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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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Hearts for Life (Ontario, Canada)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of the Hearts for Life program is to increase knowledge of cardiovascular risk factors and encourage healthy cardiovascular behaviors.

Hypertension Treatment in Barbershops (Dallas, TX)

Filed under Effective Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities

Goal: The goal of this program is to reduce blood pressure among African American men.

Kaiser Permanente Heart Healthy: Cardiovascular tools and protocols (California)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Older Adults

Goal: To reduce death from heart disease among their members in Northern California.

Latinos Using Cardio Health Action to Reduce Risk (LUCHAR) (Denver)

Filed under Effective Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to promote healthy behaviors, including physical activity and health eating, among Latinos.

Lawndale Health Promotion Project (Chicago, IL)

Filed under Effective Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the Lawndale Health Promotion Project was to eliminate health disparities in type 2 diabetes and heart disease among Hispanics and African Americans.

Living for Health (Miami, FL)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the program is to identify and follow underserved adult residents with undiagnosed or untreated high blood pressure, cholesterol or glucose, provide education to encourage healthy lifestyle changes and encourage them to seek treatment – anyone without a primary care physician is referred to a participating FQHC.

Impact: Among those participants who were followed over time and were able to be reached by phone, there were significant increases in healthy food consumption as well as significant decreases in smoking, fat consumption, and fast food frequency.

Million Hearts (USA)

Filed under Good Idea, Health / Heart Disease & Stroke, Adults

Goal: Million Hearts seeks to prevent one million heart attacks and strokes in the next five years (by 2017) by coordinating cardiovascular prevention implementations in its private-public partnerships.

New York City's Phase Out of Artificial Trans Fat (New York)

Filed under Good Idea, Health / Physical Activity, Urban

Goal: On December 5, 2006, the NYC Board of Health approved an amendment to the Health Code to phase out artificial trans fat in all NYC restaurants and other food service establishments. It is now in full effect.

Pregnancy Health: Exercise Programs to Prevent Gestational Hypertension

CDC

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women, Families

Goal: The goal of exercise programs for pregnant women is to improve health and prevent gestational hypertension.

Impact: Exercise programs reduce the development of high blood pressure in pregnancy.

Preventive Nutrition Cardiovascular Disease Program (Dade County, FL)

Filed under Good Idea, Health / Physical Activity, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goals of this project are:
- to increase knowledge of nutrition among Hispanic elders who are at risk for cardiovascular disease and obesity;
- to foster behavior change through group sessions and interactive activities; and
- to test whether the American Heart Association guidelines and materials can be utilized in a dietitian led model targeted to Hispanic elders.

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.