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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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Carolinas Cancer Education and Screening (CARES) Project (North Carolina & South Carolina)

Filed under Good Idea, Health / Cancer, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of this project is to improve colorectal cancer screening awareness among low-income women traditionally underserved by cancer control efforts.

Cervical Cancer Screening and Follow-up (Brevard County, FL)

Filed under Effective Practice, Health / Women's Health, Women

Goal: The goal of this program is to provide timely, effective, clinically appropriate intervention for abnormal Pap tests at no or very-low cost in order to reduce cervical cancer mortality.

Community-based Exposure Study and Development of a Community-First Communication Model (San Francisco)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Rural

Goal: The goal of this study was to address the health effects of PFOA pollution, with a strong desire to implement a community-driven communication strategy to communicate the study results.

Congenital Heart Disease Screening Program (Washington, D.C.)

Filed under Good Idea, Health / Children's Health, Children, Families

Goal: The Congenital Heart Disease Screening Program values early diagnosis of Congenital Heart Disease (CHD) with a goal of making screening for CHD a standard practice for all newborns.

Impact: The physicians at Children's National in the National Heart Institute created a toolkit that nurseries may use to start a screening program to improve detection of serious CHD.

Consumer Connections and Career Connections Employment Resource Institute (New Jersey)

Filed under Effective Practice, Economy / Employment

Goal: The purpose of the Career Connections Employment Resource Institute is to expand employment opportunities for persons with mental illness.

Emergency Department Means Restriction Education

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

Goal: The goal of Emergency Department Means Restriction Education is to help parents and adult caregivers of at-risk youth recognize the importance of taking immediate action to restrict access to firearms, alcohol, and prescription and over-the-counter drugs in the home in order to lessen the risk of self harm.

Impact: The Means Restriction program shows that ED-based programs and provided practical information can help parents and adult caregivers of at-risk youth recognize the importance of taking immediate, new action to restrict access to dangers in the home.

Healthy Steps for Young Children: Palm Beach (Palm Beach, FL)

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

Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.

Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).

Less Talk and More Action -- Protecting Seniors Against West Nile Virus (Yavapai, AZ)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Older Adults

Goal: This program aims to protect seniors against West Nile virus exposure.

New York's Banking Development Districts (New York)

Filed under Effective Practice, Economy / Investment & Personal Finance

Goal: The goal of the program is to increase access to financial services for low-income families as well as stimulate economic development in distressed neighborhoods.

Pathways to Housing, Inc. (NYC, DC, Philadelphia)

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

Goal: The goal of Pathways to Housing, Inc. is to provide independent housing, treatment services for physical and mental health, and employment to mentally ill individuals who are chronically homeless.

Impact: Pathways to Housing has received numerous awards for its projects in New York City, Philadelphia, and D.C. In addition to achieving large effects in terms of housing outcomes, compared with standard care in the community, Housing First also improves community functioning and quality of life.

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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