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.
Environmental Improvements Brought by the Legal Interventions in the Homes of Poorly Controlled Inner-City Adult Asthmatic Patients (New York City, New York)
Filed under Evidence-Based Practice, Environmental Health / Built Environment, Urban
Goal: The goal is to use a medical-legal collaborative intervention to force landlords into maintaining healthy living conditions for residents with poorly controlled asthma.
Impact: This proof-of concept study exhibits that medical-legal collaboration can significantly impact the control of inner-city asthmatics by improving their domestic environment.
Filed under Evidence-Based Practice, Health / Cancer, Adults, Racial/Ethnic Minorities, Urban
Goal: The goal of this program is to increase provider recommendation and patient compliance with colorectal cancer screening at a federally qualified health center serving low-income patients.
Impact: The intervention appears to be a feasible means to improve colorectal cancer screening rates among patients served by community health centers. However, more attention to patient decision making and education may be needed to further increase screening rates.
Filed under Evidence-Based Practice, Health / Cancer, Women, Men, Racial/Ethnic Minorities, Urban
Goal: The goal of this intervention was to increase colorectal cancer screening among an Asian American population.
Impact: A multicomponent intervention, including an educational session, can increase colorectal screening rates among Filipino Americans, even without the distribution of free fecal occult blood test kits.
Filed under Evidence-Based Practice, Health / Physical Activity, Children, Families
Goal: To decrease saturated fat consumption and thus reduce coronary heart disease risk factors in young children.
Impact: STRIP's intervention of diet counseling that began at a child's infancy favorably impacted the child's diet through childhood up to ages 8 or 10, but the goal of 2:1 unsaturated-saturated fatty acid ratio in a child's diet was not met for either intervention or control group.
Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Older Adults
Goal: To assess whether an Individualized Management for Patient-Centered Targets (IMPaCT), delivered by community health workers improved patients' chronic disease management and self-rated physical and mental health.
Impact: Individuals with multiple chronic conditions when paired with a community health worker will perceive that their care is higher quality and may have fewer hospitalizations.
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 / Alcohol & Drug Use, Teens, Adults, Women, Men
Goal: The goal of the promising practice is to reduce binge-drinking behavior in college students using motivational interviewing and personalized feedback techniques.
Impact: At an eight-week follow-up, all four groups reduced their consumption, peak BAC, consequences, and dependence symptoms.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Children, Families, Racial/Ethnic Minorities
Goal: The goal of the Northern Manhattan Start Right Coalition is to increase the timely vaccination coverage rate for the 4:3:1:3:3 series for children ages 19 to 35 months.
Impact: The Start Right Coalition increased timely vaccination coverage from 63.0% in 2002 to 96.8% in 2007.
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults
Goal: The goal of this nurse-led program is to improve secondary prevention among patients with coronary heart disease.
Filed under Evidence-Based Practice, Health / Children's Health, Children, Urban
Goal: The goal of Parent Connext is to support parents in reducing and/or preventing toxic stress in the family and help children develop critical life skills and coping skills. Recent studies have found that up to 50% of health outcomes are attributable to social and economic factors and that lifetime costs associated with child maltreatment are comparable to other costly healthcare conditions such as stroke or type 2 diabetes. Moreover, 4 in 5 physicians report lacking confidence in their ability to meet patients’ social needs, which can impede their ability to provide high quality medical care. As a result, interventions that target parents’ social needs may have important implications for reducing healthcare costs and have the added benefit of enabling physicians to provide high-quality care to their patients.