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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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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.

Domestic Violence Emergency Response Teams for Zero Tolerance (DVERT/ZT) (Santa Barbara County, CA)

Filed under Effective Practice, Community / Domestic Violence & Abuse, Families, Urban

Goal: The program works to counsel and assist domestic violence victims by providing them with information about available resources and services, as well as their legal and other options. They also offer medical assistance and emergency shelter, including transportation to the shelter. Through legal advocacy and education, DVERT teams work to reduce domestic violence in Santa Barbara County.

Dramatic Health Education Project: STDs/HIV (Kansas City, MO)

Filed under Good Idea, Health / Adolescent Health, Teens, Urban

Goal: The Coterie exists to provide professional classic and contemporary theater, which challenges the audience and artist alike, and to provide educational, dramatic outreach programs in the community. The Coterie seeks to open lines of communication between races, sexes and generations. The objectives of DHEP are to improve knowledge regarding HIV and STDs and reduce the intentions of teenagers to practice high-risk behavior. DHEP also continues to refine the culturally-specific dramatic workshops and ensure story lines are relevant to teenagers.

Impact: After watching this program, over 75% of students report that they would be less likely to practice high-risk sexual behavior.

Drivers Under the Influence Intensive Supervision Program (Multnomah County, OR)

Filed under Evidence-Based Practice, Community / Public Safety

Goal: The goal of the DISP program is to reduce drunk driving among alcohol traffic offenders.

EARN (California)

Filed under Effective Practice, Economy / Investment & Personal Finance, Adults, Families

Goal: EARN's mission is to empower low-wage workers to build assets in order to create long-term financial stability.

Eat Smart, Move More, Weigh Less (North Carolina)

Filed under Evidence-Based Practice, Health / Physical Activity

Goal: To reverse the rising tide of obesity and chronic disease among North Carolinians by helping them to eat smart, move more and achieve a healthy weight.

Impact: ESMMWL teaches healthy lifestyle behaviors surround diet and exercise so that participants may incorporate them into their lives in a sustained manner and sustain weight loss.

EFFEKT

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Families

Goal: EFFEKT seeks to reduce teenage alcohol use by changing the attitudes of their parents. Information is disseminated to the parents at school meetings at the beginning of each semester and through regular communications.

Impact: EFFEKT seeks to reduce teen drinking by changing parental behaviors through structured presentations at their child’s school. Working with parents proved to be an effective way to reduce underage drinking as well as teen delinquency.

Emergency Room Intervention for Suicidal Adolescent Females

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Teens, Racial/Ethnic Minorities

Goal: The Emergency Room Intervention for Suicidal Adolescent Females focuses on changing the conceptualization of suicidal behavior and expectations for therapy, thereby increasing attendance at outpatient therapy and decreasing future suicide risk.

Impact: The intervention increases the likelihood of follow-up treatment in an outpatient clinic and reduces suicide risk among adolescent females who have visited an emergency room due to a suicide attempt.

EnhanceFitness (Seattle, WA)

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

Goal: The goal of EnhanceFitness is to encourage older adults to engage in regular physical activity to improve their health and well-being.

Impact: EnhanceFitness participants reported a 13% improvement in social function, a 52% improvement in depression, and a 35% improvement in physical functioning. Additionally, participants' healthcare costs were 21% less than those of non-participants after one year.

EnLace (Leadership and Civic Engagement)

Filed under Good Idea, Community / Public Safety, Families, Racial/Ethnic Minorities, Rural

Goal: In an effort to prepare and engage community residents to take a more participatory role in their communities, Monterey County Health Department (MCHD) developed and has offered since 2014 a leadership and civic engagement program (enLACE) that addresses the social determinants of health, community engagement and their relationship to the health of the community.

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.