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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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Project ALERT

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

Goal: The main goals of the program are to prevent adolescent non-users from experimenting with drugs and to prevent youths who are already experimenting from becoming more regular users.

Impact: Project Alert participants were 30% less likely than other students to begin using marijuana and analyses showed that the program significantly dampened pro-drug beliefs about cigarette and marijuana use.

Project EX

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

Goal: The goal of this program is to reduce or stop smoking among adolescents.

Impact: At 3-month follow-up, 17% of youths in the treatment conditions reported having quit smoking for at least 30 days, compared with only 8% of those teens in the control condition. These positive effects were also demonstrated when moved from a clinic setting to the classroom, as students in the program condition experienced a greater reduction in weekly smoking and monthly smoking, at 6-and-12-month follow-ups.

Project ORE (San Francisco, CA)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Teens, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of Project ORE is to use a friendship-based sexual education intervention to prevent HIV/STI transmission in high-risk urban African American adolescent girls.

Project ReConnect (Sonoma, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Project ReConnect is to enable HIV-positive people to explore career, educational, and volunteer activities and to de-stigmatize HIV through education and advocacy.

Project SWAT (Share the Work to Alleviate the Threat) (Erie County, NY)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goal of Project SWAT is to reduce the population of mosquitoes potentially carrying West Nile Virus by applying larvicide to common breeding habitats.

Project TRACK (Teaching, Reaching, and Collaborating for Knowledge) and Steps for Health (Town of Edenton)

Filed under Good Idea, Health / Physical Activity, Children

Goal: The goal of this program is to promote increased physical activity and a balanced diet.

Put Illinois To Work (Illinois)

Filed under Effective Practice, Economy / Economic Climate, Adults

Goal: The program’s goal is to support disadvantaged workers and struggling businesses through the economic recovery process.

REAL Men (Atlanta)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Men, Racial/Ethnic Minorities, Urban

Goal: This program aims to promote delay of sexual intercourse, condom use among those who were sexually active, and communication on sexuality between fathers (or father figures) and sons.

Reconciliation Services Depression and Trauma Therapy Services (Kansas City/Jackson/Missouri)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Women, Men, Urban

Goal: The mission of Reconciliation Services is to cultivate a community seeking reconciliation to transform Troost from a dividing line into a gathering place, revealing the strength of all. Our mental health services are at the heart of how we strive to help clients see their own strength and work towards being reconciled to their own health and well-being.

Impact: Over the past three years, our therapy program participants reported a 71 percent decrease for depression and 79 percent decrease for PTSD.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

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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