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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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Health and Safety Intervention with First-Time Mothers

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women

Goal: The goal of CBFRS is to advance the health and development of first-time mothers and infants through a home visit program.

Impact: The findings indicate positive health and safety outcomes for first-time mothers and infants in the program: higher household safety levels, higher use of birth control methods, lower smoking behavior, higher knowledge of the effects of smoking on child development, and higher use of county clinics.

Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Racial/Ethnic Minorities

Goal: To evaluate the association of a “Housing First” intervention for chronically homeless individuals with severe alcohol problems with health care use and costs.

Impact: Total cost offsets for Housing First participants relative to controls averaged $2449 per person per month after accounting for housing program costs.

Health in All Policies

Filed under Good Idea, Community / Governance

Goal: The goal of Health in All Policies is to ensure that health effects are routinely taken into consideration when developing policy.

Impact: Health in All Policies initiatives have helped create healthier communities through implementing policies with health consequences in mind. For many counties, this includes creating cross-agency teams and workgroups to address problems in their community.

HealthTran (Jefferson City, Missouri)

Filed under Effective Practice, Health / Health Care Access & Quality, Older Adults, Rural

Goal: To provide transportation to patients in South Central Missouri who otherwise have non-existent, limited, or expensive transportation options to and from healthcare appointments.

Impact: HealthTran has helped to improve healthcare access and long-term health outcomes, as well as reduced preventable hospitalizations and unnecessary emergency department visits.

Healthy Buddies (Canada)

Filed under Evidence-Based Practice, Health / Children's Health, Children

Goal: The goal of Healthy Buddies is to increase health knowledge, health behaviors, and health attitudes in children in elementary school.

Healthy Kids Express Dental Van (St. Louis, Missouri)

Filed under Effective Practice, Health / Children's Health, Children, Teens, Urban

Goal: The mission of Healthy Kids Express Dental is to improve oral healthcare in children through education on the importance of regular brushing, flossing, and using fluoride as well as through restorative treatments when necessary.

Impact: During the 2014-2015 school year, children pre-Kindergarten through 7th grade saw their average score on a dental knowledge test rise from 64.7% on the pretest to 72.1% on the posttest.

Healthy Kids Express Screening and Immunization Program (St. Louis, Missouri Metro Region)

Filed under Effective Practice, Health / Children's Health, Children, Teens, Families, Urban

Goal: The mission of HKES&I is to increase access to needed healthcare for children. This is accomplished through the goal of identifying children who need further follow-up, particularly for hearing and vision problems, and to connect them to those services.

Impact: Healthy Kids Express Screening and Immunization program is successful in providing evidence based care to low-income populations and for connecting those identified with screening needs to needed follow-up care.

Healthy Steps for Young Children: Palm Beach (Palm Beach, FL)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Families, Urban

Goal: Improve early identification of concerns and initiate interventions to improve the health, development and emotional wellness of children, newborn to age three.

Impact: HSFYC parents were less likely to use severe discipline (OR: 0.68) and more likely to negotiate with their child (OR: 1.20). HSFYC parents had greater odds of reporting a clinical or borderline concern regarding their child's behavior (OR: 1.35).

Heart Disease and Stroke Prevention: Tailored Pharmacy-based Interventions to Improve Medication Adherence

CDC

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

Impact: The Community Preventive Services Task Force (CPSTF) recommends tailored pharmacy-based adherence interventions for cardiovascular disease prevention. Evidence shows interventions delivered by pharmacists in community and health system pharmacies increased the proportion of patients who reported taking medications as prescribed. The CPSTF also finds these interventions are cost-effective for cardiovascular disease prevention.

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.