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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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Great Allegheny Passage (Pittsburgh, PA to Washington, D.C.)

Filed under Effective Practice, Environmental Health / Built Environment, Children, Teens, Adults, Families

Goal: The goal of the Great Allegheny Passage is to provide hikers, bicyclists, cross-country skiers and people with disabilities with a trail through the region.

Greenbelt Alliance (San Francisco Bay Area counties)

Filed under Good Idea, Environmental Health / Built Environment

Goal: Greenbelt Alliance's mission is to improve the lives in the San Francisco Bay Area by protecting the region's greenbelt and improving the livability of its cities and towns.

Hartslag Limburg (Heartbeat Limburg) (Maastricht, Netherlands)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke

Goal: The goal of the Hartslag Limburg intervention is to reduce heart disease among low-income, high-risk community members.

Healthy Futures (Northwestern Lower Michigan)

Filed under Effective Practice, Health / Children's Health, Children, Women, Families, Rural

Goal: The overall goal of Healthy Futures is to improve community health by ensuring access to health care and community resources for pregnant women and young children in the region.

Impact: In 2012, over 3,500 contacts, 970 home visits, and 30,000 educational mailings were delivered. Of those who initiated breastfeeding at birth, 67% of enrolled infants are still breastfeeding at eight weeks post-partum. Eighty-three percent of enrolled two-year-old children are fully immunized.

Healthy Kids Express - Asthma Program (St. Louis, Missouri)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Teens, Families

Goal: The mission of the Healthy Kids Express Asthma Program is to provide quality asthma care and education to children with asthma and their caretakers in a school environment to work towards goals set by Healthy People 2020 and the National Asthma Education and Prevention Program (NAEPP).

Impact: The Healthy Kids Express Asthma Program serves approximately 600 children a year, improving inhaler technique and asthma knowledge among participants. Children enrolled in the program for two consecutive years have lower school absentee rates and hospitalizations due to asthma.

Just Food (New York, NY)

Filed under Effective Practice, Environmental Health / Built Environment, Urban

Goal: The goal of Just Food is to build a more just food system in which family farmers make a fair profit for their efforts, and all people have access to affordable, healthy food. Just Food envisions a strong regional food system -- incorporating a diversity of rural farms and a robust urban farming component -- that preserves ecosystems, reduces pollution, promotes social justice, provides education about the environment, and invigorates rural and urban economies.

KC Rakes (Kansas City, MO)

Filed under Good Idea, Health / Older Adults, Adults, Older Adults, Urban

Goal: Shepherd's Center Central is a local leader in the regional effort to ensure that all people can age successfully with dignity, security, and respect.

Little Ones, Big Questions (Palmer, AK)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Families

Goal: Little Ones, Big Questions is hosted by Mat-Su Regional Medical Center, with a mission of progressive, competent and quality health care for the growing community through the teamwork of families, doctors, employees and volunteers.

Northern Michigan Diabetes Initiative: Healthy Family Backpack Program (Michigan)

Filed under Good Idea, Health / Physical Activity, Children, Families

Goal: The Northern Michigan Diabetes Initiative is a regional collaboration dedicated to prevention, early detection, and management of diabetes. The Healthy Family Backpack Program connects with youth and their parents to educate participants on proper nutrition and promote healthy lifestyles to reduce childhood obesity.

Impact: The Northern Michigan Diabetes Initiative has distributed nutritional education materials to over 300 families. Of ninety-two families that set a healthy goal at the start of the program, forty-five continued to maintain that goal at the two-month mark.

Pounds Off With Empowerment (POWER) (South Carolina)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults, Racial/Ethnic Minorities, Rural

Goal: The goal of POWER is to promote weight loss and glycemic control among individuals diagnosed with type 2 diabetes living in rural communities.

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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