Promising Practices

Filed under Evidence-Based Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The program aimed to increase the rate of cervical cancer screening in Chinese women living in North America in response to research findings of significantly lower cervical cancer screening rates in Chinese women.

Impact: This intervention program found that women who received an intervention had cervical cancer screenings at a higher rate than those who did not receive any intervention. This shows that culturally and linguistically appropriate interventions might help improve Pap testing rates among Chinese women.

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

Goal: The goal of this program is to facilitate trauma recovery among women with histories of exposure to sexual and physical abuse.

Impact: Studies demonstrated that TREM participants showed a significant reduction in severity of problems related to substance use from baseline to 12-month follow-up relative to the comparison group. Reduced trauma symptoms were also significantly greater for the intervention group than for the comparison group at 12-month follow-up. Furthermore, the intervention group had significantly reduced symptoms of psychological problems 1 year after the intervention.

Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Men, Families, Urban

Goal: The goal of With All Families: Parents is to support pediatric care visits and improve child welfare by using screening tools and individual parent coaching to identify and address social determinants of health. Specific program objectives are to improve family functioning generally while specifically focusing on improving protective factors and economic-self-sufficiency. As part of the program, staff also work with families to increase parent concrete support and connect parents to needed physical health, behavior health, and educational resources for their child.

Research supports the benefits of using the strategies employed by With All Families: Parents (i.e., screening, resource navigation, and parent coaching) to improve family welfare by addressing underlying risk factors related to poverty and access to resources. For example, programs designed to provide screening and resource navigation support are associated with reduced social needs, improved child health and decreased child hospitalization visits. In light of evidence suggesting that social factors may in fact play a larger role in determining one’s health than medical care, programs that target these social factors, such as With All Families: Parents, are becoming increasingly important.

References
Garg, A., Toy, S., Tripodis, Y., Silverstein, M., & Freeman, E. (2015). Addressing social determinants of health at well child care visits: a cluster RCT. Pediatrics, 135(2), e296-e304.

Gottlieb, L. M., Hessler, D., Long, D., Laves, E., Burns, A. R., Amaya, A., ... & Adler, N. E. (2016). Effects of social needs screening and in-person service navigation on child health: a randomized clinical trial. JAMA pediatrics, 170(11), e162521-e162521.

Pantell, M. S., Hessler, D., Long, D., Alqassari, M., Schudel, C., Laves, E., ... & Gottlieb, L. M. (2020). Effects of in-person navigation to address family social needs on child health care utilization: a randomized clinical trial. JAMA network open, 3(6), e206445-e206445.

Braveman, P., & Gottlieb, L. (2014). The social determinants of health: it's time to consider the causes of the causes. Public health reports, 129(1_suppl2), 19-31.

Filed under Evidence-Based Practice, Health / Women's Health, Adults, Women, Urban

Goal: The goal of the WILLOW intervention is to provide women living with HIV/AIDS with the skills and education needed to support safer sexual decisions.

Impact: The WILLOW program succeeded in reducing the number of reported episodes of unprotected vaginal intercourse, increasing the use of condoms and condom self-efficacy, decreasing the incidence of bacterial infections (chlamydia and gonorrhea), and improving HIV knowledge.

Filed under Evidence-Based Practice, Health / Physical Activity, Women

Goal: The goal of the WOMAN Study is to reduce the progression of subclinical atherosclerosis by reducing weight and waist circumference through dietary changes and physical activity.

Filed under Evidence-Based Practice, Health / Women's Health, Women, Rural

Goal: Women to Women aims to provide social support for chronically ill rural women to positively affect social support, self-esteem, empowerment, self-efficacy in order to decrease stress, depression, and loneliness to improve one’s adaptation to living with a chronic disease.

The overall goal of WTW is to use technology to enhance the potential for rural women to more successfully adapt to their chronic illnesses through computer-based support and education research by providing support groups and health education via the Internet.

Impact: The WTW project shows that computer-based interventions can result in improved self-esteem, social support, and empowerment among rural women with chronic illness.

Filed under Effective Practice, Health / Prevention & Safety, Women

Goal: The goals of this program are to increase awareness of risk factors for sexual assault, provide women with practical strategies to prevent rape, and reduce the incidence of sexual assault among participants.

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Adults, Women, Men, Older Adults, Families, Urban

Goal: The goal of the Active Design Guidelines is to provide architects and urban designers with tools to create healthier buildings, urban spaces, and outdoor places based on current academic research and best practices.

Filed under Good Idea, Health / Alcohol & Drug Use, Teens, Adults, Women, Men, Older Adults, Families

Goal: Addiction Center's goal is to find individuals and loved ones who are impacted by substance abuse and provide them with the most up-to-date information on addictions, substances, and recovery options.

Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Women, Urban

Goal: The mission of Sheffield Place is "to empower homeless mothers and their children to heal from their trauma and help them become self-sufficient." The goal of the Aftercare program is to provide continuing supportive services once the families have transitioned from the residential program to permanent housing in the community. In this way, the families receive the support they need to maintain or increase income, maintain or improve mental health functioning, and maintain permanent housing.

Impact: This program provides vital supportive services for formerly-homeless families in recovery. Sheffield Place grew from serving just 20 families in 2010 to serving 132 families in 2017 (102 in residential and 30 in aftercare).