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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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Patient-Centered Community Health Worker Intervention to Improve Post-hospital Outcomes

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

Goal: The Goal of this Promising Practice is to determine whether a tailored community health worker (CHW) intervention would improve post-hospital outcomes among low-SES patients.

Impact: This intervention would improve access to primary care and quality of discharge while controlling recurrent readmissions in a high-risk population. Health systems may leverage the CHW workforce to improve post-hospital outcomes by addressing behavioral and socioeconomic drivers of disease.

Peer-Assisted Learning Strategies (PALS) (Nashville, TN)

Filed under Effective Practice, Education / Student Performance K-12, Children

Goal: The goal of PALS is to ensure that all students succeed in reading and math.

Positive Choice: Interactive Video Doctor

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: To eliminate or reduce sex risk behaviors and eliminate or reduce illicit drug use among HIV-positive clinic patients.

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 and Relationship Enhancement Program (PREP)

Filed under Effective Practice, Community / Social Environment, Families

Goal: The goal of this program is to promote positive marital relationships and to prevent marital problems.

Project Open Hand (San Francisco, Alameda)

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

Goal: The program’s mission is to meet community nutrition needs through programs for people living with HIV/AIDS, the homebound critically ill, and seniors.

Project ORE (San Francisco, CA)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Teens, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of Project ORE is to use a friendship-based sexual education intervention to prevent HIV/STI transmission in high-risk urban African American adolescent girls.

Residential Student Assistance Program

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

Goal: The goal of this program is to prevent and reduce substance use and abuse among high risk, multi-problem adolescents placed in residential child care facilities.

Impact: One evaluation showed that adolescents participating in RSAP showed significant reductions in their use of alcohol, marijuana, and tobacco from pretest to posttest measures.

Safe at Home (USA)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The Safe at Home program makes modifications and accessibility improvements in the homes of low-income elderly homeowners in order to avoid injury and nursing home placement.

Safe in the City (Denver, Long Beach, and San Francisco)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

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.