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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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Step-by-Step Approach to Sustain a Community Health Worker Intervention (Philadelphia, PA)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality

Goal: To find, explore, and implement a sustainable funding stream for community-based healthcare interventions.

Stepping On Fall Prevention Workshops (Dane, Wisconsin)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Older Adults

Goal: Stepping On aims to reduce the prevalence of falls among older adults. Falls are not a normal part of aging and the risk and/or prevalence of falls may be decreased by taking certain steps, including vision checks, medication management, strength & balance exercises, and home safety checks. Falls and/or the fear of falling often lead to a loss of independence.

Impact: This evidence-based program demonstrated a 31% reduction in falls among participants in an Australian trial. It reached a 50% reduction in falls among participants in a U.S. workshop.

Stepping Up To Health (Michigan)

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

Goal: To determine whether online peer support will increase adherence to an Internet-based pedometer walking program.

Impact: Stepping up to Health shows that online communities can help reduce attrition within online health behavior change interventions.

Stop Waste (Alameda County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The Waste Management Authority and the Source Reduction and Recycling Board form an integrated Agency dedicated to achieving the most environmentally sound solid waste management and resource conservation program for the people of Alameda County. Within this context, the Agency is committed to achieving a 75% and beyond diversion goal and promoting sustainable consumption and disposal patterns.

STOP-DWI (New York)

Filed under Effective Practice, Community / Transportation, Adults

Goal: The goal of the Broome County STOP-DWI comprehensive DWI countermeasure program is to improve highway safety by preventing drunk driving through increased certainty of arrest and conviction.

Supplemental Nutrition Assistance Program (SNAP) Participation and Health Care Expenditures Among Low-Income Adults

Filed under Evidence-Based Practice, Health / Older Adults

Goal: To determine whether the Supplemental Nutrition Assistance Program (SNAP), which addresses food insecurity, can reduce health care expenditures.

Systematic Training for Effective Parenting (STEP)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Adults, Families

Goal: The goal of this program is to provide parents with the necessary skills to improve their parent/child communication and overall family functioning.

Impact: STEP has been implemented in more than 1,000 schools, agencies, churches, and mental health treatment facilities since 1976, reaching more than 4 million parents. Outside the US, STEP has been implemented in Australia, Canada, Germany, Ireland, Mexico, New Zealand, the Philippines, Romania, and South Korea.

Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

Teams-Games-Tournaments Alcohol Prevention (Georgia)

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

Goal: The goal of this program is to educate students about alcohol and to prevent alcohol abuse.

Impact: Evaluations showed significant gains in alcohol-related knowledge, significantly better attitudes toward drinking and driving, and reductions in alcohol consumption.

Teen Choices (Collier County, FL)

Filed under Good Idea, Health / Family Planning, Teens

Goal: The goal of this program is to reduce the repeat birth rate for teen women in Collier County and to encourage positive choices for teen mothers to ensure a brighter future for them and their children.

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.