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.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases
Goal: Vaccination programs in WIC settings include the following:
-Assessment of infants’ and children’s immunization status
-On-site vaccinations or referral to vaccination providers
-Additional interventions such as client reminder and recall systems, manual tracking and outreach efforts, or adoption of monthly voucher pickup schedules that require more WIC visits when vaccinations are not up-to-date
Vaccination services may be provided in WIC clinics, or through collocation and coordination of WIC programs with other healthcare services.
Impact: The Community Preventive Services Task Force (CPSTF) recommends vaccination programs in Special Supplemental Nutrition Program for Women, Infants and Children (WIC) settings—when used with additional components--to increase vaccination rates among children.
Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban
Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.
Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.
References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.
Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.
Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.
Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.
Filed under Effective Practice, Environmental Health / Toxins & Contaminants
Goal: Chattanooga's vision is to become a city where ecological initiatives generate a strong economic base, nurture social institutions and enhance the natural and made environment.
Filed under Evidence-Based Practice, Health / Physical Activity, Adults
Goal: To reduce weight in overweight and obese patients using mobile-based text and multimedia messaging.
Impact: At the end of a 4-month period, participants in the text-message based intervention showed greater weight loss than the control group.
Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families, Racial/Ethnic Minorities
Goal: Abriendo Puertas, developed for and by Latino parents, aims to increase the number of Latino children in the United States that enter school ready to learn and be able to succeed in life by building the capacity and confidence of parents to be strong advocates in the lives of their children.
Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Teens, Families, Rural
Goal: The goal of the ACCESS program is to reduce barriers to mental/behavioral health and wellbeing for children in Belton by providing quality care through free school-based therapy services (provided by licensed therapists, using evidence based practices) for our BSD students and educate our community about mental health and wellbeing to reduce stigma.
Filed under Effective Practice, Health / Health Care Access & Quality
Goal: The goal of the study was to evaluate the association between Medicaid‐provided nonemergency medical transportation and diabetes care visits.
Impact: The findings of this study underscore the importance of ensuring transportation to Medicaid populations with diabetes, particularly in the rural areas where the prevalence of diabetes and complications are higher and the availability of medical resources lower than in the urban areas.
Filed under Effective Practice, Health / Health Care Access & Quality
Goal: AccessHealth Spartanburg's mission is to improve access to healthcare for the uninsured of Spartanburg County, SC.
Impact: AHS reduced inappropriate emergency room use and inpatient caseloads while increasing access to healthcare services for its clients in Spartanburg County. Furthermore, the organization reported a $17 to $1 ROI.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: The goal of this promising practice is to increase physical activity in a diverse older adult population.
Impact: Participants in the Active Choices program showed significant increases in physical activity and a greater satisfaction with their body appearance and function. Participants of the program also showed decreases in their BMI.
Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban
Goal: The goal of Assessment and Referral is to help individuals struggling with a substance use disorder evaluate their needs and strengths and begin to make healthy choices that improve the overall quality of their lives.
Impact: First Call provided over 1,700 assessments in 2013, and more than half of clients showed improvements in their Addiction Severity Index (ASI) scores or a decrease in substance use.