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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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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.

Urban Brownfields Program: Rehabilitating Toxic Industrial Land, New Jersey, USA (Trenton, NJ)

Filed under Good Idea, Environmental Health / Built Environment, Urban

Goal: Isles, Inc., is a nationally recognized nonprofit community development and environmental organization with the mission to foster more self-reliant families in healthy, sustainable communities. Through their Urban Brownfields program, Isles works to create a deeper understanding of the health and environmental conditions in Trenton.

Waterloo Smoking By-law and Cigarette Labeling (Canada)

Filed under Good Idea, Community / Governance, Adults

Goal: The goal of this policy is to protect residents from second-hand smoke, encourage smoking cessation and raise public awareness about tobacco issues.

Accelerated Benefits (AB) Demonstration (USA)

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

Goal: The program's goal was to eliminate the waiting period for access to health care benefits for newly entitled SSDI beneficiaries, and see if this investment has long-term benefits.

Impact: The AB Demonstration project successfully increased the use of health care services and reduced the reported unmet health care needs of participants in the program.

By My Side Birth Support Program (New York City, New York)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Women, Racial/Ethnic Minorities, Urban

Goal: The mission of the By My Side Birth Support Program is to provide birth support and encourage breastfeeding among low-income and immigrant mothers living in Brooklyn through the use of doula services.

Impact: By March 2012, the By My Side Birth Support Program successfully trained more than 30 women in the community. These doulas, along with those already working for By My Side, participated in more than 100 births.

Carolinas Cancer Education and Screening (CARES) Project (North Carolina & South Carolina)

Filed under Good Idea, Health / Cancer, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of this project is to improve colorectal cancer screening awareness among low-income women traditionally underserved by cancer control efforts.

CDC COMMUNITY GUIDE: Assessment of Health Risks with Feedback to Change Employees' Health (USA)

CDC

Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Adults

Impact: There is strong evidence that the use of assessments of health risks with feedback, combined with health education programs, improves outcomes regarding tobacco use, dietary fat intake, blood pressure, cholesterol, and number of days lost due to illness or disability.

Cervical Cancer Screening and Follow-up (Brevard County, FL)

Filed under Effective Practice, Health / Women's Health, Women

Goal: The goal of this program is to provide timely, effective, clinically appropriate intervention for abnormal Pap tests at no or very-low cost in order to reduce cervical cancer mortality.

Community-based Exposure Study and Development of a Community-First Communication Model (San Francisco)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Rural

Goal: The goal of this study was to address the health effects of PFOA pollution, with a strong desire to implement a community-driven communication strategy to communicate the study results.

Congenital Heart Disease Screening Program (Washington, D.C.)

Filed under Good Idea, Health / Children's Health, Children, Families

Goal: The Congenital Heart Disease Screening Program values early diagnosis of Congenital Heart Disease (CHD) with a goal of making screening for CHD a standard practice for all newborns.

Impact: The physicians at Children's National in the National Heart Institute created a toolkit that nurseries may use to start a screening program to improve detection of serious CHD.

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.