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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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Tai Chi -- Moving for Better Balance

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

Goal: To use tai chi exercise to improve balance and decrease incidence of falls among older adults.

Impact: The program shows that ta chi can significantly improve health-related outcome measures in older adults and such a program can be practically and effectively implemented and maintained in community settings.

Teaching Students to Be Peacemakers

Filed under Effective Practice, Community / Civic Engagement, Children, Teens

Goal: The intent of this program is to provide each student with at least 12 years of training in how to manage conflicts constructively and thereby significantly change the way they manage their conflicts for the rest of their lives.

The Bridge Model of Transitional Care

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

Goal: The goal of The Bridge Model of Transitional Care is to help aging adults transition from the hospital back to their homes and communities safely.

Impact: The Bridge Model of Transitional Care can help lower hospital re-admission rates as well as improve primary care engagement 30 days after being discharged from the hospital.

The Healthy Corner Store Initiative (Philadelphia, PA)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Families, Urban

Goal: The goal of the Healthy Corner Store Initiative is to improve healthy food access in underserved communities in Philadelphia.

Impact: From 2004 to 2012, over 600 corner stores committed to providing healthy food options for customers. One hundred corner stores received conversions (investments ranging between $1,000 and $5,000) to expand inventory of produce and other healthy products.

The Montana Model (Yellowstone County, MT)

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The aim of the Montana Model is to provide health care to the 11 percent of the county citizens living below the federal poverty level and the many more living in near poverty, while simultaneously providing a medical clinic with diversity and complexity for family practice residents to obtain enriched training with the public health perspective.

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.

Washington DC One-Stop (Washington, DC)

Filed under Effective Practice, Economy / Employment

Goal: The goal of this program is to help move people from public assistance to employment.

A Matter of Balance

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

Goal: The Matter of Balance/Volunteer Lay Leader (MOB/VLL) program is designed to reduce the fear of falling, stop the fear of falling cycle, and improve the activity levels among community-dwelling older adults. The goal of the program is to use volunteer lay leaders as facilitators, in order to make the program affordable to offer in the community setting.

Impact: When following up one year after the program, participants reported significant gains in fall management and there was a trend to increased exercise level as well. In addition, participants sustained a reduction in monthly falls.

Achievers for Life (Jacksonville, FL)

Filed under Effective Practice, Education / Student Performance K-12, Children, Families, Urban

Goal: The goal of Achievers for Life is to work with 6th grade students and their families in order to prevent students from dropping out of high school.

Active Start (Los Angeles, CA)

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

Goal: The goal of this project is to increase physical activity among sedentary older adults over three years. The project recruits older adults who are at risk and encourages them to incorporate physical activity into their lives.

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.