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.
Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Older Adults
Goal: To assess whether an Individualized Management for Patient-Centered Targets (IMPaCT), delivered by community health workers improved patients' chronic disease management and self-rated physical and mental health.
Impact: Individuals with multiple chronic conditions when paired with a community health worker will perceive that their care is higher quality and may have fewer hospitalizations.
Filed under Effective Practice, Community / Transportation
Goal: The Click It or Ticket Campaign Enhancement and Evaluation project's goals were to:
-Increase safety belt use in Massachusetts; and
-Evaluate the impact of adding educational activities to standard enforcement mobilization waves.
Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women, Urban
Goal: The mission of MOMS Orange County is to help mothers and their families have healthy babies by providing health coordination, education, and access to community services. MOMS Orange County’s vision is that all babies born in Orange County are healthy at birth.
Impact: Measures such as the percent of babies born at a low birth weight, percent of babies born premature, and the percent of babies admitted to the NICU were all markedly better for program participants when compared to many comparison benchmarks.
Filed under Evidence-Based Practice, Health / Alcohol & Drug Use
Goal: The mission of this program is to improve the lives of individuals and families affected by alcohol and other drug use through treatment, education, and research.
Impact: Matrix participants were 38% more likely to stay in treatment and 27% more likely to complete treatment compared to nonparticipants. Stimulant drug-use indicators were significantly reduced during treatment for Matrix participants. They also produced more drug-free urine samples compared to nonparticipants.
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)
Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban
Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.
Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.
Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)
Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults
Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.
Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management in primary care clinics for older adults with major depression or chronic low levels of depression (dysthymia) on the basis of sufficient evidence of effectiveness in improving short-term depression outcomes.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management at home for older adults with depression on the basis of strong evidence of effectiveness in improving short-term depression outcomes.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Impact: The Community Preventive Services Task Force (CPSTF) recommends targeted school-based cognitive behavioral therapy programs to reduce depression and anxiety symptoms among school-aged children and adolescents who are assessed to be at increased risk for these conditions.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Impact: The Community Preventive Services Task Force (CPSTF) recommends universal school-based cognitive behavioral therapy programs to prevent or reduce depression and anxiety symptoms among school-aged children and adolescents.
The CPSTF also recommends Targeted School-Based Cognitive Behavioral Therapy Programs to Reduce Depression and Anxiety Symptoms for students who are assessed to be at increased risk for these conditions, and group and individual CBT to reduce psychological harm from traumatic events among children and adolescents.