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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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Lark-Inn (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Racial/Ethnic Minorities, Urban

Goal: To provide a temporary and safe housing solution to homeless adolescents and young adults aged 18-24.

Larkin Opportunities for Transition (The LOFT) (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Racial/Ethnic Minorities, Urban

Goal: To provide a shelter and services that assist homeless and runaway youth to transition into a stable living situation.

Learn To Be ... Tobacco Free (Suffolk County, NY)

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The goals of this program are to prevent the next generation from becoming addicted to nicotine, to help those addicted to quit, and to reduce exposure to environmental tobacco smoke for all residents.

Less Talk and More Action -- Protecting Seniors Against West Nile Virus (Yavapai, AZ)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Older Adults

Goal: This program aims to protect seniors against West Nile virus exposure.

Living for Health (Miami, FL)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the program is to identify and follow underserved adult residents with undiagnosed or untreated high blood pressure, cholesterol or glucose, provide education to encourage healthy lifestyle changes and encourage them to seek treatment – anyone without a primary care physician is referred to a participating FQHC.

Impact: Among those participants who were followed over time and were able to be reached by phone, there were significant increases in healthy food consumption as well as significant decreases in smoking, fat consumption, and fast food frequency.

Long-term Cost Effectiveness of Placing Homeless Seniors in Permanent Supportive Housing (San Francisco, CA)

Filed under Effective Practice, Economy / Housing & Homes, Women, Men, Older Adults, Racial/Ethnic Minorities

Goal: To describe a new model of enriched supportive housing that not only improves the quality of life of seniors but also can provide a return on investment that reduces health care expenditures.

Impact: Housing chronically homeless adults reduces homelessness, improves health outcomes, and reduces health care costs. The greatest reduction in health care costs after placement in supportive housing is seen among chronically homeless adults and seniors.

Measure Up

Filed under Good Idea, Health / Physical Activity, Adults

Goal: The Measure Up program helps participants lose weight and learn to live healthier lifestyles through better eating habits.

Impact: Participants of the Measure Up program receive personalized assistance from registered dietitians to improve eating and exercise habits.

Methodist Germantown Diabetes-Self Management Education & Support (DSMES) Service (Shelby County, TN)

Filed under Good Idea, Health / Diabetes, Children, Teens, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The organization goal for the DSMES Service is to help each person living with diabetes attain knowledge and/or skills that may enable and empower them to perform effective self-care, promote wellness and prevent sickness and complications

Metropolitan Region I Cardiovascular Disease Risk Screening and Education (Region I, LA)

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

Goal: The objectives of the Cardiovascular Disease Risk Screening and Education program are as follows:

-To identify and provide early intervention for those with or at risk for untreated or uncontrolled hypertension
-To screen and identify those at risk for cardiovascular and renal disease
-To educate those found at risk for CVD
-To provide early chronic disease intervention
-To facilitate access for long term chronic disease care with partner sites

More than a Meal: Meals on Wheels America

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

Goal: Meals on Wheels has been guided by a single goal since the first known U.S. delivery by a small group of Philadelphia citizens in 1954 – to support our senior neighbors to extend their independence and health as they age.

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.

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