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

Healthy Start

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.

Mobile C.A.R.E. Foundation

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.

Mpowerment (San Francisco, CA)

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.

Multifaceted Mass Media Campaign on the Warning Signs of Stroke (Canada)

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.

Parent-Child Home Program (USA)

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.

Pasos Adelante (Arizona)

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.

Pounds Off With Empowerment (POWER) (South Carolina)

Filed under Evidence-Based Practice, Health / Physical Activity, Adults, Racial/Ethnic Minorities, Rural

Goal: The goal of POWER is to promote weight loss and glycemic control among individuals diagnosed with type 2 diabetes living in rural communities.

Project Joy (Baltimore, MD)

Filed under Effective Practice, Health / Wellness & Lifestyle, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of Project Joy is to improve cardiovascular lifestyle risk factors among African American women.

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.