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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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Flex Your Power Case Study: Patterson Irrigation District (Stanislaus County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Rural

Goal: The goal of this project was to reduce electricity usage by 10-20 percent.

Free Community Colorectal Screening (Salina, KS)

Filed under Good Idea, Health / Cancer, Adults, Rural

Goal: To get as many age appropriate people screened as possible in the community and to raise awareness about the life-saving practice of colorectal screening.

Impact: Many cancers have been found and many have been prevented. The population has expressed gratitude for this program and the partners (such as the pharmacies and the hospital lab) are proud to be part of it.

Guatemala Acupuncture and Medical Aid Project (GUAMAP) (Tucscon, AZ)

Filed under Good Idea, Health / Alternative Medicine, Rural

Goal: The goal of GUAMAP is to train rural community health workers to provide remote settlements in northern Guatemala with access to sustainable, low-cost, low-technology, effective health care through the use of acupuncture.

HealthTran (Jefferson City, Missouri)

Filed under Effective Practice, Health / Health Care Access & Quality, Older Adults, Rural

Goal: To provide transportation to patients in South Central Missouri who otherwise have non-existent, limited, or expensive transportation options to and from healthcare appointments.

Impact: HealthTran has helped to improve healthcare access and long-term health outcomes, as well as reduced preventable hospitalizations and unnecessary emergency department visits.

Healthy Futures (Northwestern Lower Michigan)

Filed under Effective Practice, Health / Children's Health, Children, Women, Families, Rural

Goal: The overall goal of Healthy Futures is to improve community health by ensuring access to health care and community resources for pregnant women and young children in the region.

Impact: In 2012, over 3,500 contacts, 970 home visits, and 30,000 educational mailings were delivered. Of those who initiated breastfeeding at birth, 67% of enrolled infants are still breastfeeding at eight weeks post-partum. Eighty-three percent of enrolled two-year-old children are fully immunized.

Healthy Homes/Healthy Families (Georgia)

Filed under Good Idea, Health / Physical Activity, Families, Rural

Goal: Healthy Homes/Healthy Families aims to help rural residents of Southwest Georgia make healthy behavior changes.

Heaven's Loft (Little Rock, AR)

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

Goal: The goal of Heaven's Loft is to encourage low-income expectant mothers to receive prenatal care, well-baby care, immunizations, health screenings, and educational classes on childbirth, breastfeeding, and infant/child care and parenting.

Increasing Age-Appropriate Immunization Rates for Children in Butler County and Surrounding Area (Butler County, KS)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Children, Rural

Goal: The goal of this program was to increase immunization rates in the Butler County area.

Impact: Immunization rates increased from 53.2% to 72.4% and parents reported a better understanding of the importance of timely vaccinations.

Increasing Colorectal Cancer Screening in Rural African American Women (Georgia)

Filed under Effective Practice, Health / Cancer, Adults, Women, Older Adults, Rural

Goal: The goal of this program is to decrease fatalism and increase participation in colorectal cancer screening among African American women.

Increasing Wildlife Compatibility of Farmland; Habitat Corridors (Yolo County, CA)

Filed under Effective Practice, Environmental Health / Wildlife, Rural

Goal: The goal of this program is to provide greater wildlife habitat value on agricultural lands without significantly affecting crop production.

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.