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 Good Idea, Health / Health Care Access & Quality, Children, Teens, Adults, Older Adults, Families, Rural
Goal: The San Juan Regional Medical Center community van aims to meet the transportation needs among citizens of the Four Corners region for reliable access to quality healthcare.
Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education
Impact: The Community Preventive Services Task Force (CPSTF) recommends center-based early childhood education programs (ECE) to improve educational outcomes that are associated with long-term health as well as social- and health-related outcomes. Economic evidence indicates there is a positive return on investment in early childhood education. The benefits from students' future earnings gains alone exceed program costs.
If targeted to low-income or racial and ethnic minority communities, ECE programs are likely to reduce educational achievement gaps, improve the health of these student populations, and promote health equity.
Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women
Goal: The initiative's primary purpose was to reduce infant mortality by 50 percent and generally improve maternal and infant health in at-risk communities.
Impact: 20% of the Healthy Start program sites had significantly lower rates of low-birth-weight babies than their comparisons. 20% of the sites also had significantly lower rates of very-low-birth-weight babies than their comparisons. Four of the sites had significantly lower pre-term birth rates.
Home-Delivered Meals Postdischarge From Heart Failure Hospitalization (GOURMET-HF) (Columbia University Medical Center, the Ann Arbor Veterans Affairs Health System, and the University of Michigan Health System)
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults, Women, Men, Older Adults
Goal: The goals of GOURMET-HF are to assess the safety of the intervention, including effects on cardiac biomarkers and rehospitalization burden.
Impact: Home-delivered DASH/SRD after HF hospitalization appear safe in selected patients and had favorable effects on HF clinical status and 30-day readmissions. The GOURMET-HF pilot study suggests that postdischarge nutritional support has the potential to improve HF symptoms and reduce readmissions
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.
Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children
Goal: The Mobile C.A.R.E. Foundation’s mission is to provide complimentary and comprehensive asthma care and education to children and families in Chicago’s underserved communities via mobile medical units called "Asthma Vans."
Impact: The Mobile C.A.R.E. Foundation’s Asthma Vans provide children and families in Chicago’s underserved communities with complimentary and comprehensive asthma care and education resulting in reduced school absenteeism, decreased ER visits and lower hospitalization rates.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Men, Urban
Goal: The goals of Mpowerment are to mobilize young gay and bisexual men to reduce sexual risk taking, encourage regular HIV testing, and build positive social connections with peers.
Impact: The Mpowerment intervention successfully developed a mechanism to socialize young gay men to safer sex. Since this intervention relies primarily on volunteers, it is relatively inexpensive for communities to maintain and can continue to be made available for future generations.
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults
Goal: The goal of this media campaign was to increase public knowledge of the warning signs of stroke.
Impact: The ability to name the warning signs of stroke increased in communities exposed to television ads.
Filed under Evidence-Based Practice, Education / Childcare & Early Childhood Education, Children, Families
Goal: To prepare children of disadvantaged families for academic success and to strengthen families through intensive home visiting.
Impact: When families are engaged in facilitated discussion, the participating families tend to talk more, read more, and have more positive interactions with their children. They engage in more educational activities at home and in their communities.
Filed under Evidence-Based Practice, Health / Physical Activity, Racial/Ethnic Minorities
Goal: Pasos Adelante is a lifestyle intervention that aims to prevent and control chronic disease such as heart disease and diabetes in Mexican Americans by providing a supporting environment for improving nutrition and increasing walking activity in U.S.-Mexico border communities.