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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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Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

The Bay-Friendly Landscaping & Gardening Coalition (Bay Area, CA)

Filed under Good Idea, Environmental Health / Built Environment, Urban

Goal: Goals of the Bay-Friendly Landscaping & Gardening Coalition include:

- Reduce waste & help meet recycling goals.
- Reduce water use on landscapes by 50% or more.
- Nurture healthy soils while reducing fertilizer use.
- Use integrated pest management to minimize chemical use.
- Prevent or reduce storm water pollution to our local creeks and bay.
- Lower maintenance associated with mowing and shearing.
- Reduce greenhouse gas emissions.
- Create wildlife habitat.

Third Regional Plan for New York Tri-state Region (New York, NY)

Filed under Effective Practice, Economy / Economic Climate

Goal: The mission of the RPA is to improve the quality of life and the economic competitiveness of the 31-county New York-New Jersey-Connecticut region through research, planning, and advocacy.

Urban Mold and Moisture Program (Cuyahoga, OH)

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

Goal: The goal of the Urban Mold and Moisture Program is to reduce environmental mold, moisture, and asthma triggers in homes to improve pediatric respiratory health.

Vaccination Programs: Home Visits to Increase Vaccination Rates

NewCDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends home visits to increase vaccination rates in children and adults. The CPSTF notes, however, that economic evidence shows home visits can be resource-intensive and costly relative to other options.

Vaccination Programs: Provider Reminders

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends provider reminders—when used alone or when combined with additional interventions—to increase vaccination rates among people of all ages from different populations or settings.

A Community Approach to Mosquito Control (Louisville, KY)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this program is to reduce the mosquito population in Metro Louisville and subsequently reduce mosquito-borne disease transmission.

Adventure Diversion Program (Carroll County, MD)

Filed under Effective Practice, Community / Crime & Crime Prevention, Teens

Goal: The goal of the Adventure Diversion Program is to reduce the number of out-of-home placements for juveniles who have violated probation.

Adventures in Learning (Greater Kansas City area)

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

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: In 2016, Adventures in Learning experienced attendance of 80 members per week and offered a total of 520 classes during the four 10-week sessions available.

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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