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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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California Main Street (California)

Filed under Effective Practice, Economy / Economic Climate

Goal: The purpose of California Main Street is to educate and provide assistance to California communities about how they can revitalize their downtowns or core commercial districts using the self-help Main Street Four-Point Approach. Through this education on how traditional downtowns and neighborhood commercial districts can become and remain vital economic, social, and cultural centers, the community's development leads to livable and sustainable practices that ultimately improve its quality of life.

Integrated Watershed Management (Massachusetts)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: Addressing environmental issues on a watershed basis requires the cooperation and participation of many different people. This initiative aims to facilitate partnerships between state agencies, NGOs and civil society in order to yield better environmental results.

The Maine Cardiovascular Health (CVH) Program (Maine)

Filed under Good Idea, Health / Heart Disease & Stroke

Goal: The goal of this program is to improve secondary prevention of cardiovascular disease in Maine.

CDC COMMUNITY GUIDE: Preventing Dental Caries: Community Water Fluoridation (USA)

CDC

Filed under Evidence-Based Practice, Health / Oral Health, Children

Impact: The Community Preventive Services Task Force has found that community water fluoridation is effective in decreasing dental caries across populations.

CDC COMMUNITY GUIDE: Reducing Alcohol-Impaired Driving: Mass Media Campaigns (USA)

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends mass media campaigns to reduce alcohol-impaired driving under certain conditions. These conditions include carefully planned and well-executed campaigns; adequate audience exposure; and settings with ongoing alcohol-impaired driving prevention activities.

Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)

Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults

Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.

Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.

Telephone Intervention for Family Caregivers of Stroke Survivors (Birmingham, AL)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of this intervention is to provide family caregivers of stroke survivors with problem-solving skills and support to manage problems and cope with the stresses of care giving.

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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