Promising Practices

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

Goal: The goal of this program was to increase colorectal cancer screening recommendations and completion rates at a Veterans Affairs medical center.

Impact: Veterans Affairs (VA) patients in the intervention group received more recommendations for colorectal cancer screening and completed more screening tests compared to those in the control group.

Filed under Evidence-Based Practice, Environmental Health / Toxins & Contaminants, Families

Goal: The Healthy Neighborhoods program seeks to reduce housing related illness and injury through prevention and education.

Impact: In the past five years, the HNP visited 31,000 homes with 85,000 residents, and provided the asthma intervention to 11,000 adults and children with asthma. The assessments created a valuable data set about the health effects of housing hazards.

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Children, Rural

Goal: The goal of Communities Caring for Children is to increase the number of infants and children who receive immunizations on schedule.

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

Goal: This initiative strives to alleviate nursing shortages in underserved areas.

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use

Goal: The goal of this program is to reduce high-risk drinking behaviors.

Impact: Studies demonstrate that the program resulted in decreases in substance use and behaviors related to risk factors. Participants had significant reductions in drinking quantities, variances in drinking quantities, rates of driving when having had too much to drink, and rates of driving over the legal limits relative to nonparticipants. There was also a significant decrease in the number of nighttime crashes per month and the monthly rates of driving under the influence (DUI) crashes.

Filed under Evidence-Based Practice, Education / Student Performance K-12, Teens, Rural

Goal: The goal of the program is to intervene in the lives of high-school dropouts and provide them with the values, life skills, education, and self-discipline necessary to succeed.

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children

Goal: The goal of this program is to educate children about health and to prevent substance abuse and violence.

Impact: The Great Body Shop shows that comprehensive substance abuse and violence prevention and health curriculums in schools for elementary and middle school students can improve knowledge, values, thinking skills, and behaviors around substance abuse and violence topic areas.

CDC

Filed under Evidence-Based Practice, Economy / Housing & Homes

Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).

Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.

CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.

Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.

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

Goal: The mission of HKES&I is to increase access to needed healthcare for children. This is accomplished through the goal of identifying children who need further follow-up, particularly for hearing and vision problems, and to connect them to those services.

Impact: Healthy Kids Express Screening and Immunization program is successful in providing evidence based care to low-income populations and for connecting those identified with screening needs to needed follow-up care.

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Women, Racial/Ethnic Minorities, Urban

Goal: Healthy Love seeks to provide a safe, culturally tailored intervention for heterosexual black women to reduce their disproportionately high risk of transmitting and contracting HIV and other STDs. Healthy Love aims to encourage sexual abstinence, HIV testing, and receipt of test results; increase women's condom usage during vaginal sex with male partners; and reduce the number of women's sex partners and unprotected anal and vaginal sex with male partners. Healthy Love also seeks to improve HIV/STD knowledge, self-efficacy for using condoms, intentions to use condoms, and attitudes towards condoms.

Impact: Healthy Love increased participants' likelihood of using condoms, being tested for HIV, and receiving their test results. The intervention also reduced participants' self-described actions with male partners that can increase black women's risks for HIV infection.