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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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Community Aging in Place - Advancing Better Living for Elders (CAPABLE) (Baltimore, MD)

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

Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.

Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.

Community-Based Multiple Risk Factor Intervention for Cardiovascular Risk (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities

Goal: The goal of this program is to reduce the risk of coronary heart disease among African American families with a history of coronary disease.

Every Woman Southeast (AL, FL, GA, KY, LA, MS, NC, SC, TN)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Women, Racial/Ethnic Minorities

Goal: Every Woman Southeast's goal is to create a diverse partnership across eight Southern states to improve women's health and birth outcomes.

Guys Only! After School Program (Frederick County, MD)

Filed under Good Idea, Health / Family Planning, Teens

Goal: The goals of GO! are:

- to delay the initiation of sexual intercourse among males ages 12-14 to reduce teenage pregnancy in Frederick County
- to increase parent child communication
- to increase community awareness regarding adolescent sexuality

Maryland's Tomorrow (Baltimore, MD)

Filed under Effective Practice, Education / Student Performance K-12, Teens

Goal: Two of the goals for the Maryland's Tomorrow program are for all seniors to pass Maryland's state tests and graduate, and for all participating students to improve their grade point averages.

New Hope Project (Wisconsin)

Filed under Effective Practice, Economy / Employment, Adults

Goal: New Hope provided full-time workers with several benefits: an earnings supplement to raise their income above poverty, low-cost health insurance, and subsidized child care. For those unable to find full-time work, the program offered help in finding a job and referral to a wage-paying community service job when necessary.

Safe Streets (Baltimore, MD)

Filed under Evidence-Based Practice, Community / Crime & Crime Prevention, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: To combat the epidemic of violence among Baltimore’s youth and support traditional public safety strategies using a combination of public health and human service models to reduce violence.

Impact: It was estimated that the program was associated with 5.4 fewer homicide incidents and 34.6 fewer nonfatal shooting incidents during 112 cumulative months of intervention post observations.

Staying Alive Drug Overdose Prevention and Response Program (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Urban

Goal: The goals of the Staying Alive program are to teach drug users about how to recognize opiate overdose signs and symptoms, how to respond to any overdose cases by calling 911, and how to use rescue breathing and naloxone administration to reduce life-threatening drug overdose.

Impact: Staying Alive reduces mortality due to opiate and heroin drug overdose.

Stepping Up To Health (Michigan)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults, Urban

Goal: To determine whether online peer support will increase adherence to an Internet-based pedometer walking program.

Impact: Stepping up to Health shows that online communities can help reduce attrition within online health behavior change interventions.

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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