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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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Cognitive Behavioral Therapy for Late-Life Depression

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Adults, Older Adults

Goal: The goal of this program is to use cognitive behavioral therapy to treat depression in older adults.

Impact: Research has shown that behavioral cognitive therapy helped patients reduce their depression symptoms, and maintained this improvement at 1-year follow-up more effectively than other types of therapy. At 6-month follow-up, clients who completed CBT were less likely to meet criteria for diagnoses of depression than clients who completed treatment as usual.

Community Aging in Place - Advancing Better Living for Elders (CAPABLE) (Baltimore, MD)

Filed under Evidence-Based Practice, Health / Older Adults, Adults, Older Adults, Urban

Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.

Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.

Community-Based Secondary Stroke Prevention (Hong Kong, China)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of this program is to increase knowledge of stroke, encourage self-monitoring, and maintain healthy lifestyle changes to prevent secondary stroke.

EnhanceFitness (Seattle, WA)

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

Goal: The goal of EnhanceFitness is to encourage older adults to engage in regular physical activity to improve their health and well-being.

Impact: EnhanceFitness participants reported a 13% improvement in social function, a 52% improvement in depression, and a 35% improvement in physical functioning. Additionally, participants' healthcare costs were 21% less than those of non-participants after one year.

Fit & Strong! (USA)

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

Goal: The goal of the Fit and Strong! program is to improve function among older adults with osteoarthritis.

Healthier Living with Arthritis Online Workshop (USA)

Filed under Evidence-Based Practice, Health / Other Conditions, Adults, Older Adults

Goal: The program is focused on reduction of pain and improvement of function for arthritis patients unable or unwilling to attend small group ASMPs, which have proven effective in changing health-related behaviors and improving health status measures.

Healthy IDEAS (Houston, TX)

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults, Urban

Goal: The goal of Healthy IDEAS is to detect and address depression through effective, evidence-based screening and health promotion education.

Impact: Studies show that after 6 months in the Healthy IDEAS program, significantly more of the participants knew how to get help for depression (93% versus 68%), reported that increasing activity helped them feel better (89% versus 72%), and reported reduced pain (45% versus 16%) than at the beginning.

Healthy Moves

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

Goal: The mission of the program is to shape the evolving health system by developing and spreading high-value models of community-based care and self-management for diverse populations with chronic conditions.

Healthy Steps for Older Adults (HSOA) (Pennsylvania)

Filed under Evidence-Based Practice, Community / Public Safety, Older Adults

Goal: The Pennsylvania Department of Aging offers this fall risk screening and prevention program to adults 50 years of age and older. The program is designed to raise awareness of falls, introduce steps on how to reduce falls, improve overall health, and provide referrals and resources.

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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