Promising Practices

Filed under Evidence-Based Practice, Health / Health Care Access & Quality

Goal: To find, explore, and implement a sustainable funding stream for community-based healthcare interventions.

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

Goal: Stepping On aims to reduce the prevalence of falls among older adults. Falls are not a normal part of aging and the risk and/or prevalence of falls may be decreased by taking certain steps, including vision checks, medication management, strength & balance exercises, and home safety checks. Falls and/or the fear of falling often lead to a loss of independence.

Impact: This evidence-based program demonstrated a 31% reduction in falls among participants in an Australian trial. It reached a 50% reduction in falls among participants in a U.S. workshop.

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goal of the program is to decrease school bullying problems by 1) increasing staff awareness and responsiveness, 2) fostering socially responsible beliefs, and 3) teaching social-emotional skills to counter bullying and promote healthy relationships. Thus the program also aims to promote skills (e.g., group joining, conflict resolution) associated with general social competence.

Impact: Students in the intervention schools reported significantly less acceptance of bullying/aggression, perceived greater adult responsiveness, and felt more responsible to intervene with friends who were bullied (bystander responsibility) than students in the control schools.

Filed under Evidence-Based Practice, Health / Adolescent Health, Children, Teens, Families, Racial/Ethnic Minorities, Rural

Goal: The SAAF program aims to prevent initiation of risk behaviors such as drug abuse, alcohol and cigarette use, and sexual activity in low-income African American preadolescents.

Impact: This program has helped create positive family interactions and support youth and teens as they take the next steps toward a positive future.

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

Goal: The goal of Strong Women – Healthy Hearts is to decrease cardiovascular disease among middle-aged women through behavioral changes in diet and physical activity.

Filed under Evidence-Based Practice, Community / Social Environment, Children, Adults, Families

Goal: The goal of this program is to provide parents with the necessary skills to improve their parent/child communication and overall family functioning.

Impact: STEP has been implemented in more than 1,000 schools, agencies, churches, and mental health treatment facilities since 1976, reaching more than 4 million parents. Outside the US, STEP has been implemented in Australia, Canada, Germany, Ireland, Mexico, New Zealand, the Philippines, Romania, and South Korea.

Filed under Evidence-Based Practice, Health / Diabetes, Children, Teens, Racial/Ethnic Minorities, Urban

Goal: The primary goal of the intervention was to reduce overweight and obesity prevalence among middle school students. Ancillary goals were to improve BMI and fasting insulin values, increase water consumption, reduce consumption of beverages with added sugar, increase healthy food choices, improve self-monitoring, and increase exercise time among sixth, seventh, and eighth grade students.

Impact: School-based programs that aim to address childhood obesity and adiposity may reduce individuals' risk of developing childhood-onset of non-insulin dependent diabetes mellitus.

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Women

Goal: The goal of this program is to facilitate trauma recovery among women with histories of exposure to sexual and physical abuse.

Impact: Studies demonstrated that TREM participants showed a significant reduction in severity of problems related to substance use from baseline to 12-month follow-up relative to the comparison group. Reduced trauma symptoms were also significantly greater for the intervention group than for the comparison group at 12-month follow-up. Furthermore, the intervention group had significantly reduced symptoms of psychological problems 1 year after the intervention.

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends school and organized child care center-located vaccination programs based on strong evidence of effectiveness in increasing vaccination rates, and in decreasing rates of vaccine-preventable disease and associated morbidity and mortality.

The updated CPSTF recommendation is based on findings from 27 studies in which vaccination programs in schools or child care centers:
-Provided vaccinations on site
-Were administered by a range of providers including school health personnel, health department staff, and other vaccination providers
-Were delivered in a variety of different school and organized child care settings
-Delivered one or more of a range of vaccines recommended for children and adolescents, and
-Included additional components such as education, reduced client out-of-pocket costs, and enhanced access to vaccination services

School- and organized child care center-located vaccination programs may be most useful in improving immunization rates among children and adolescents for new vaccines, and vaccines with new, expanded recommendations (such as the annual immunization for seasonal influenza) where background rates are likely to be very low and improvements in coverage are needed.

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends standing orders for vaccinations—when used alone or when combined with additional interventions—to increase vaccination rates among adults and children from different populations or settings.