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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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Access to Baby and Child Dentistry (ABCD) (Washington)

Filed under Effective Practice, Health / Oral Health, Children

Goal: The goal of ABCD is to improve access to early pediatric preventative dental care for Medicaid-covered children.

Arthritis Foundation Exercise Program (USA)

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

Goal: The goal of the Arthritis Foundation Exercise Program is to increase joint flexibility, range of motion, and muscle strength among individuals with arthritis.

Baby Bottle Tooth Decay Program (Vermont)

Filed under Good Idea, Health / Oral Health, Children

Goal: The goal of the Baby Bottle Tooth Decay Program is to prevent early childhood caries.

CDC COMMUNITY GUIDE: Targeted Vaccinations: Provider Reminders (USA)

CDC

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

Goal: The goal of the programs is to increase vaccination coverage of patients through reminders to providers and other health care professionals.

Impact: The Community Preventive Services Task Force recommends provider reminder interventions based on strong evidence of effectiveness in improving vaccination coverage:

-In adults, adolescents, and children
-When used alone or with additional components
-Across a range of intervention characteristics (e.g., computerized or simple reminders, checklists or flowcharts)
-In a range of settings and populations

Health and Safety Intervention with First-Time Mothers

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women

Goal: The goal of CBFRS is to advance the health and development of first-time mothers and infants through a home visit program.

Impact: The findings indicate positive health and safety outcomes for first-time mothers and infants in the program: higher household safety levels, higher use of birth control methods, lower smoking behavior, higher knowledge of the effects of smoking on child development, and higher use of county clinics.

Helping Early Literacy with Practice Strategies (HELPS) (USA)

Filed under Evidence-Based Practice, Education / Literacy, Children, Urban

Goal: The goal of HELPS Programs is to strengthen students’ reading fluency so they will be better able to focus on and improve other important reading skills, including comprehension.

Impact: HELPS is a supplemental curriculum that improves students reading fluency, a commonly neglected aspect of children's core reading curriculum, in order to help them become successful readers.

Housing for Health Permanent Supportive Housing Program (Los Angeles County)

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban

Goal: Housing for Health program goals are to improve patients’ health, reduce costs to the public health system, and demonstrate DHS’s commitment to addressing homelessness within Los Angeles County.

Impact: The average public service utilization cost per participant for the year prior to housing totaled $38,146; in the year after receiving housing, it totaled $15,358. When taking into account PSH costs, RAND observed a 20-percent net cost savings, suggesting a potential cost benefit of the program.

IMMUNITY Campaign (San Francisco, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Adults, Women, Men, Urban

Goal: The goal of the IMMUNITY campaign is to increase awareness around the importance of adults receiving vaccinations for commonly preventable diseases.

Project VIVA (New York, NY)

Filed under Effective Practice, Health / Health Care Access & Quality, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Project VIVA is to rapidly immunize hard-to-reach urban populations through a community-public health partnership.

Prolonged Exposure Therapy

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

Goal: The goal of this program is to improve treatment outcomes for patients with post-traumatic stress disorder.

Impact: PE Therapy is considered by expert consensus the treatment of choice for PTSD clients whose prominent symptoms include intrusive thoughts, flashbacks, and trauma-related fear and avoidance. One study demonstrated that the treatment group showed significant improvement in PTSD symptoms and depressive symptoms at posttest, and these treatment effects were maintained at 6-month follow-up.

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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