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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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Motivating Drivers to Correctly Adjust Head Restraints (British Columbia, Canada)

Filed under Effective Practice, Community / Public Safety, Adults

Goal: The goal of this program is to raise awareness of the proper position of car head rests, and to encourage drivers to adjust their head rest to the appropriate height.

Osteofit (Canada)

Filed under Effective Practice, Health / Older Adults, Adults

Goal: To reduce and prevent falls in people with osteoporosis and osteopenia through exercise and education.

Mailed Psychoeducational Intervention for Colorectal Cancer Screening (England)

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

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

Supervised Injection Sites (Vancouver, British Columbia)

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

Goal: Insite’s mission is to provide a safe environment for people to inject drugs and thus reduce injecting activity in public while linking drug users to health care services such as primary care, addiction counseling and treatment.

Impact: Opening supervised injected facilities have resulted in significant reductions in public injection drug use related issues and increase in referrals to social services and detoxification programs in Vancouver.

The Chinese Women's Health Project (Seattle, Washington)

Filed under Evidence-Based Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The program aimed to increase the rate of cervical cancer screening in Chinese women living in North America in response to research findings of significantly lower cervical cancer screening rates in Chinese women.

Impact: This intervention program found that women who received an intervention had cervical cancer screenings at a higher rate than those who did not receive any intervention. This shows that culturally and linguistically appropriate interventions might help improve Pap testing rates among Chinese women.

The Community Dental Facilitator Project (Vancouver, British Columbia)

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

Goal: The goal of the Community Dental Facilitator Project is to facilitate access to oral health services among low income, urban children.

Canada Prenatal Nutrition Program (CPNP) (Canada)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Women

Goal: The goal of the Canada Prenatal Nutrition program is to improve birth outcomes by increasing access to prenatal care.

Columbia County Healthy Neighborhoods Program (Columbia County)

Filed under Evidence-Based Practice, Environmental Health / Toxins & Contaminants, Families

Goal: The Healthy Neighborhoods program seeks to reduce housing related illness and injury through prevention and education.

Impact: In the past five years, the HNP visited 31,000 homes with 85,000 residents, and provided the asthma intervention to 11,000 adults and children with asthma. The assessments created a valuable data set about the health effects of housing hazards.

Tree Canada / Arbres Canada (Canada)

Filed under Good Idea, Environmental Health / Built Environment, Children

Goal: The goal of the Greening Canada’s Schools Grounds Program is to replace schoolyard asphalt with vegetation in order to enhance its play, educational, ecological and aesthetic value for school children.

Improving Pediatric Asthma Care in the District of Columbia (IMPACT DC) (District of Columbia)

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

Goal: The goal of IMPACT DC is to improve access to asthma education and care coordination through the emergency department.

An Effective Practice meets the following HCI criteria:

  1. 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.
  2. 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:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. 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:

  1. 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.
  2. 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.
  3. 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.