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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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Emergency Room Intervention for Suicidal Adolescent Females

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens, Racial/Ethnic Minorities

Goal: The Emergency Room Intervention for Suicidal Adolescent Females focuses on changing the conceptualization of suicidal behavior and expectations for therapy, thereby increasing attendance at outpatient therapy and decreasing future suicide risk.

Impact: The intervention increases the likelihood of follow-up treatment in an outpatient clinic and reduces suicide risk among adolescent females who have visited an emergency room due to a suicide attempt.

EnhanceFitness (Seattle, WA)

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

Goal: The goal of EnhanceFitness is to encourage older adults to engage in regular physical activity to improve their health and well-being.

Impact: EnhanceFitness participants reported a 13% improvement in social function, a 52% improvement in depression, and a 35% improvement in physical functioning. Additionally, participants' healthcare costs were 21% less than those of non-participants after one year.

Evaluating Undoing Racism and Health Equity Training with a State Health Department

Filed under Good Idea, Health

Goal: In this particular instance, the goal of the Undoing Racism Workshops was to enhance the capacity of the Michigan Department of Community Health's Bureau of Family, Maternal & Child Health to reduce racial disparities in infant mortality.

Impact: The Undoing Racism workshop helped to increase competency in the following topics:
-Racial prejudice and racism
-Racial privilege and power
-Institutional, cultural, and internalized racism
-Instiutional norms and practices
-Racial health disparities
-Social determinants of racial health disparities

Every 15 Minutes (USA)

Filed under Effective Practice, Health / Prevention & Safety, Teens

Goal: The goal of Every 15 Minutes is to prevent deaths by highlighting the dangers associated with drunk driving and texting while driving.

Exercise Training for Stroke Survivors (Chicago, IL)

Filed under Effective Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to use education and exercise improve outcomes for urban African American stroke survivors.

Families And Schools Together (FAST) (USA)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Adults

Goal: The overall goal of the FAST program is to intervene early to help at-risk youth succeed in the community, at home, and in school and thus avoid problems such as adolescent delinquency, violence, addiction, and dropping out of school.

Impact: FAST has generally improved aggressive behaviors and increased positive behaviors amongst participants as reported by teachers and parents.

Family Friends (Philadelphia, PA)

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

Goal: The goal of Family Friends is to offer support to families who are raising children with developmental disabilities or special needs.

Fast Track (USA)

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

Goal: The main goals of this program are to increase communication and bonds between and among the three domains of school, home, and the individual; to enhance children's social, cognitive, and problem-solving skills; to improve peer relationships; and ultimately to decrease disruptive behavior at home and in school.

Flu in 15 (Baltimore, MD)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of "Flu in 15" is to increase the acceptance of the seasonal flu vaccine among healthcare workers.

Focus on Youth (FOY) with Informed Parents and Children Together (ImPACT) (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Focus on Youth is to teach youth the skills and knowledge they need to protect themselves from HIV and other STDs.

Impact: The Focus on Youth intervention increased self-reported condom use and positively affected perceptions six months after the end of the program.

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.