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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.

Primary Project

Filed under Evidence-Based Practice, Education / School Environment, Children

Goal: The goals of this program are:
- Detect school adjustment difficulties
- Prevent social and emotional problems
- Enhance learning skills

Impact: One study demonstrated that participants made significant improvements in task orientation, specifically in working more independently and completing tasks faster. In behavior control, program students showed increased coping skills and lower levels of aggressiveness and produced fewer disruptions. In assertiveness, students had improved participation in activities, were better at expressing ideas, and showed increased leadership and decreased shyness. Improvements in peer sociability included increases in the quality of peer relationships and improved social skills. Several other evaluations of the Primary Project present evidence of improved school adjustment and decreases in problem behaviors for participants.

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.

Programa de Manejo Personal de la Diabetes (Spanish Diabetes Self-Management Program) (USA)

Filed under Evidence-Based Practice, Health / Diabetes, Racial/Ethnic Minorities

Goal: Programa de Manejo Personal de la Diabetes is a group workshop that educates Latino individuals with type 2 diabetes on techniques to help them manage their disease and live more active lives.

Project Active (Dallas, TX)

Filed under Good Idea, Health / Heart Disease & Stroke, Adults

Goal: The goal of Project Achieve is to increase physical activity and cardiorespiratory health among sedentary adults.

Project AIM

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities

Goal: To reduce HIV risk behaviors among adolescents aged 11 to 14.

Impact: This program effectively modified sexual risk among adolescents aged 11 to 14 by focusing students on positive future selves.

Project ALIVE: A Lifetime Intervention Via Email (California)

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

Goal: The goal of Project ALIVE is to encourage healthy eating and physical activity.

Project Angel Heart (Colorado)

Filed under Effective Practice, Health / Physical Activity

Goal: Project Angel Heart improves health and well-being for people with life-threatening illnesses by preparing and delivering medically tailored meals and promoting the power of food as medicine.

Impact: Survey data from Project Angel Heart clients show that this program has a positive impact on clients. Of clients surveyed in 2018: 82% report less stress, 69% report improved adherence to health care plans, 72% report improved quality of life, and 72% report improved ability to afford basic needs.

Project ECHO (Extension for Community Healthcare Outcomes) (New Mexico)

Filed under Effective Practice, Health / Health Care Access & Quality, Rural

Goal: The mission of Project ECHO is to develop the capacity to safely and
effectively treat chronic, common, and complex diseases in rural and
underserved areas, and to monitor outcomes of this treatment.

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.