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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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Saving Lives (Massachusetts)

Filed under Evidence-Based Practice, Community / Public Safety

Goal: The goal of this program was to improve transportation safety in Massachusetts.

Impact: The Saving Lives Program successfully reduced drunk driving by 42% and speeding-related crashes by 25% through community-based, innovative, and cost-effective interventions.

School Wellness Council Project (New York City )

Filed under Good Idea, Community / Governance, Children, Teens, Urban

Goal: The mission of the New York City Department of Education wellness policy is to reduce sedentary lifestyle and to promote nutritious eating among children.

School-Based Asthma Therapy (Rochester, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

School-Based Intervention to Promote Tooth Brushing (Scotland)

Filed under Evidence-Based Practice, Health / Children's Health, Children

Goal: The goal of this intervention was to reduce dental caries among children by promoting twice daily tooth brushing.

Impact: Supervised tooth brushing and positive reinforcement in a school setting decreased the rate of dental caries in participating children.

Septic Systems (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: Septic systems serve approximately 25 percent of the U.S. population and about 40 percent of new developments. The U.S. Census Bureau has indicated that at least 10 percent of septic systems have stopped working. Some communities report failure rates as high as 70 percent! The goal of this program is to improve the performance of decentralized septic systems.

SF Health Code Article 38: Enhanced Ventilation for Urban Sensitive Use Development (San Francisco, CA)

Filed under Good Idea, Community / Governance, Children, Teens, Adults, Older Adults, Families, Urban

Goal: The purpose of SF Health Code Article 38 is to protect residents from the effects of living in a poor air quality zone by requiring enhanced ventilation in new and renovated residential buildings.

Impact: The City of San Francisco implemented a law requiring enhanced ventilation in new and renovated residential buildings to protect residents from harmful particulate matter.

St. Peter's Dental Program (Albany, NY)

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

Goal: The goal of St. Peter's Dental Program is to improve access to dental care and treatment for the poor, elderly, and under served populations living in and around Albany, New York.

Strong Hearts, Healthy Communities (StrongPeople Healthy Hearts)

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

Goal: SHHC targets individual, social, and built environment levels of behavior change and is designed to improve diet and physical activity behaviors, assess and improve local food and physical environment resources, and shift social norms about active living and healthy eating through civic engagement and capacity building.

Strong-For-Life (Boston, MA)

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

Goal: The goal of Strong-For-Life home-based exercise program is to promote activity and reduce disability among older adults.

Impact: Home-based resistance exercise programs designed for older persons with disabilities hold promise as an effective public health strategy.

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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