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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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Stepping On Fall Prevention Workshops (Dane, Wisconsin)

Local

Filed under Local, Evidence-Based Practice, Health / Prevention & Safety, Older Adults

Goal: Stepping On aims to reduce the prevalence of falls among older adults. Falls are not a normal part of aging and the risk and/or prevalence of falls may be decreased by taking certain steps, including vision checks, medication management, strength & balance exercises, and home safety checks. Falls and/or the fear of falling often lead to a loss of independence.

Impact: This evidence-based program demonstrated a 31% reduction in falls among participants in an Australian trial. It reached a 50% reduction in falls among participants in a U.S. workshop.

Wisconsin Adolescent Health Care Communication Program

Local

Note: This practice has been Archived.

Filed under Local, Effective Practice, Health / Adolescent Health, Teens

Goal: The Wisconsin Adolescent Health Care Communication Program (WAHCCP) seeks to improve communication between providers and adolescent patients, and therefore improve the delivery of sexual and reproductive health care to young people in Wisconsin.

Impact: The Wisconsin Adolescent Health Care Communication Program bridges the communication gap between adolescents and their health care providers through two workshops resulting in increasing knowledge, self-efficacy, and behavioral intentions among participants.

Mailed Psychoeducational Intervention for Colorectal Cancer Screening (England)

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

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

CDC COMMUNITY GUIDE: Assessment of Health Risks with Feedback to Change Employees' Health (USA)

CDC

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Adults

Impact: There is strong evidence that the use of assessments of health risks with feedback, combined with health education programs, improves outcomes regarding tobacco use, dietary fat intake, blood pressure, cholesterol, and number of days lost due to illness or disability.

Runaway Intervention Program (RIP) (St. Paul, Minnesota)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Urban

Goal: The goal of the Runaway Intervention Program is to prevent or reduce risky behaviors of young runaway girls that have been sexually abused or exploited in order to return participants to a healthy developmental trajectory.

Impact: This program is a promising intervention for restoring sexually abused runaway girls to a healthy developmental trajectory, with particular benefit to those who are at the highest risk.

Study of Cardiovascular Risk Intervention by Pharmacists (SCRIP) (Canada)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of SCRIP is to improve cholesterol risk management among patients at risk for coronary heart disease events.

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.

Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.

Motivational Interviewing-based HIV Risk Reduction

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Women

Goal: To reduce sexual and drug use behaviors among recently incarcerated, HIV-negative women at risk for HIV.

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.