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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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Culturally Tailored Navigator Program for Colorectal Cancer Screening (Boston, MA)

Filed under Evidence-Based Practice, Health / Cancer, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to decrease barriers and increase rates for colorectal cancer screening among low-income, non-English speaking patients.

d-up: Defend Yourself!

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Men, Racial/Ethnic Minorities

Goal: The overall goal of d-up! is to increase the number of black MSM who use a condom when they have sex.

DARE to be You

Filed under Evidence-Based Practice, Community / Social Environment, Children

Goal: The goals of DTBY are to improve parents' self-esteem, enhance decision-making skills, increase communication between parents and children, teach effective stress management, and strengthen peer support.

Impact: Several studies have demonstrated increases in parental self-efficacy and self-esteem among DTBY parents. Also, the use of harsh punishment decreased and effective discipline and limit-setting increased. Children involved in DTBY programming had greater average increases in developmental level.

Deer-Targeted Interventions on Lyme Disease Incidence (Northeastern United States)

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

Goal: The goal of the interventions is to reduce the number of blacklegged ticks to ultimately reduce the incidence of Lyme disease.

Impact: The four-poster device was effective in decreasing erythema migrans (EM) rash incidence in an endemic area. The deer hunt did not have a significant effect on the incidence of EM rash, although the incidence did decrease.

Dental Caries (Cavities): Community Water Fluoridation

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends community water fluoridation to reduce tooth decay (i.e., dental caries or cavities).

Dental Caries (Cavities): School-Based Dental Sealant Delivery Programs

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based programs to deliver dental sealants and prevent dental caries (tooth decay) among children.

Diabetes-Based Science Education for Tribal Schools (DETS) (USA)

Filed under Evidence-Based Practice, Health / Diabetes, Children, Teens, Racial/Ethnic Minorities

Goal: The goal of the Diabetes-Based Science Education for Tribal Schools (DETS) curriculum is to slow or reverse the rising rate of type 2 diabetes in American Indian/Alaskan Native (AI/AN) youth through a pedagogy based in a combination of a science-based diabetes/health education curriculum and culturally relevant contexts.

Impact: Overall, the DETS curriculum shows that collaboratively-developed curriculums and education courses can have an effective impact across grade levels with students having significant knowledge gains, and can also serve as a supplement for other science and social science curriculums in schools.

Dialectical Behavior Therapy

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

Goal: The goal of Dialectical Behavior Therapy is to use a cognitive-behavioral treatment approach to treat patients with multiple disorders.

Impact: After 1 year of treatment, a smaller percentage of DBT participants reported suicide attempts compared with TBE patients. DBT also reduced Nonsuicidal Self-Injury (NSSI) behavior over the course of 1-year treatment.

Direct Mailing of Fecal Occult Blood Tests to Increase Colorectal Cancer Screening (Wright County, MN)

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

Goal: The goal of this program was to increase colorectal cancer screening using direct mailings of fecal occult blood test (FOBT) kits for noninvasive colon cancer screening.

Impact: Direct mailing of FOBT kits resulted in an increase in self-reported colon cancer screening adherence.

Draw the Line/Respect the Line (Northern California)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Men, Racial/Ethnic Minorities

Goal: The primary aim of Draw the Line/Respect the Line is to reduce the number of students who initiate or have sexual intercourse and to increase condom use among those students who do have sexual intercourse.

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.