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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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Teen Outreach Program (TOP)

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

Goal: The program aims to develop healthy behaviors, life skills, and a sense of purpose in order to prevent problem behaviors.

Impact: Studies have shown that adolescents in the Teen Outreach Program are at 52% lower risk of school suspension, 60% lower risk of course failure, and 53% lower risk of teenage pregnancy.

TeenRehabCenter.org

Filed under Good Idea, Health / Adolescent Health, Teens, Adults, Families

Goal: The goal of TeenRehabCenter.org is to give parents the tools they need to be able to talk to their children and teens about drugs and alcohol. By providing these resources, it hopes to prevent more teens and young adults from substance abuse. It also aims to help those who are already struggling by furnishing recovery information that is tailored both for parents and for teens.

Impact: Time spent in treatment is forward progress, since the individual is removed from substance use and negative peer and environmental influences. At least half of teens who graduate from rehab will enjoy an extended period of sobriety. How they follow-up after rehab is over can play a massive role in how strong and stable these healthy habits become.

Text4Diet: A Text Message-based Intervention for Weight Loss

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

Goal: To facilitate behavior change among overweight adults that leads to sustained weight loss.

Impact: Those who use Text4Diet are exposed to customized advice regarding healthy behavior changes. Participants on average saw an average 6-pound weight loss during a four-month use period. This is a statistically significant difference from weight loss in the usual care comparison group.

The 16th Avenue Tiled Steps Project (San Francisco)

Filed under Good Idea, Community / Social Environment, Adults, Older Adults, Families, Urban

Goal: The 16th Avenue Tiled Steps Project was a neighborhood effort to create a mosaic running up the risers of 163 steps.

The AIMS Model

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

Goal: The Ambulatory Integration of the Medical and Social (AIMS) model aims to address social and environmental factors patients face that may prevent them from following their plan of care, thus impacting their health.

Impact: The AIMS model helps create better supported, less stressed, and better informed consumers and caregivers. There is also evidence to suggest that this model reduces ED usage and 30-day readmissions in participants.

The Backyard Initiative (Minneapolis, MN)

Filed under Good Idea, Health / Prevention & Safety, Children, Teens, Adults, Older Adults, Urban

Goal: The goal of the Backyard Initiative is to improve health and health care.

The Effect of Guided Care Teams on the Use of Health Services

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

Goal: The goal of this study was to determine the effect of interdisciplinary primary care teams on health care utilization by patients with multiple chronic conditions.

Impact: This study concluded that guided care models can significantly impact home health care episodes.

The Evergreen Jogging Path (Boyle Heights, CA)

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

Goal: To create a place for the citizens of Boyle Heights, CA to exercise which is safe and easy to access and thus promotes regular physical activity.

The Healthy Diabetes Plate (Idaho)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Families, Urban

Goal: The goal of the Healthy Diabetes Plate was to increase understandability and accessibility of diabetes nutrition education for people living with diabetes.

Impact: The Healthy Diabetes Plate curriculum solves two problems encountered in diabetes education — understandability and accessibility. Participants were able to correctly plan breakfast, lunch, and dinner meals and improved their intake of fruit and vegetables.

The HEALTHY Study (USA)

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

Goal: The primary goal of the intervention was to reduce overweight and obesity prevalence among middle school students. Ancillary goals were to improve BMI and fasting insulin values, increase water consumption, reduce consumption of beverages with added sugar, increase healthy food choices, improve self-monitoring, and increase exercise time among sixth, seventh, and eighth grade students.

Impact: School-based programs that aim to address childhood obesity and adiposity may reduce individuals' risk of developing childhood-onset of non-insulin dependent diabetes mellitus.

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.