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.
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Men, Urban
Goal: The goal of this intervention is to reduce high-risk behavior among African American youth as measured by student self-reports of violence, provocative behavior, school delinquency, substance use, and sexual behaviors (intercourse and condom use).
Impact: AAYP reduced rates of risky behaviors among male African American youth.
Filed under Good Idea, Health / Cancer
Goal: The goal of this program is to understand and address cancer in a more effective way.
Filed under Evidence-Based Practice, Health / Diabetes, Children, Teens, Racial/Ethnic Minorities, Urban
Goal: The primary goal of the intervention was to reduce overweight and obesity prevalence among middle school students. Ancillary goals were to improve BMI and fasting insulin values, increase water consumption, reduce consumption of beverages with added sugar, increase healthy food choices, improve self-monitoring, and increase exercise time among sixth, seventh, and eighth grade students.
Impact: School-based programs that aim to address childhood obesity and adiposity may reduce individuals' risk of developing childhood-onset of non-insulin dependent diabetes mellitus.
Filed under Effective Practice, Community / Transportation, Older Adults
Goal: The Beverly Foundation's mission is to foster new ideas and options to enhance mobility and transportation for today's and tomorrow's older population.
Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban
Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.
Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.
References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.
Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.
Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.
Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.
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).
Filed under Effective Practice, Health / Adolescent Health, Children, Teens, Urban
Goal: The goal of the Young Parents Program is to help inner city teenage parents learn positive attitudes, behaviors, and parenting skills so that their children experience healthy growth and development a during their early and critical years.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.
Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.
Filed under Good Idea, Health / Older Adults, Older Adults
Goal: The goals of the program are to help participants learn how to view falls and the fear of falling as controllable, set realistic goals for increasing activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance.
Impact: After completing the program, 97% of participants are more comfortable in talking about falls, 95% have made environmental changes, and 99.5% plan to continue exercising.
Filed under Good Idea, Community / Domestic Violence & Abuse
Goal: A Safe Place's mission is to break the cycle of domestic and family violence by providing safe shelter and support services to victims and their children and to prevent violence through outreach and education in at-risk populations.