switch-Play (Melbourne, Australia)

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

Goal: The primary goal of the ‘Switch-Play’ promising practice was to develop and test three approaches towards the achievement of healthy weight maintenance among 10-year-old children: (1) through reducing the time spent in sedentary behaviors (e.g. TV viewing, playing electronic games and recreational computer use); (2) through increasing skills and enjoyment of physical activity; or (3) through a combination of these two strategies.

Impact: Children participating in the behavioral modification and motor skills development components of Switch-Play had improved BMI.

Tai Chi for Diabetes (Sydney, Australia)

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

Goal: The goal of the “Tai Chi for Diabetes” program was to improve health-related outcomes for
individuals diagnosed with type II diabetes in areas of mobility and physical function.

Text4Health

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Women, Urban

Goal: Text4Health aims to improve immunization rates in urban, underserved, low-income populations via text messaging.

The 16th Avenue Tiled Steps Project (San Francisco)

Filed under Good Idea, Community / Social Environment, Adults, Older Adults, Families, Urban

Goal: The 16th Avenue Tiled Steps Project was a neighborhood effort to create a mosaic running up the risers of 163 steps.

The 3C Model in Smoking Prevention (Houston, TX)

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The goal of this program is to maximize the impact of anti-tobacco education by combining resources across the campus, church, and community.

The Black Infant Health Program (Antelope Valley, CA)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Families, Racial/Ethnic Minorities

Goal: The Black Infant Health Program aims to reduce African-American infant mortality through the Social Support and Empowerment model - a faith-based program which seeks to:

- Educate
- Ensure access to care for at-risk pregnant and parenting women and their infants.

The Perfect 10 Project (Kansas)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families, Rural

Goal: The Perfect 10 Project objective is to increase the initiation rates of breastfeeding to 84%, increase our duration rates of breastfeeding by 25% at 6 months to 35.8% (currently 28.6%), and 32.6% at one year (currently 18.1%).

Impact: There were 102 physician referrals from the Lower 8 counties for breastfeeding assistance in the first six months of 2016, 148 breastfeeding moms were helped through our after-hours hotline in the first six months, and 24 moms attended our Mommy & Me breastfeeding support group.

The Veggie Project at the Monroe Carell, Jr. Children's Hospital at Vanderbilt (Davidson)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: To make Nashville a healthier community by improving access to fresh fruits and vegetables in food desert neighborhoods while supporting local farmers and empowering and educating youth.

Threshold 21

Filed under Good Idea, Economy / Economic Climate

Goal: MI seeks to build a critical mass of people and organizations with systems thinking skills, by promoting systems literacy and dynamic modeling tools in the public policy realm, civil society, private sector, and academic institutions in the developing and industrialized world.

Together Learning Choices (TLC) (Los Angeles, New York, San Francisco, and Miami)

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

Goal: The goal of Together Learning Choices was to help HIV-infected youth increase their use of health care, decrease drug and alcohol use and risky sexual behaviors, and improve their quality of life.

Impact: Together Learning Choices (TLC) showed that prevention programs can effectively reduce risk acts among HIV-infected youths.

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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