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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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Stepping Up To Health (Michigan)

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

Goal: To determine whether online peer support will increase adherence to an Internet-based pedometer walking program.

Impact: Stepping up to Health shows that online communities can help reduce attrition within online health behavior change interventions.

Transitional Respite Care for the Homeless Program (Spokane, WA)

Filed under Good Idea, Economy / Housing & Homes, Adults, Women, Men

Goal: The respite program's goal is to stop the revolving door of emergency department treatment by providing a supervised facility with a level of care from an on-site nurse similar to what a patient might receive from an attentive family member.

Impact: The program has been able to provide better care for a vulnerable population and reduce overall cost of care by lowering the number of ambulance calls, emergency department visits, and inpatient stays.

HeartStrings (Dane, Wisconsin)

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

Goal: HeartStrings aims to enhance the quality of life for individuals with special needs. Through regularly-recurring, interactive sessions, the MSO’s Rhapsodie Quartet addresses the physical, emotional, cognitive, and social needs of hundreds of individuals each year in a comfortable and familiar setting.

HeartStrings mission statement is as follows:

1) To enhance the quality of life of underserved populations through live, interactive, and exceptional quality musical experiences that are informed by the American Music Therapy Association’s Standards of Practice.

2) To bring meaningful arts experiences directly to participants in a comfortable and
familiar setting.

3) To provide a valuable resource for facilities that serve aging populations, adults with dementia, and individuals with disabilities, or long-term illnesses.

Impact: HeartStrings has reached over 3,200 individuals with disabilities, long-term illness, and assisted-living needs, as well as aging adults with dementia since its start in 2006.

National Capital Asthma Coalition (Washington, DC)

Filed under Effective Practice, Health / Respiratory Diseases, Children, Racial/Ethnic Minorities

Goal: The goal of the National Capital Asthma Coalition is to form partnerships between organizations to improving the care and outcomes for children and adults with asthma.

plaNYC (New York)

Filed under Good Idea, Environmental Health / Energy & Sustainability, Urban

Goal: The goal of plaNCY is to ensure a higher quality of life for New Yorkers, and reduce the city's greenhouse gas emissions by 30%.

The New York City Compost Project (New York City)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this project is to provide compost outreach and education to New York City residents and businesses.

Baby Love (Rochester, NY)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Children, Teens, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of the Baby Love program is to improve health outcomes for at-risk mothers and their infants in Rochester, New York, by assisting in identifying potential risks and coordinating pre and postnatal care.

Children's National Parish Nursing Program (Washington, D.C.)

Filed under Good Idea, Health / Children's Health, Children, Teens, Families, Urban

Goal: The goal is to increase awareness in faith-based communities regarding preventative care for children and services available at Children's National Medical Center for patients and families.

Impact: The Parish Nursing Program will train eight nurses to become Faith Community Nurses in Summer 2013.

Dialectical Behavior Therapy

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders

Goal: The goal of Dialectical Behavior Therapy is to use a cognitive-behavioral treatment approach to treat patients with multiple disorders.

Impact: After 1 year of treatment, a smaller percentage of DBT participants reported suicide attempts compared with TBE patients. DBT also reduced Nonsuicidal Self-Injury (NSSI) behavior over the course of 1-year treatment.

Reach Out (Chicago, IL)

Filed under Good Idea, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The goal of this program is to encourage low-income African American and Hispanic women to seek early breast and cervical cancer screening.

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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