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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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Doors to Discovery (USA)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The Doors to Discovery curriculum builds a foundation for literacy by focusing on children's vocabulary and expressive and receptive language skills.

Dotwell for a Healthy Neighborhood (Dorchester, MA)

Filed under Good Idea, Community / Social Environment, Urban

Goal: The mission of DotWell is to guarantee high-quality clinical and community services across both sites—addressing health disparities, meeting the complex needs of a changing Dorchester community, and building social capital in and across neighborhoods.

Drinking Water Nitrification Surveillance Program (Lee County, FL)

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

Goal: The goal of this program is to detect nitrification in drinking water in order to protect infants under six months old from methemoglobinemia and prevent other consequential bacteriological problems.

Drive Clean Across Texas (Texas)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal of this program is to inspire changes in driving behavior that will help clean up the air in Texas.

Driving and Dementia Toolkit (Ottawa, Canada)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: The goal of this toolkit is increase health care provider knowledge and confidence in assessing the driving skills of patients with dementia.

DTaP Drop-off Quality Improvement Project (Wilson County, KS)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Children, Families, Rural

Goal: The goal of this program was to increase full DTaP series vaccination in Wilson County, Kansas.

Impact: Immunization completion rates increased from 70% to 82% after implementation.

DuPage Narcan Program (DuPage County, IL)

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

Goal: The goal of the program is to provide police departments, schools and others with Naloxone and proper training to save lives from heroin overdose and to provide individuals with a chance to recover.

Impact: In the first six months of the second year, 26 saves were recorded.

Early and Periodic Screening, Diagnosis and Treatment Exception to Policy (Iowa)

Filed under Good Idea, Health / Oral Health, Children

Goal: The goal of the Early and Periodic Screening, Diagnosis and Treatment Exception to Policy program is to increase the amount of Medicaid-enrolled children who receive oral screenings and fluoride varnish applications.

Early Childhood Cavities Prevention Program

Filed under Effective Practice, Health / Oral Health, Children, Women

Goal: The Early Childhood Cavities Prevention Program (ECCPP) is a community-based intervention program to promote preventive oral care for both mothers and their infants in Klamath County, Oregon.

Impact: The Early Childhood Cavities Prevention Program (ECCPP) educates pregnant women about dental hygiene to prevent dental infection in their children. Ninety-three percent of all participating infants were 100% cavity-free on their second birthday.

Early Childhood Education and Assistance Program (ECEAP) (Washington)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Children, Families

Goal: ECEAP is a community-based, family-focused, comprehensive, pre-kindergarten program designed to help children and their families who are in poverty. The program focuses on helping three- and four-year-olds prepare for and succeed in school while helping their parents progress toward self-sufficiency.

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.
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