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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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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.

Study to Reduce Intravenous Exposures (STRIVE) (USA)

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

Goal: The goal of STRIVE is to reduce risky injection practices among injection drug users with an HCV infection.

Supplemental Nutrition Assistance Program (SNAP) Participation and Health Care Expenditures Among Low-Income Adults

Filed under Evidence-Based Practice, Health / Older Adults

Goal: To determine whether the Supplemental Nutrition Assistance Program (SNAP), which addresses food insecurity, can reduce health care expenditures.

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 -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

Talking Parents, Healthy Teens (California)

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of Talking Parents, Healthy Teens is to help parents improve their communication skills with their adolescent children, promote healthy adolescent sexual development, and reduce risky adolescent sexual behaviors.

Teen Choices (Collier County, FL)

Filed under Good Idea, Health / Family Planning, Teens

Goal: The goal of this program is to reduce the repeat birth rate for teen women in Collier County and to encourage positive choices for teen mothers to ensure a brighter future for them and their children.

Teen Outreach Program: Palm Beach (Boyton Beach, Florida/Palm Beach County, Florida)

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

Goal: To enable teens from disadvantaged circumstances to develop healthy behaviors, life skills, and a sense of purpose in order to prevent problem behaviors.

Impact: This program equips teens to better develop healthy behaviors and relationships,
develop life and leadership skills, and achieve educational
success.

The AIMS Model

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

Goal: The Ambulatory Integration of the Medical and Social (AIMS) model aims to address social and environmental factors patients face that may prevent them from following their plan of care, thus impacting their health.

Impact: The AIMS model helps create better supported, less stressed, and better informed consumers and caregivers. There is also evidence to suggest that this model reduces ED usage and 30-day readmissions in participants.

The Bronx Center Project (Bronx, NY)

Filed under Good Idea, Community / Social Environment, Urban

Goal: One of the primary goals of Bronx Center is to ensure that area residents and businesses gain access to as many jobs, both construction and permanent, and contracting opportunities as possible. Other goals include renovating the Bronx Borough Courthouse and transforming it into The Bronx Planning Center and improving education, housing, and the economic state of the community.

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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