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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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A Matter of Balance

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

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

Boston Public Schools Snack and Beverage Policy (Boston, MA)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens, Urban

Goal: To decrease consumption of sugar-sweetened beverages in Boston public schools.

Impact: Data from Boston youth indicated that policy changes restricting the sale of sugar-sweetened beverages in schools can cause significant reductions in consumption of sugar-sweetened beverages and are promising strategies to reduce adolescents’ intake of unnecessary calories.

CDC COMMUNITY GUIDE: Preventing Excessive Alcohol Consumption: Maintaining Limits on Days of Sale (USA)

CDC

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

Impact: In order to prevent excessive alcoholism and related harms, the Community Preventive Services Task Force recommends supporting existing limits on days in which alcoholic beverages may be sold.

San Francisco Unified School District Healthy Food Policy (San Francisco)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Urban

Goal: SFUSD aimed to provide students with healthy and appealing food choices and to diminish the dependence of schools and school-related organizations on selling unhealthy foods.

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.

Flex Your Power Case Study: North Tahoe Public Utilities District (PUD) (Placer County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of this project was to provide a safe fresh-water supply in an efficient manner.

Flex Your Power Case Study: Orange County Water District (Orange County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: OCWD's goals in 2001 were to reduce energy load, save money and preserve/extend equipment life. Its projects targeted power use in buildings' electrical/lighting systems; chemical and energy management issues concerning the plant treatment process and HVAC systems; and energy use by employees and ultimately customers.

Flex Your Power Case Study: Santa Clara Valley Water District (San Jose, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: Besides attempting to prevent rolling blackouts, the City of San Jose wanted to participate in the water conservation program to reduce the amount of treated wastewater that is released into San Francisco Bay.
Specific goals included:
-Continue to support SCVWD's mission of water supply and management in spite of external power interruptions,
- Provide 24-hour battery backup for SCADA instrumentation and communications,
-Provide indefinite power backup via backup generators for critical source pumping, water treatment and emergency operations, and
- Reduce HVAC and lighting use to prudent levels.

Flex Your Power Case Study: South Tahoe Public Utility District (South Lake Tahoe, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The overall purpose of the energy evaluation was to demonstrate how operational and process modifications could be made to lower the demand and energy costs for various facilities within STPUD. More specifically, the goal was to reduce electrical energy consumed at the plant and to reduce SPPC billings.

GIS Walking Maps (Boston, MA)

Filed under Good Idea, Health / Physical Activity, Adults, Older Adults, Families, Urban

Goal: Walking maps are designed to encourage low-income individuals to increase their physical activity by providing information on safe walking routes and destinations within their neighborhood.

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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