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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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Voluntary Aluminum Industrial Partnership (VAIP) (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of the VAIP is to reduce perfluorocarbon emissions from aluminum production in the United States.

CDC COMMUNITY GUIDE: Diabetes Prevention and Control: Case Management Interventions to Improve Glycemic Control (USA)

CDC

Filed under Evidence-Based Practice, Health / Diabetes, Children, Teens, Adults, Women, Men, Families

Impact: The Community Preventive Services Task Force has found that case management helps improve glycemic control for patients with diabetes.

Dental Caries (Cavities): Community Water Fluoridation

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends community water fluoridation to reduce tooth decay (i.e., dental caries or cavities).

Immunization Case Management Intervention (Los Angeles, CA)

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

Goal: The goal of this immunization case management intervention is to improve immunization rates among infants of low-income, urban, African American families.

Impact: Immunization case management increased the knowledge of immunization schedules, rate of well-child visits, and up-to-date immunization rate for children of participating families.

Maryland Prevention Case Management (Maryland)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Maryland's Prevention Case Management program is to decrease HIV transmission following release from prison.

Michigan's Cancer Registry (Michigan)

Filed under Good Idea, Health / Cancer, Racial/Ethnic Minorities

Goal: The goal of this project is to identify disparities in cancer deaths among minority and low-income populations.

Cardiovascular Risk Management by Community Pharmacists (Iowa)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Adults, Rural

Goal: The goal of the Cardiovascular Risk Management by Community Pharmacists program is to reduce cardiovascular risk factors through pharmacist provided case management.

Direct Mailing of Fecal Occult Blood Tests to Increase Colorectal Cancer Screening (Wright County, MN)

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

Goal: The goal of this program was to increase colorectal cancer screening using direct mailings of fecal occult blood test (FOBT) kits for noninvasive colon cancer screening.

Impact: Direct mailing of FOBT kits resulted in an increase in self-reported colon cancer screening adherence.

Antismoking Media Campaign (Massachusetts)

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

Goal: To reduce the number of older adolescents who progress to established smoking.

Impact: The television component of the Massachusetts antismoking media campaign may have reduced the rate of progression to established smoking among young adolescents.

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.

Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.

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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