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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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The New Jersey State Cancer Registry (New Jersey)

Filed under Good Idea, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The goal of this program is to encourage early detection of breast cancer among diverse populations in New Jersey. When breast cancer is diagnosed at a local stage, 97% of women still are alive 5 years later. The 5-year survival rate decreases to 21% when the disease is diagnosed after it has spread to other sites.

West Nile Virus - Metropolitan Atlanta Surveillance Task Force (Atlanta, GA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Urban

Goal: The goal of this program is to create a regional approach to emerging infection based on public education, environmental monitoring, and disease surveillance.

YMCA's Diabetes Prevention Program (Northeast Florida counties)

Filed under Good Idea, Health / Diabetes, Adults

Goal: The goal is for participants to lose seven percent of their body weight and increase their physical activity to 150 minutes per week in order to reduce the risk of developing type 2 diabetes.

CDC COMMUNITY GUIDE: Interventions to Promote Seasonal Influenza Vaccinations among Healthcare Workers (USA)

CDC

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

Impact: Studies found a median increase of 21.0 percentage points in vaccination coverage among participants.

CDC COMMUNITY GUIDE: Interventions to Promote Seasonal Influenza Vaccinations among Non-Healthcare Workers (USA)

CDC

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

Impact: Studies found a median increase of 21.0 percentage points in vaccination coverage among participants.

CDC COMMUNITY GUIDE: Targeted Vaccinations: Provider Reminders (USA)

CDC

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

Goal: The goal of the programs is to increase vaccination coverage of patients through reminders to providers and other health care professionals.

Impact: The Community Preventive Services Task Force recommends provider reminder interventions based on strong evidence of effectiveness in improving vaccination coverage:

-In adults, adolescents, and children
-When used alone or with additional components
-Across a range of intervention characteristics (e.g., computerized or simple reminders, checklists or flowcharts)
-In a range of settings and populations

CDC COMMUNITY GUIDE: Universally Recommended Vaccinations: Home Visits to Increase Vaccination Rates (USA)

CDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Children, Teens, Adults, Older Adults, Families

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.

Home Vaccination Intervention (Melbourne, Australia)

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

Goal: The goal of this intervention is to promote catch-up immunizations for children who are behind the recommended immunization schedule.

Impact: Home vaccination for children behind in their immunization schedule is an effective and relatively cheap method of completing recommended vaccinations, and can be particularly beneficial for disadvantaged families.

Required Influenza Vaccination for Children in Licensed Child Care or Preschool Programs

Filed under Evidence-Based Practice, Community / Governance, Children

Goal: The goal of requiring that all Connecticut children receive at least 1 dose of influenza vaccine each year to attend a licensed child care program and preschool setting is to reduce influenza transmission and decrease influenza-associated hospitalizations statewide.

Impact: Requiring vaccination for admission into a licensed child care program or preschool program has helped to increase vaccination rates among children in Connecticut and reduced serious morbidity from influenza statewide.

Vaccination Programs: Client Reminder and Recall Systems

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends client reminder and recall interventions to increase vaccination rates in children, adolescents, and adults.

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.