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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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Program of All-Inclusive Care for the Elderly (PACE)

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

Goal: PACE provides comprehensive medical and social services to certain frail, elderly people (participants) still living in the community. Most of the participants who are in PACE are dually eligible for both Medicare and Medicaid.

Impact: Key research findings demonstrate PACE effectiveness in delivering gold-standard care for older adults and its approach can be a model for others looking to improve the health care system.

Programa de Manejo Personal de la Artritis (USA)

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

Goal: The goal of the Programa de Manejo Personal de la Artritis is to improve personal arthritis management among Spanish-speaking adults with arthritis.

Project Access of Durham County (Durham, NC)

Filed under Good Idea, Health / Health Care Access & Quality

Goal: Project Access Durham County seeks to provide comprehensive healthcare to low-income, uninsured individuals residing in the county for at least six months.

Project ALIVE: A Lifetime Intervention Via Email (California)

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

Goal: The goal of Project ALIVE is to encourage healthy eating and physical activity.

Project ECHO (Extension for Community Healthcare Outcomes) (New Mexico)

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

Goal: The mission of Project ECHO is to develop the capacity to safely and
effectively treat chronic, common, and complex diseases in rural and
underserved areas, and to monitor outcomes of this treatment.

Project Northland

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens

Goal: The program’s goal is to delay the age when young people begin drinking and to reduce drinking among those who have already started.

Impact: Studies have shown that by the end of the intervention, participating students were significantly less likely to drink alcohol than nonparticipants. Also, students who did not use alcohol before participating in the program were less likely to use alcohol after the intervention than similar youth who did not participate.

Project PREVENT (Massachusetts and North Carolina)

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

Goal: The goal of Project PREVENT is to reduce behavioral risk factors for colorectal cancer among individuals with positive screenings.

Impact: A significantly greater proportion of Project PREVENT participants reduced their multiple risk factor score when compared to the control group (47% vs. 35%). Intervention participants also had significantly greater multivitamin intake and significantly reduced red meat consumption.

Project START (USA)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Project START is to reduce sexual risk behavior of young men re-entering the community after incarceration.

Project Towards No Drug Abuse

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens

Goal: The goal of this program is to decrease alcohol, tobacco, and drug use and to decrease violence and weapons-carrying among high school students.

Impact: At 2-year follow-up, students in Project TND schools were about half as likely to use tobacco when compared with students in control schools. Students in Project TND schools were about one-fifth as likely to use hard drugs relative to similar students in control schools.

Project Towards No Tobacco Use

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens

Goal: The goal of this program is to prevent or reduce tobacco use among children and adolescents.

Impact: One study found that Project the project reduced initiation of cigarette smoking in the two years following the program by 26% when compared to a control group. Students showed increased knowledge of tobacco addiction, related diseases, and media influences and had improved communication, refusal, and coping skills.

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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