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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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Houston READ Commission (Houston, TX)

Filed under Good Idea, Education / Literacy

Goal: The Houston READ Commission's mission is to enrich the lives of adult Houstonians and their families by helping them achieve their full potential through literacy, and to contribute to a workforce that will ensure a strong economy and a promising future for the greater Houston area.

Illinois WISEWOMAN Program (Illinois)

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

Goal: The Illinois WISEWOMAN program (IWP) aims to lower heart disease and other chronic disease risk factors through screening and lifestyle classes for women in high-risk populations in service counties throughout Illinois.

Impact: The Illinois WISEWOMAN Program addresses the disproportionate risk of cardiovascular disease among disadvantaged, low-income women. Participation in the program has been shown to improve dietary, physical activity and cardiovascular outcomes.

Impact of Community Health Workers on Use of Healthcare Services in the United States: A Systematic Review

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study was to determine the effect Community Health Worker programs have on healthcare spending.

Impact: The studies show that CHW programs can help reduce emergency department visits and hospital use.

Implementing a Coordinated School Health Program: One Local School's Success (Florida)

Filed under Effective Practice, Health / Physical Activity, Children

Goal: The goal of McIntosh Middle School's coordinated health program was to improve the attendance and performance of students by decreasing health problems

Improving Colorectal Cancer Screening Among the Medically Underserved (Chicago, IL)

Filed under Evidence-Based Practice, Health / Cancer, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to increase provider recommendation and patient compliance with colorectal cancer screening at a federally qualified health center serving low-income patients.

Impact: The intervention appears to be a feasible means to improve colorectal cancer screening rates among patients served by community health centers. However, more attention to patient decision making and education may be needed to further increase screening rates.

Increasing Colorectal Screening Among Filipino Americans (Los Angeles)

Filed under Evidence-Based Practice, Health / Cancer, Women, Men, Racial/Ethnic Minorities, Urban

Goal: The goal of this intervention was to increase colorectal cancer screening among an Asian American population.

Impact: A multicomponent intervention, including an educational session, can increase colorectal screening rates among Filipino Americans, even without the distribution of free fecal occult blood test kits.

Increasing the Use of Child Restraints in Motor Vehicles (Dallas, TX)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to increase child restraint use by Hispanic community members.

Inner-City Asthma Intervention (San Antonio, TX)

Filed under Good Idea, Health / Children's Health, Children, Families

Goal: Effective asthma control can improve quality of life, reduce medical costs, and reduce the number of asthma-related emergency department visits, hospitalizations, school and work days missed, days of restricted activity, and deaths each year.

Integration of Family Planning Services at Denver Metro Health Clinic (Denver, CO)

Filed under Effective Practice, Health / Family Planning, Women

Goal: The goal of this program is to provide reproductive health care services to women and men in the Denver STD clinic.

Impact: Enrollment in family planning services increased significantly. Among women returning within 12 months, pregnancies were lower among enrolled versus non-enrolled women. Total additional cost was $29.95/visit, and 40.1 minutes of additional staff time.

Isles, Inc (Trenton, NJ)

Filed under Effective Practice, Economy / Housing & Homes, Children, Adults, Families, Urban

Goal: Isles' mission is to foster more self-reliant families in healthy, sustainable 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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