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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Vaccination Programs: Special Supplemental Nutrition Program for Women, Infants & Children (WIC) Settings

CDC

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

Goal: Vaccination programs in WIC settings include the following:
-Assessment of infants’ and children’s immunization status
-On-site vaccinations or referral to vaccination providers
-Additional interventions such as client reminder and recall systems, manual tracking and outreach efforts, or adoption of monthly voucher pickup schedules that require more WIC visits when vaccinations are not up-to-date

Vaccination services may be provided in WIC clinics, or through collocation and coordination of WIC programs with other healthcare services.

Impact: The Community Preventive Services Task Force (CPSTF) recommends vaccination programs in Special Supplemental Nutrition Program for Women, Infants and Children (WIC) settings—when used with additional components--to increase vaccination rates among children.

Wellness for African Americans through Churches (WATCH) Project (Noth Carolina)

Filed under Effective Practice, Health / Cancer, Adults, Racial/Ethnic Minorities, Rural

Goal: The goal of the WATCH project is to improve diet and colorectal cancer screening rates among African American adults.

Wheels that Care (Kansas City, MO)

Filed under Good Idea, Community / Transportation, Adults, Older Adults

Goal: Shepherd's Center Central is a local leader in the regional effort to ensure that all people can age successfully with dignity, security, and respect.

Impact: The Wheels that Care program helped 77 older adults attend their necessary appointments and maintain their independence through 1,550 hours of travel time to and from participants' homes and their appointments.

Women to Women

Filed under Evidence-Based Practice, Health / Women's Health, Women, Rural

Goal: Women to Women aims to provide social support for chronically ill rural women to positively affect social support, self-esteem, empowerment, self-efficacy in order to decrease stress, depression, and loneliness to improve one’s adaptation to living with a chronic disease.

The overall goal of WTW is to use technology to enhance the potential for rural women to more successfully adapt to their chronic illnesses through computer-based support and education research by providing support groups and health education via the Internet.

Impact: The WTW project shows that computer-based interventions can result in improved self-esteem, social support, and empowerment among rural women with chronic illness.

Worcester Goods for Guns Buyback (G4G) Program (Worcester, MA)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Teens, Adults, Families, Urban

Goal: The goals of this program are three-fold: first, to remove unwanted improperly stored guns from homes; second, to educate the community about the increased risk of gun-related injuries in the home and the importance of safe gun storage; and third, to identify individuals possessing improperly stored guns at home and provide them with safety information and alternatives.

Impact: This program shows a strong collaboration between health care providers and public safety offices and showcases a low-cost means of removing unwanted firearms from the community. Additionally, most participants felt their homes were safer after turning in their firearm(s).

Wright County Public Health Wellness On Wheels Program (Wright County, MN)

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The objectives of WOW are to promote optimal health, to reduce behavioral risks and to promote early detection and improved management of health problems and risks.

Zero Suicide Initiative (Michigan)

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

Goal: The Zero Suicide Initiative is a comprehensive model of suicide prevention that challenges health and behavioral health care systems to strive for zero suicides among those in their care.

A Population Health Approach to Clinical Social Work with Complex Patients in Primary Care (Portland, Maine)

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: Patients with the highest medical and social vulnerability require a population-specific social work intervention in primary care to achieve positive medical outcomes and to decrease inefficient use of services, especially inpatient admissions and ED visits.

Impact: The study exhibits promise in decreasing inpatient visits and cost. The evidence also supports population-specific social work interventions integrated in primary care.

Accelerated Benefits (AB) Demonstration (USA)

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

Goal: The program's goal was to eliminate the waiting period for access to health care benefits for newly entitled SSDI beneficiaries, and see if this investment has long-term benefits.

Impact: The AB Demonstration project successfully increased the use of health care services and reduced the reported unmet health care needs of participants in the program.

Access to Care (Cook County)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: Access to Care aims to meet primary health care needs of low-income uninsured individuals.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.