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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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Living for Health (Miami, FL)

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

Goal: The goal of the program is to identify and follow underserved adult residents with undiagnosed or untreated high blood pressure, cholesterol or glucose, provide education to encourage healthy lifestyle changes and encourage them to seek treatment – anyone without a primary care physician is referred to a participating FQHC.

Impact: Among those participants who were followed over time and were able to be reached by phone, there were significant increases in healthy food consumption as well as significant decreases in smoking, fat consumption, and fast food frequency.

Living in the Face of Trauma (LIFT)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Women, Men

Goal: Eliminate or reduce sexual transmission risk behavior and to improve coping with the combined stressors of HIV infection and child sexual abuse.

Impact: LIFT intervention participants reported significantly fewer counts of unprotected vaginal and anal intercourse with all partners (p < .001) and with HIV-negative or unknown serostatus partners (p < .001), compared to support group participants.

Maryland Prevention Case Management (Maryland)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Maryland's Prevention Case Management program is to decrease HIV transmission following release from prison.

Medical Legal Partnerships: Embedding Civil Legal Aid Services in Care for High-Utilizing Patients (Lancaster, PA)

Filed under Effective Practice, Community / Governance, Children, Teens, Adults, Families, Urban

Goal: The goal of the pilot was to assess the impact on health care use of addressing patients’ civil legal problems – the social, financial, or environmental problems that require assistance from lawyers to remedy. The lawyer was embedded in the health care team and present during case management discussions to identify specific civil legal problems and to help the team better understand how to address them. Additionally, this partnership provided civil legal aid services to patients when needed in a community health care system.

Impact: This pilot shows a medical-legal partnership for the super-utilizers of healthcare can lead to efficiencies within the health care system, reduce costs, and improve health outcomes among the most vulnerable patients.

Minority AIDS Project (Los Angeles, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities, Urban

Goal: The Minority AIDS Project's mission is to reduce suffering and deaths due to HIV infection in the African-American and Latino communities by making HIV/AIDS education and related health services available and accessible.

Impact: The Minority AIDS Project provides services and outreach efforts to predominantly African-American and Latino individuals living with HIV/AIDS in the underserved communities of Central and South Central Los Angeles.

New York's Banking Development Districts (New York)

Filed under Effective Practice, Economy / Investment & Personal Finance

Goal: The goal of the program is to increase access to financial services for low-income families as well as stimulate economic development in distressed neighborhoods.

Oklahoma Billboard Control and Removal Program (Oklahoma)

Filed under Good Idea, Community / Transportation, Adults

Goal: The goal of the Oklahoma Billboard Control and Removal Program is to comply with the requirements of the Oklahoma Highway Beautification Act by removing non-permitted billboards and regulating the installation of new billboards.

Popular Opinion Leader (USA)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Women, Men, Urban

Goal: The goal of Popular Opinion Leader is to reach as many people as possible in order to successfully and dramatically reduce the spread of HIV/AIDS.

Positive Choice: Interactive Video Doctor

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: To eliminate or reduce sex risk behaviors and eliminate or reduce illicit drug use among HIV-positive clinic patients.

Pregnancy Health: Exercise Programs to Prevent Gestational Hypertension

CDC

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women, Families

Goal: The goal of exercise programs for pregnant women is to improve health and prevent gestational hypertension.

Impact: Exercise programs reduce the development of high blood pressure in pregnancy.

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.