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 Evidence-Based Practice, Health / Immunizations & Infectious Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends standing orders for vaccinations—when used alone or when combined with additional interventions—to increase vaccination rates among adults and children from different populations or settings.
Filed under Evidence-Based Practice, Community / Domestic Violence & Abuse
Goal: The program aims to reduce the frequency and the severity of recidivism
for violent injury and criminal activity among persons
living in and around Baltimore.
Impact: Participants of the Violence Intervention Program saw a decrease in repeat hospitalizations, a decrease in violent crime and a higher rate of employment compared to those not in the program.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Urban
Goal: The goal of the "walking school bus" is to increase children's rates of active commuting to school and physical activity.
Filed under Evidence-Based Practice, Community / Public Safety, Children, Urban
Goal: The WalkSafe program was developed to improve pediatric pedestrian safety, increase physical activity levels by encouraging children to walk to and from school, and improve the walkability in and around elementary schools.
Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban
Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.
Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.
References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.
Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.
Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.
Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.
Filed under Evidence-Based Practice, Health / Women's Health, Adults, Women, Urban
Goal: The goal of the WILLOW intervention is to provide women living with HIV/AIDS with the skills and education needed to support safer sexual decisions.
Impact: The WILLOW program succeeded in reducing the number of reported episodes of unprotected vaginal intercourse, increasing the use of condoms and condom self-efficacy, decreasing the incidence of bacterial infections (chlamydia and gonorrhea), and improving HIV knowledge.
Filed under Good Idea, Health / Physical Activity, Adults
Goal: The goal of the WorkWell Intiative is to recognize and support local employers in Thurston County, WA who make a commitment to address workforce health issues.
Filed under Effective Practice, Health / Mental Health & Mental Disorders, Families, Urban
Goal: Managed through the Child and Adolescent Services Branch of the Milwaukee County Mental Health Division in Wisconsin, Wraparound Milwaukee attempts to meet the mental heath, substance abuse, social service, and other supportive needs of the most complex youths in the Milwaukee community.
Filed under Evidence-Based Practice, Health / Children's Health, Children
Goal: Youth Fit for Life aims to increase physical activity among children enrolled in after-school care programs.
Filed under Good Idea, Health / Older Adults, Older Adults
Goal: The goals of the program are to help participants learn how to view falls and the fear of falling as controllable, set realistic goals for increasing activity, change their environment to reduce fall risk factors, and exercise to increase strength and balance.
Impact: After completing the program, 97% of participants are more comfortable in talking about falls, 95% have made environmental changes, and 99.5% plan to continue exercising.