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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.

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.

Travel Blending® (Australia)

Filed under Evidence-Based Practice, Community / Transportation, Adults, Families, Urban

Goal: The goal of Travel Blending® Program is to reduce personal vehicle use.

Impact: The Travel Blending program reduced car trips, car kilometers, and hours spend in the car.

Tai Chi for Diabetes (Sydney, Australia)

Filed under Effective Practice, Health / Diabetes, Older Adults, Urban

Goal: The goal of the “Tai Chi for Diabetes” program was to improve health-related outcomes for
individuals diagnosed with type II diabetes in areas of mobility and physical function.

Systematic Training for Effective Parenting (STEP)

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

Goal: The goal of this program is to provide parents with the necessary skills to improve their parent/child communication and overall family functioning.

Impact: STEP has been implemented in more than 1,000 schools, agencies, churches, and mental health treatment facilities since 1976, reaching more than 4 million parents. Outside the US, STEP has been implemented in Australia, Canada, Germany, Ireland, Mexico, New Zealand, the Philippines, Romania, and South Korea.

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: Preventing Excessive Alcohol Consumption: Maintaining Limits on Days of Sale (USA)

CDC

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

Impact: In order to prevent excessive alcoholism and related harms, the Community Preventive Services Task Force recommends supporting existing limits on days in which alcoholic beverages may be sold.

CDC COMMUNITY GUIDE: Preventing Excessive Alcohol Consumption: Maintaining Limits on Hours of Sale (USA)

CDC

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

Impact: The Community Preventive Services Task Force recommends limiting access to alcohol by regulating the hours it can be sold as they found that increasing the hours available for alcohol sale can result in an increase in alcohol consumption and alcohol-related motor vehicle crashes.

CDC COMMUNITY GUIDE: Reducing Alcohol-Impaired Driving: Sobriety Checkpoints (USA)

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends publicized sobriety checkpoint programs to reduce alcohol-impaired driving.

Communities That Care (USA)

Filed under Evidence-Based Practice, Health / Adolescent Health, Children, Teens, Families

Goal: The goal of Communities That Care is to mobilize communities to prevent future substance abuse by reducing risk factors for children between the ages of 10 and 14.

Impact: Communities That Care reduces initiation of substance abuse behaviors in youth aged 10-14.

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.