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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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Healthy Moves

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: The mission of the program is to shape the evolving health system by developing and spreading high-value models of community-based care and self-management for diverse populations with chronic conditions.

Healthy Relationships

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Women, Men

Goal: The goal of Healthy Relationships is to reduce the risk of HIV transmission by people who know they are HIV-positive by reducing the frequency with which they have unprotected sex.

Impact: Healthy Relationships seeks to develop decision making and problem making skills to reduce the risk and transmission of HIV through behavioral intervention. An intervention study resulted in significantly less unprotected intercourse and greater condom use with lower estimated HIV rates post-intervention.

Healthy Start

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women

Goal: The initiative's primary purpose was to reduce infant mortality by 50 percent and generally improve maternal and infant health in at-risk communities.

Impact: 20% of the Healthy Start program sites had significantly lower rates of low-birth-weight babies than their comparisons. 20% of the sites also had significantly lower rates of very-low-birth-weight babies than their comparisons. Four of the sites had significantly lower pre-term birth rates.

Healthy Steps for Older Adults (HSOA) (Pennsylvania)

Filed under Evidence-Based Practice, Community / Public Safety, Older Adults

Goal: The Pennsylvania Department of Aging offers this fall risk screening and prevention program to adults 50 years of age and older. The program is designed to raise awareness of falls, introduce steps on how to reduce falls, improve overall health, and provide referrals and resources.

Healthy Steps for Young Children: Palm Beach (Palm Beach, FL)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Families, Urban

Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.

Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).

Heart Disease and Stroke Prevention: Interactive Digital Interventions for Blood Pressure Self-Management

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends the use of interactive digital interventions to improve blood pressure control in patients with high blood pressure.

Heart Disease and Stroke Prevention: Tailored Pharmacy-based Interventions to Improve Medication Adherence

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends tailored pharmacy-based adherence interventions for cardiovascular disease prevention. Evidence shows interventions delivered by pharmacists in community and health system pharmacies increased the proportion of patients who reported taking medications as prescribed. The CPSTF also finds these interventions are cost-effective for cardiovascular disease prevention.

Helping Early Literacy with Practice Strategies (HELPS) (USA)

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

Goal: The goal of HELPS Programs is to strengthen students’ reading fluency so they will be better able to focus on and improve other important reading skills, including comprehension.

Impact: HELPS is a supplemental curriculum that improves students reading fluency, a commonly neglected aspect of children's core reading curriculum, in order to help them become successful readers.

Hepatitis B ESL Education Curriculum for Chinese Immigrants (Canada)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults, Racial/Ethnic Minorities

Goal: To educate the Chinese Canadian immigrant community on Hepatitis B knowledge and to promote Hepatitis B testing through ESL curriculum.

Impact: The Chinese immigrant population in North America has a rate of Hepatitis B infection that is 10 times higher than the general population's rate of approximately 0.5 percent. The Hepatitis B ESL curriculum is effective in increasing knowledge about Hepatitis B among Chinese immigrants in Canada.

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.