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.
Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative (Alameda County, CA)
Filed under Good Idea, Health, Urban
Goal: The goal of the Place Matters initiative is to improve the health of participating communities by “addressing social conditions that lead to poor health” through “identifying the complex root causes of health disparities and defining strategies to address them.”
Impact: AC Place Matters has identified 10 best practices that could help other programs address social determinants of health: find and foster strong leadership, dedicate staff resources to the work, engage staff from across the local health department, contribute to building grassroots power, address root causes, partner with community organizations and leaders, partner with government institutions across sectors, work reactively and proactively, build capacity, and use tools that ensure a focus on health equity.
Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban
Goal: The goal of this program was to reduce energy usage by 10 to 20 percent.
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.
Filed under Effective Practice, Health, Older Adults, Urban
Goal: The goal of the program was to target the housing support needs of its members with the objective of reducing institutionalization, improving quality of life, and reducing total costs of care.
Impact: The large majority of participants surveyed indicated that their quality of life was maintained or increased during the pilot and that they were satisfied with the program.
Filed under Good Idea, Health / Older Adults, Adults
Goal: The ongoing goals of the ADHC include maintaining functional independence and preventing premature institutionalization while providing respite and a support system for caregivers and providing a therapeutic environment involving; physical , occupational, speech, recreation, psycho-social and creative arts therapy to increase the quality of life for participants.
Filed under Good Idea, Health / Immunizations & Infectious Diseases, Children
Goal: The overall objective of the program is to reduce student absence due to communicable illness.
Filed under Evidence-Based Practice, Health / Physical Activity, Adults
Goal: To reduce weight in overweight and obese patients using mobile-based text and multimedia messaging.
Impact: At the end of a 4-month period, participants in the text-message based intervention showed greater weight loss than the control group.
Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities, Urban
Goal: The goal of the study was to prevent STDs in high-risk minority women through three culture-specific small group education and counseling sessions, delivered over time.
Impact: Reinfection rates of chlamydia and gonorrhea were significantly lower at each follow-up among participants in the small-group counseling sessions than in the control group. Integration of behavior-change theory with extensive qualitative data collected in target communities enabled the study to create culturally meaningful strategies to promote the recognition of risk and to stimulate motivation to effect personal change.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Children, Teens
Goal: The goal of this program is to reduce public health and safety problems related to U.S. teen & binge drinking in Mexico.
Impact: With IPS leadership, there was a reduction in youth nighttime crashes by 45% and 37% fewer nighttime crossers with a blood alcohol content of 0.08 or higher.