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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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Castro Youth Housing Initiative (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Urban

Goal: To meet the housing needs of lesbian, gay, bisexual, transgender, and questioning youth ages 18-24.

Charlotte Maxwell Complementary Clinic (Oakland and San Francisco, CA)

Filed under Good Idea, Health / Alternative Medicine, Women, Urban

Goal: CMCC’s mission is to ensure more equitable access to the full range of evidence-based cancer treatments, programs and resources that could potentially benefit individuals diagnosed with cancer, allowing the women who come to our clinics to make informed choices about their health care and their lives.

Flex Your Power Case Study: Otay Water District (San Diego County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of these projects was to promote water and energy conservation.

Health Equity: Tenant-Based Housing Voucher Programs

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends tenant-based housing voucher programs to improve health and health-related outcomes for adults based on sufficient evidence of effectiveness. Health-related outcomes include housing quality and security, healthcare use, and neighborhood opportunities (e.g., lower poverty level, better schools).

Children ages 12 years and younger whose households use vouchers show improvements in education, employment, and income later in life. Outcomes for adolescents vary by gender. Females 10-20 years of age whose families use tenant-based vouchers to live in lower poverty neighborhoods experience better health outcomes while males of the same age experience worse physical and mental health outcomes. Additional research is needed to better understand and address challenges faced by adolescent males.

CPSTF finds societal benefits exceed the cost of tenant-based housing voucher programs that serve families with young children who are living in public housing, provide pre-move counseling, and move families to neighborhoods with greater opportunities.

Tenant-based housing voucher programs give many people access to better housing and neighborhood opportunities, both of which are considered social determinants of health. Because these programs are designed for households with low incomes, they are expected to advance health equity.

Homecoming Services Program (San Francisco, CA)

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

Goal: The program’s mission is to serve San Francisco’s isolated seniors 60 and older in making the transition from hospital to home.

Migrant Health Promotion (USA)

Filed under Effective Practice, Health / Prevention & Safety, Racial/Ethnic Minorities, Rural

Goal: The mission of Migrant Health Promotion is to strengthen the capacity of farmworker and migrant families to live healthy lives within healthy communities.

Parent Voices (San Francisco, CA)

Filed under Good Idea, Community / Social Environment, Children, Adults, Families, Urban

Goal: The goal of Parent Voices is to improve access to child care for all families through advocacy.

Pasos Adelante (Arizona)

Filed under Evidence-Based Practice, Health / Physical Activity, Racial/Ethnic Minorities

Goal: Pasos Adelante is a lifestyle intervention that aims to prevent and control chronic disease such as heart disease and diabetes in Mexican Americans by providing a supporting environment for improving nutrition and increasing walking activity in U.S.-Mexico border communities.

Project Dulce (San Diego County, CA)

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

Goal: The goal of Project Dulce is to improve the lives of people with diabetes through culturally appropriate, community-based diabetes management, education, and support programs.

San Francisco Organics Recycling Program (San Francisco, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program is to redistribute food waste to food banks, farmers, and compost.

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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