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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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Pregnancy Health: Exercise Programs to Prevent Gestational Hypertension

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends exercise programs for pregnant women to reduce the development of gestational hypertension.

Prevention Care Management (New York, NY)

Filed under Evidence-Based Practice, Health / Cancer, Adults, Women, Urban

Goal: The goal of the Prevention Care Management program is to increase cancer screening among women.

Impact: Prevention Care Management increased mammography rates, cervical cancer screening rates, and colorectal cancer screening rates among participating women.

Preventive Health Program/ Hepatitis C Testing (Erie County, NY)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The intent of the practice is to decrease mortality and morbidity relative to Hepatitis A, B or C infection rate in Western New York.

Preventive Nutrition Cardiovascular Disease Program (Dade County, FL)

Filed under Good Idea, Health / Physical Activity, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goals of this project are:
- to increase knowledge of nutrition among Hispanic elders who are at risk for cardiovascular disease and obesity;
- to foster behavior change through group sessions and interactive activities; and
- to test whether the American Heart Association guidelines and materials can be utilized in a dietitian led model targeted to Hispanic elders.

Primary Project: Palm Beach (West Palm Beach, Florida)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Children, Families, Urban

Goal: The goals of this program are to detect school adjustment difficulties, prevent social and emotional problems, and enhance learning skills of children in kindergarten through third grade.

Prime Time Palm Beach County (Palm Beach, FL)

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

Goal: The goal of Prime Time Palm Beach County is to improve the quality of school-age afterschool programs through assessment, guidance, and support.

Impact: Based on the 2009 study findings, Prime Time's Quality Improvement System resulted in improvements made to afterschool programs which enhanced quality programming and important developmental learning experiences for youth.

Program of All-Inclusive Care for the Elderly (PACE)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: PACE provides comprehensive medical and social services to certain frail, elderly people (participants) still living in the community. Most of the participants who are in PACE are dually eligible for both Medicare and Medicaid.

Impact: Key research findings demonstrate PACE effectiveness in delivering gold-standard care for older adults and its approach can be a model for others looking to improve the health care system.

Program to Encourage Active, Rewarding Lives for Seniors (PEARLS) (Washington)

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

Goal: The goal of the PEARLS program is to provide home-based counseling in order to manage and treat depression among older adults.

Programa de Manejo Personal de la Artritis (USA)

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

Goal: The goal of the Programa de Manejo Personal de la Artritis is to improve personal arthritis management among Spanish-speaking adults with arthritis.

Project Access of Durham County (Durham, NC)

Filed under Good Idea, Health / Health Care Access & Quality

Goal: Project Access Durham County seeks to provide comprehensive healthcare to low-income, uninsured individuals residing in the county for at least six months.

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.