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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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Treatment Foster Care Oregon (Eugene, OR)

Filed under Evidence-Based Practice, Community / Social Environment, Teens

Goal: The goal of the TFCO program is to decrease problem behavior and to increase developmentally appropriate normative and prosocial behavior in children and adolescents who are in need of out-of-home placement.

Impact: When compared with the control group, TFCO youths spent 60% fewer days in incarceration, had significantly fewer subsequent arrests, and had significantly less hard-drug use.

Tribal Motor Vehicle Injury Prevention Programs (Arizona and Wisconsin)

Filed under Evidence-Based Practice, Community / Public Safety, Racial/Ethnic Minorities

Goal: The goal of tribal motor vehicle injury prevention programs is to reduce disparities in rates of motor vehicle-related injuries and deaths.

Impact: Projects to increase motor vehicle safety on tribal reservations increased seat belt use among drivers, increased use of child safety seats, and decreased motor vehicle crashes.

Trying Alternative Cafeteria Options in Schools (TACOS) (Minneapolis and St. Paul, Minnesota)

Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Urban

Goal: The goal of the TACOS program was to use an environmental intervention to increase the availability and consumption of lower-fat foods in a la carte areas of secondary school cafeterias.

Impact: The TACOS program successfully increased both the availability and sale of lower-fat foods in a la carte areas of secondary school cafeterias.

Vaccination Programs: Home Visits to Increase Vaccination Rates

NewCDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Impact: The Community Preventive Services Task Force (CPSTF) recommends home visits to increase vaccination rates in children and adults. The CPSTF notes, however, that economic evidence shows home visits can be resource-intensive and costly relative to other options.

Vaccination Programs: Special Supplemental Nutrition Program for Women, Infants & Children (WIC) Settings

CDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: Vaccination programs in WIC settings include the following:
-Assessment of infants’ and children’s immunization status
-On-site vaccinations or referral to vaccination providers
-Additional interventions such as client reminder and recall systems, manual tracking and outreach efforts, or adoption of monthly voucher pickup schedules that require more WIC visits when vaccinations are not up-to-date

Vaccination services may be provided in WIC clinics, or through collocation and coordination of WIC programs with other healthcare services.

Impact: The Community Preventive Services Task Force (CPSTF) recommends vaccination programs in Special Supplemental Nutrition Program for Women, Infants and Children (WIC) settings—when used with additional components--to increase vaccination rates among children.

Vaccination Programs: Standing Orders

CDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Impact: The Community Preventive Services Task Force (CPSTF) recommends standing orders for vaccinations—when used alone or when combined with additional interventions—to increase vaccination rates among adults and children from different populations or settings.

Video Game Play (Texas, North Carolina)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens

Goal: The goal of this study was to investigate how video games can be utilized to promote healthy behavior changes in diet, physical activity, and adiposity to reduce adverse health effects.

Walking School Bus (Houston, TX)

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

Goal: The goal of the "walking school bus" is to increase children's rates of active commuting to school and physical activity.

WalkSafe (Florida)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Urban

Goal: The WalkSafe program was developed to improve pediatric pedestrian safety, increase physical activity levels by encouraging children to walk to and from school, and improve the walkability in and around elementary schools.

Wellness Recovery Action Plan (WRAP) (USA)

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Adults

Goal: The goal of WRAP is to teach participants recovery and self-management skills and strategies.

Impact: The WRAP program shows that the efficacy and effectiveness of peer-led self-management interventions has the potential to enhance self-determination and promote recovery for people with psychiatric disabilities.

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.