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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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TelePsych (Waco, Texas)

Filed under Good Idea, Health / Mental Health & Mental Disorders

Goal: Baylor Scott & White started TelePsych because many of its hospitals do not have any psychologists or psychiatrists on staff. The Hillcrest hospital in particular has seen an increase in patients needing acute mental health care. Its location next to the highway and the dearth of other trauma centers means that the hospital receives 1-2 patients per day with acute mental health needs. Hillcrest has licensed medical social workers in the Emergency Department but struggled without an actual psychologist or psychiatrist available. Their goal in implementing TelePsych was to move mental health patients through the continuum of care efficiently and with empathy.

Impact: The hospital staff at Baylor Scott & White Hillcrest has been very impressed with the implementation and ease of use of the TelePsych process and system. Patient satisfaction has increased and staff are able to move patients through the next level of care more efficiently.

Text4Diet: A Text Message-based Intervention for Weight Loss

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

Goal: To facilitate behavior change among overweight adults that leads to sustained weight loss.

Impact: Those who use Text4Diet are exposed to customized advice regarding healthy behavior changes. Participants on average saw an average 6-pound weight loss during a four-month use period. This is a statistically significant difference from weight loss in the usual care comparison group.

Text4Health

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Women, Urban

Goal: Text4Health aims to improve immunization rates in urban, underserved, low-income populations via text messaging.

The 3C Model in Smoking Prevention (Houston, TX)

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The goal of this program is to maximize the impact of anti-tobacco education by combining resources across the campus, church, and community.

The Bay-Friendly Landscaping & Gardening Coalition (Bay Area, CA)

Filed under Good Idea, Environmental Health / Built Environment, Urban

Goal: Goals of the Bay-Friendly Landscaping & Gardening Coalition include:

- Reduce waste & help meet recycling goals.
- Reduce water use on landscapes by 50% or more.
- Nurture healthy soils while reducing fertilizer use.
- Use integrated pest management to minimize chemical use.
- Prevent or reduce storm water pollution to our local creeks and bay.
- Lower maintenance associated with mowing and shearing.
- Reduce greenhouse gas emissions.
- Create wildlife habitat.

The Bright Beginnings Infant Mortality Reduction Program (Prince George's County, MD)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Teens, Adults, Women, Families, Racial/Ethnic Minorities, Urban

Goal: Bright Beginnings seeks to prevent poor pregnancy outcomes among Prince George's low-income, medically underserved women and children.

Impact: Bright Beginnings has provided services to thousands of women to help reduce infant mortality and prevent adverse pregnancy outcomes. The program has been noted as a promising practice by the Maryland Department of Health and Mental Hygiene since 2010.

The Bronx Center Project (Bronx, NY)

Filed under Good Idea, Community / Social Environment, Urban

Goal: One of the primary goals of Bronx Center is to ensure that area residents and businesses gain access to as many jobs, both construction and permanent, and contracting opportunities as possible. Other goals include renovating the Bronx Borough Courthouse and transforming it into The Bronx Planning Center and improving education, housing, and the economic state of the community.

The Buffalo Healthy Communities Initiative (Buffalo, NY)

Filed under Good Idea, Community / Transportation

Goal: The goal of this project is to make the streets more pedestrian friendly and supportive of active living.

The Cambodian Community Health 2010 Project (Lowell, MA)

Filed under Effective Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities

Goal: The goal of this program is to improve the health of the Cambodian population in Lowell, Massachusetts.

The Character Effect: A Universal Social-Emotional Learning Program for Elementary School Students (Greater Cincinnati Area (SW OH, Northern KY))

Filed under Evidence-Based Practice, Education, Children, Urban

Goal: The goal of The Character Effect is to foster the development of students’ social-emotional skills, improving their behavior and readiness to learn in the classroom.

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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