Promising Practices

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 Evidence-Based Practice, Health / Women's Health, Adults, Women, Urban

Goal: The goal of the WILLOW intervention is to provide women living with HIV/AIDS with the skills and education needed to support safer sexual decisions.

Impact: The WILLOW program succeeded in reducing the number of reported episodes of unprotected vaginal intercourse, increasing the use of condoms and condom self-efficacy, decreasing the incidence of bacterial infections (chlamydia and gonorrhea), and improving HIV knowledge.

Filed under Evidence-Based Practice, Health / Women's Health, Women, Rural

Goal: Women to Women aims to provide social support for chronically ill rural women to positively affect social support, self-esteem, empowerment, self-efficacy in order to decrease stress, depression, and loneliness to improve one’s adaptation to living with a chronic disease.

The overall goal of WTW is to use technology to enhance the potential for rural women to more successfully adapt to their chronic illnesses through computer-based support and education research by providing support groups and health education via the Internet.

Impact: The WTW project shows that computer-based interventions can result in improved self-esteem, social support, and empowerment among rural women with chronic illness.

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

Goal: To decrease total and saturated fat intake, serum low-density lipoprotein cholesterol levels, and body weight.

Impact: The dietitian-delivered intervention effectively improved the care of patients with hyperlipidemia.

Filed under Evidence-Based Practice, Community / Public Safety, Children, Teens, Adults, Families, Urban

Goal: The goals of this program are three-fold: first, to remove unwanted improperly stored guns from homes; second, to educate the community about the increased risk of gun-related injuries in the home and the importance of safe gun storage; and third, to identify individuals possessing improperly stored guns at home and provide them with safety information and alternatives.

Impact: This program shows a strong collaboration between health care providers and public safety offices and showcases a low-cost means of removing unwanted firearms from the community. Additionally, most participants felt their homes were safer after turning in their firearm(s).

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

Goal: The goal of this exercise program was to reduce the incidence of diseases related to lifestyle, such as cerebrovascular diseases and ischemic heart diseases, and to preserve and promote workers' health.

Impact: The exercise program proved to be effective in increasing adaptive walking speed and in lowering waist to hip ratio.

Filed under Evidence-Based Practice, Economy, Adults

Goal: Year Up's mission is to close the Opportunity Divide by ensuring that young adults gain the skills, experiences, and support that will empower them to reach their potential through careers and higher education.

Impact: These approaches tend to be intensive and comprehensive, address psycho-social skills as well as occupation-specific competencies, provide opportunities for work-based learning, engage employers, incorporate evidence-based practices, and emphasize continuous improvement.

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

Goal: The Zero Suicide Initiative is a comprehensive model of suicide prevention that challenges health and behavioral health care systems to strive for zero suicides among those in their care.

Filed under Good Idea, Health / Wellness & Lifestyle

Goal: The goal of this program is to encourage lifestyle changes that promote healthier living by promoting walking for exercise and educating participants about proper nutrition.

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this program is to reduce the mosquito population in Metro Louisville and subsequently reduce mosquito-borne disease transmission.