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.

Submit a Promising Practice

More Than a Meal

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

Goal: The objective of the study was to characterize the population of older adults on waiting lists for home-delivered meals and compare their health and health-related needs to the population of older adults living in the community.

Impact: Between baseline and follow-up, respondents receiving daily-delivered meals were more likely to exhibit:
• Improvement in mental health (i.e., anxiety)
• Improvement in self-rated health
• Reductions in the rate of falls
• Improvement in feelings of isolation and loneliness
• Decreases in worry about being able to remain in home

The AIMS Model

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

Goal: The Ambulatory Integration of the Medical and Social (AIMS) model aims to address social and environmental factors patients face that may prevent them from following their plan of care, thus impacting their health.

Impact: The AIMS model helps create better supported, less stressed, and better informed consumers and caregivers. There is also evidence to suggest that this model reduces ED usage and 30-day readmissions in participants.

Tobacco Use: Community Mobilization with Additional Interventions to Restrict Minors’ Access to Tobacco Products

CDC

Filed under Evidence-Based Practice, Health / Tobacco Use

Impact: The Community Preventive Services Task Force (CPSTF) recommends community mobilization combined with additional interventions such as stronger local laws directed at retailers, active enforcement of retailer sales laws, and retailer education with reinforcement on the basis of sufficient evidence of effectiveness in reducing youth tobacco use and access to tobacco products from commercial sources.

Trauma Recovery and Empowerment Model (TREM)

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

Goal: The goal of this program is to facilitate trauma recovery among women with histories of exposure to sexual and physical abuse.

Impact: Studies demonstrated that TREM participants showed a significant reduction in severity of problems related to substance use from baseline to 12-month follow-up relative to the comparison group. Reduced trauma symptoms were also significantly greater for the intervention group than for the comparison group at 12-month follow-up. Furthermore, the intervention group had significantly reduced symptoms of psychological problems 1 year after the intervention.

Arthritis Foundation Exercise Program (USA)

Filed under Evidence-Based Practice, Health / Other Conditions, Older Adults

Goal: The goal of the Arthritis Foundation Exercise Program is to increase joint flexibility, range of motion, and muscle strength among individuals with arthritis.

CDC COMMUNITY GUIDE: Increasing Tobacco Use Cessation: Mobile Phone-Based Interventions (USA)

CDC

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Teens, Adults

CDC COMMUNITY GUIDE: Reducing Alcohol-Impaired Driving: Ignition Interlocks (USA)

CDC

Filed under Evidence-Based Practice, Health / Prevention & Safety, Adults

Impact: The Community Preventive Services Task Force (CPSTF) recommends the use of ignition interlocks for people convicted of alcohol-impaired driving based on evidence that they reduce re-arrest rates while the interlocks are installed.

Public health benefits of ignition interlock interventions are currently limited by the small proportion of offenders who install interlocks in their vehicles. More widespread and sustained use of interlocks among this population could have a greater impact on alcohol-related crashes.

Clinician-Based Cognitive Psychoeducational Intervention for Families (Family Talk)

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

Goal: The goal of this program is to provide information about mood disorders to parents, equip parents with skills they need to communicate this information to their children, and open dialogue in families about the effects of parental depression.

Impact: Parents in the program scored better in their reports of child-related behavior and attitude changes of parental illness than parents who received a group-format presentation. Children in the program scored higher on measures of improved understanding of parental mood disorder than children who received a group-format lecture.

Community-Based Secondary Stroke Prevention (Hong Kong, China)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of this program is to increase knowledge of stroke, encourage self-monitoring, and maintain healthy lifestyle changes to prevent secondary stroke.

Eat Well and Keep Moving (Baltimore)

Filed under Effective Practice, Health / Children's Health, Children, Urban

Goal: The goals of the Eat Well and Keep Moving program are to improve eating habits, increase physical activity, and reduce television viewing among upper elementary school students.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.