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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Vaccination Programs: Schools and Organized Child Care Centers

CDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Impact: The Community Preventive Services Task Force (CPSTF) recommends school and organized child care center-located vaccination programs based on strong evidence of effectiveness in increasing vaccination rates, and in decreasing rates of vaccine-preventable disease and associated morbidity and mortality.

The updated CPSTF recommendation is based on findings from 27 studies in which vaccination programs in schools or child care centers:
-Provided vaccinations on site
-Were administered by a range of providers including school health personnel, health department staff, and other vaccination providers
-Were delivered in a variety of different school and organized child care settings
-Delivered one or more of a range of vaccines recommended for children and adolescents, and
-Included additional components such as education, reduced client out-of-pocket costs, and enhanced access to vaccination services

School- and organized child care center-located vaccination programs may be most useful in improving immunization rates among children and adolescents for new vaccines, and vaccines with new, expanded recommendations (such as the annual immunization for seasonal influenza) where background rates are likely to be very low and improvements in coverage are needed.

Women On the Move through Activity And Nutrition (WOMAN) Study (Pittsburgh)

Filed under Evidence-Based Practice, Health / Physical Activity, Women

Goal: The goal of the WOMAN Study is to reduce the progression of subclinical atherosclerosis by reducing weight and waist circumference through dietary changes and physical activity.

Substance Use Disorder Assessment and Resource Navigation (Austin, TX)

Filed under Good Idea, Health / Alcohol & Drug Use, Adults, Urban

Goal: To engage patients who may benefit from early intervention and/or education about substance use disorders, and to direct the individuals toward treatment options at the most appropriate levels of care.

Academic Tutoring and Social Skills Training (Durham, NC)

Filed under Effective Practice, Education / Student Performance K-12, Children

Goal: The goal of this program is to encourage social and academic development among grade school children who are socially rejected and have serious academic problems in reading or mathematics.

Access to Transportation and Health Care Visits for Medicaid Enrollees With Diabetes

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The goal of the study was to evaluate the association between Medicaid‐provided nonemergency medical transportation and diabetes care visits.

Impact: The findings of this study underscore the importance of ensuring transportation to Medicaid populations with diabetes, particularly in the rural areas where the prevalence of diabetes and complications are higher and the availability of medical resources lower than in the urban areas.

Achievement through Community Services, Education and Skill-Building (ACES) (Philadelphia, PA)

Filed under Good Idea, Education / Student Performance K-12, Children

Goal: The goal of this program is to promote positive youth development and to help youth gain valuable work experience.

Adult Basic and Literacy Education (ABLE) (Ohio)

Filed under Good Idea, Education / Literacy

Goal: The goal of this program is to provide literacy skills and other basic skills to the most educationally and economically disadvantaged individuals in the state.

Alcohol and Other Drug Death Review (Humboldt County, CA)

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The goal of this program is to involve community partners in reviewing individual deaths, generating recommendations for improved community collaboration, and initiating new practices.

Assessment and Referral (Kansas City, MO)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Assessment and Referral is to help individuals struggling with a substance use disorder evaluate their needs and strengths and begin to make healthy choices that improve the overall quality of their lives.

Impact: First Call provided over 1,700 assessments in 2013, and more than half of clients showed improvements in their Addiction Severity Index (ASI) scores or a decrease in substance use.

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.

Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.

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.