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.
Home-Delivered Meals Postdischarge From Heart Failure Hospitalization (GOURMET-HF) (Columbia University Medical Center, the Ann Arbor Veterans Affairs Health System, and the University of Michigan Health System)
Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults, Women, Men, Older Adults
Goal: The goals of GOURMET-HF are to assess the safety of the intervention, including effects on cardiac biomarkers and rehospitalization burden.
Impact: Home-delivered DASH/SRD after HF hospitalization appear safe in selected patients and had favorable effects on HF clinical status and 30-day readmissions. The GOURMET-HF pilot study suggests that postdischarge nutritional support has the potential to improve HF symptoms and reduce readmissions
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders, Adults, Older Adults
Goal: The goal of IMPACT is to improve depression treatment by providing collaborative care to older adults.
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)
Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban
Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.
Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: The objective of the study was to characterize the population of older adults on waiting lists for home-delivered meals and compare their health and health-related needs to the population of older adults living in the community.
Impact: Between baseline and follow-up, respondents receiving daily-delivered meals were more likely to exhibit:
• Improvement in mental health (i.e., anxiety)
• Improvement in self-rated health
• Reductions in the rate of falls
• Improvement in feelings of isolation and loneliness
• Decreases in worry about being able to remain in home
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: The goal of the PEARLS program is to provide home-based counseling in order to manage and treat depression among older adults.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: The goal of the Programa de Manejo Personal de la Artritis is to improve personal arthritis management among Spanish-speaking adults with arthritis.
Filed under Evidence-Based Practice, Health / Prevention & Safety, Older Adults
Goal: Stepping On aims to reduce the prevalence of falls among older adults. Falls are not a normal part of aging and the risk and/or prevalence of falls may be decreased by taking certain steps, including vision checks, medication management, strength & balance exercises, and home safety checks. Falls and/or the fear of falling often lead to a loss of independence.
Impact: This evidence-based program demonstrated a 31% reduction in falls among participants in an Australian trial. It reached a 50% reduction in falls among participants in a U.S. workshop.
Filed under Evidence-Based Practice, Health / Older Adults, Adults, Women, Men, Older Adults
Goal: SHHC targets individual, social, and built environment levels of behavior change and is designed to improve diet and physical activity behaviors, assess and improve local food and physical environment resources, and shift social norms about active living and healthy eating through civic engagement and capacity building.
Filed under Evidence-Based Practice, Health / Physical Activity, Older Adults
Goal: The goal of Strong-For-Life home-based exercise program is to promote activity and reduce disability among older adults.
Impact: Home-based resistance exercise programs designed for older persons with disabilities hold promise as an effective public health strategy.
Filed under Evidence-Based Practice, Health / Older Adults, Adults, Women, Men, Older Adults
Goal: StrongPeople Strong Bodies is a community-based strength training program aimed at mid-life and older individuals. The benefits of strength training for older individuals have been studied extensively and include increased muscle mass and strength; improved bone density and reduced risk for osteoporosis and related fractures; reduced risk for diabetes, heart disease, arthritis, depression, and obesity; and improved self-confidence, sleep, and vitality.