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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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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.

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.

Insights (Washington and North Carolina)

Filed under Evidence-Based Practice, Health / Women's Health, Women

Goal: The goal of Insights is to increase condom use among young women at risk for HIV and other STDs.

Impact: Insights proves that tailored cognitive/behavioral minimal self-help interventions hold promise as HIV/STD prevention strategies for diverse populations of young at-risk women.

Intervention to Reduce Coronary Heart Disease Risk Factors in Infants (Finland)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Families

Goal: To decrease saturated fat consumption and thus reduce coronary heart disease risk factors in young children.

Impact: STRIP's intervention of diet counseling that began at a child's infancy favorably impacted the child's diet through childhood up to ages 8 or 10, but the goal of 2:1 unsaturated-saturated fatty acid ratio in a child's diet was not met for either intervention or control group.

Job Corps

Filed under Evidence-Based Practice, Education / Educational Attainment, Children

Goal: As a national, primarily residential training program, Job Corps' mission is to attract eligible young adults, teach them the skills they need to become employable and independent, and place them in meaningful jobs or further education.

Impact: Evaluations showed that Job Corps substantially increased the education and training that program participants received. Nearly 90% of the program group engaged in some education or training (both in and out of Job Corps), compared with about 64% of the control group.

Kaiser Permanente Dental Care Program Smokeless Tobacco Cessation Intervention (USA)

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

Goal: The goal of this dental office based intervention is to reduce smokeless tobacco use and other tobacco use.

Impact: The dental office-based intervention succeeded in increasing the rates of smokeless tobacco cessation among participants.

Keepin' it R.E.A.L. (Refuse, Explain, Avoid, Leave) (Phoenix, AZ)

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

Goal: The objective of this program is to increase life skills such as risk assessment, decision-making and drug resistance, while enhancing anti-drug norms and attitudes.

Impact: Evaluation findings suggest that Keepin' it R.E.A.L. succeeded in decreasing substance use, in reducing negative attitudes/behaviors, and in improving positive attitudes/behaviors.

Keepin' it R.E.A.L. Mother-Adolescent HIV Prevention Program (Atlanta)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Urban

Goal: The goals of this intervention were to delay initiation of sexual intercourse for youth who are not sexually active, encourage the use of condoms among sexually active youth, and enhance communication about sex between youths and their mothers.

Impact: Keepin' It R.E.A.L. teen participants increased their condom-use during sexual activity while maternal participants reported feeling more comfortable when discussing sexual issues with their teens.

Keepin' it REAL (USA)

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

Goal: Keepin' it REAL aims to reduce adolescent alcohol, marijuana, and tobacco use.

Kids N Fitness: A Family-Centered Lifestyle Intervention for Overweight Youth (Los Angeles, CA)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens

Goal: Given the increased prevalence among youth of obesity and Type II Diabetes Mellitus (DM) in the last 25 years, the goal of Kids N Fitness is to reduce risk factors associated with metabolic syndrome in overweight youth through a family-oriented lifestyle intervention.

Impact: These positive health outcomes indicate that a family-centered lifestyle intervention can improve metabolic health among youth.

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.