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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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Opportunity NYC Demonstrations- Work Rewards (New York City)

Filed under Evidence-Based Practice, Economy / Poverty, Adults, Urban

Goal: The goal of this program was to increase the workforce efforts of low-income adults living in subsidized housing.

Options/Opciones Project (New Haven and Hartford, CT)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Urban

Goal: The goal of the Options/Opciones Project is to reduce or eliminate risky sexual and drug use behaviors of HIV-infected patients.

Impact: The Options/Opciones Project shows that a clinician-delivered HIV prevention intervention targeting HIV-infected patients can result in reductions in unprotected sex and that interventions of this kind should be integrated into routine HIV clinical care.

Parenting With Love and Limits (Savannah, GA)

Filed under Evidence-Based Practice, Community / Social Environment, Families

Goal: The goal of the Parenting with Love and Limits® (PLL) program is to improve behavioral problems in children by providing therapy and training to parents in order to restore a level of competent, effective parenting and create greater family connectedness.

Impact: Youth in the PLL group had significantly greater reductions in conduct disorder problem behaviors compared with youth in the control group. Specifically, they had greater improvements in anxiety/depression, withdrawn/depression, social problems, attention problems, rule-breaking problems, aggressive behaviors, internalizing problems, and externalizing problems.

Partnering with Community Health Centers to Prevent Early Childhood Carries (ECC) (Boston, MA)

Filed under Evidence-Based Practice, Health / Oral Health, Children, Families, Urban

Goal: The goal of this intervention was to involve pediatricians to help reduce rates of early childhood caries.

Impact: The multifaceted ECC intervention was associated with increased provider knowledge and counseling, and significantly attenuated incidence of ECC, showing that similar interventions could have the potential to make a significant public health impact on reducing ECC among young children.

Partners on the PATH (Grand Rapids, MI)

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

Goal: The project seeks to model how the aging network in partnership with a managed care plan can improve the health outcomes for older adults.

Portland Fruit Tree Project (Portland, Oregon)

Filed under Good Idea, Community / Civic Engagement, Adults, Urban

Goal: The mission of the Portland Fruit Tree Project is to increase equitable access to healthy food and strengthen communities by empowering neighbors to share in the harvest and care of city-grown food resources.

Portland JOBS Training Program (Portland, OR)

Filed under Effective Practice, Economy, Adults, Urban

Goal: The program’s main focus was on moving welfare recipients quickly into the workforce.

Impact: There was a sizable increase in employment rates and job earnings, reduction in welfare dependency, and savings to the government.

Portland SmartTrips (Portland, OR)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goal of SmartTrips is to reduce drive-alone trips and increase biking, walking, and public transit in targeted areas of the city.

Portland's Local Action Plan to Reduce Carbon Dioxide Emissions (Portland, OR)

Filed under Effective Practice, Environmental Health / Air, Urban

Goal: The 2001 action plan, which is more aggressive than the Kyoto Protocol, calls for a 10 percent reduction below 1990 carbon dioxide emissions by 2010.

Prevention Care Management (New York, NY)

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

Goal: The goal of the Prevention Care Management program is to increase cancer screening among women.

Impact: Prevention Care Management increased mammography rates, cervical cancer screening rates, and colorectal cancer screening rates among participating women.

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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