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Emerging practices include practices assessed through field-based summaries or evaluations in progress that show some evidence of effectiveness and at least plausible evidence of reach, feasibility, sustainability, and transferability. Emerging practices are generally newer, with a plausible theoretical basis and preliminary evidence of impact. These practices require more implementation and further evaluation to determine whether their potential impact can be replicated over time and in other settings and populations.
Promising practices include practices assessed through unpublished intervention evaluations that have not been peer reviewed and that demonstrate some evidence of effectiveness, reach, feasibility, sustainability, and transferability. Promising practices have been evaluated more thoroughly than emerging practices and may include practices with higher quality of evidence and lower impact or with lower quality of evidence and higher impact, where decisions related to application will likely depend on context.
Leading practices include practices assessed through peer-reviewed studies or through nonsystematic review of published intervention evaluations that show growing evidence of effectiveness and some combination of evidence of reach, feasibility, sustainability, and transferability.
Best practices adhere to the most rigorous assessments in the continuum, including systematic reviews of research and evaluation studies, which demonstrate evidence of effectiveness and growing evidence of reach, feasibility, sustainability, and transferability.
For more information on Tribal Best Practices, the Oregon Health Authority offers links to supporting documents, examples, and an Application Form: www.oregon.gov/oha/HSD/AMH/Pages/EBP.aspx
For more on the classifications of Evidence-based Practices: www.cdc.gov/pcd/issues/2013/13_0186.htm
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