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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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Pregnancy Health: Exercise Programs to Prevent Gestational Hypertension

CDC

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends exercise programs for pregnant women to reduce the development of gestational hypertension.

Preventive Nutrition Cardiovascular Disease Program (Dade County, FL)

Filed under Good Idea, Health / Physical Activity, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goals of this project are:
- to increase knowledge of nutrition among Hispanic elders who are at risk for cardiovascular disease and obesity;
- to foster behavior change through group sessions and interactive activities; and
- to test whether the American Heart Association guidelines and materials can be utilized in a dietitian led model targeted to Hispanic elders.

Putnam County Early Entry into Prenatal Care-WIC (Putnam County, FL)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women

Goal: The goal of this program is to increase prenatal entry into WIC. The ultimate purpose is to lower the rate of low birth weight as well as the rate of infant mortality.

Richland County Community Diabetes Project (Richland County, MT)

Filed under Good Idea, Health / Diabetes, Rural

Goal: The goal of this project is to build community support for persons with Type 2 diabetes living in frontier Eastern Montana.

Salem County School-to-Careers Initiative (Salem County, NJ)

Filed under Effective Practice, Education / Educational Attainment, Children, Rural

Goal: The goal of this program is to help at-risk youth and young adults to finish high school, take college-level classes, and have structured work experiences that will lead to successful transitions to adulthood.

San Diego County Breaking Cycles (San Diego County, CA)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Teens

Goal: The goals of this program are to

- Prevent youth from becoming delinquent by focusing strengths-based, family-centered community resources and programs on "at-risk" youth and their families.
- Improve the juvenile justice and community intervention for juvenile offenders through a system of Graduated Sanctions (Intervention).

Smile for a Lifetime: Sonoma County (Sonoma County)

Filed under Good Idea, Health / Oral Health, Children

Goal: S4L strives to create self-confidence and change the lives of underprivileged children by providing orthodontic services at no cost.

Smoking?...Not in Mama's House! (Kauai District, HI)

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

Goal: The goal of this program is to prevent children's exposure to secondhand smoke.

Sonoma County Healthy Retail Project (Sonoma County, CA)

Filed under Effective Practice, Health / Physical Activity, Adults, Racial/Ethnic Minorities

Goal: The goal of the Healthy Retail Project is to increase access to healthier foods and beverages; decrease the availability of unhealthy products; increase compliance with alcohol, tobacco, and food safety laws; and increase customer loyalty and store profits.

Impact: Over 60% of stores assessed in 2014 met Healthy Retail Project Standards and all participating stores increased their food environment score over baseline.

Sonoma County Tobacco Use Prevention (Sonoma, CA)

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

Goal: The goal of the Tobacco Use Prevention program is to control tobacco use, reduce secondhand smoke exposure, and encourage smoking cessation.

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.