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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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Missouri's Community Water Fluoridation Program (Missouri)

Filed under Effective Practice, Health / Oral Health, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Missouri’s Community Water Fluoridation Program is to prevent dental caries and to reduce the associated health costs.

National Clean Diesel Campaign (NCDC) (USA)

Filed under Good Idea, Environmental Health / Air

Goal: NCDC participants are committed to reducing diesel emissions and finding innovative ways to protect human health and the environment. To fully address the challenges of reducing diesel emissions the NCDC is using a multi-pronged approach:

- Commitment to the successful implementation of the 2007 Highway Engine Rule and the Clean Air Nonroad Diesel Rule.
- Developing new emissions standards for locomotive and marine diesel engines.
- Promoting the reduction of emissions for existing diesel engines through cost-effective and innovative strategies, including use of cleaner fuels, retrofitting and repairing existing fleets, idling reduction among others.

Native American Women's Wellness Program (Washington)

Filed under Effective Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The goal of this program is to encourage screening and early detection of cancer among American Indian women.

Neighborhood Health Clinic (Collier County, FL)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults

Goal: The goal of the Neighborhood Health Clinic is to provide medical care to low-income, uninsured, working adults.

New Families Center (Minneapolis, MN)

Filed under Good Idea, Health / Health Care Access & Quality, Families, Racial/Ethnic Minorities

Goal: 2004 goals of the New Families Center include screening 1,600 children for eligibility in health coverage programs, enrolling 700 children in health care coverage programs, immunizing over 1,300 children; and serving 900 families in need of health care navigation services to help address individual barriers to getting health care.

New Hope Project (Wisconsin)

Filed under Effective Practice, Economy / Employment, Adults

Goal: New Hope provided full-time workers with several benefits: an earnings supplement to raise their income above poverty, low-cost health insurance, and subsidized child care. For those unable to find full-time work, the program offered help in finding a job and referral to a wage-paying community service job when necessary.

North Carolina Antipredatory Home Lending Law (North Carolina)

Filed under Effective Practice, Economy / Housing & Homes

Goal: The goal of this law is to reduce abusive lending practices.

North Dakota State Long Term Care Ombudsman Program (North Dakota)

Filed under Effective Practice, Health / Older Adults, Older Adults, Rural

Goal: The purpose of the ombudsmen is to recognize potential problems and represent elderly and institutionalized clients throughout the state.

Not-On-Tobacco (N–O–T)

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

Goal: The goal of this program is to help teens quit smoking.

Impact: One study showed that the percentage of students who reportedly quit smoking 15 months after the intervention was higher for participants. Another study showed that a greater percentage of participants reported smoking cessation 5 months after the intervention than non-participants.

Nurse-Led Secondary Prevention in Coronary Heart Disease (Scotland)

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

Goal: The goal of this nurse-led program is to improve secondary prevention among patients with coronary heart disease.

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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