Healthy Alaskans 2020 Leading Health Indicators
Evidence-Based Strategies by Indicator
- Cancer mortality rate
- Tobacco free adolescents
- Tobacco-free adults
- Reduce adult overweight and obesity
- Reduce adolescent and children overweight and obesity
- Increase physically active adults and adolescents
- Reduce Alaskan deaths from suicide
- Reduce poor mental health among adolescents
- Reduce poor mental health among adults
- Increase youth with family and/or social support
- Reduce child maltreatment
- Reduce rape
- Reduce adolescent intimate partner violence
- Reduce alcohol induced mortality
- Reduce binge drinking in adults and adolescents
- Reduce unintentional injury mortality
- Increase child vaccinations
- Reduce infectious disease (Chlamydia)
- Increase access to in-home water & sewer service
- Community water fluoridation
- Increase prenatal care in first trimester
- Reduce preventable hospitalizations
- Increase adults able to afford seeing a doctor
- Increase the economic and educational status
- Increase high school graduation
The Healthy Alaskans 2020 Evidence-Based Strategies provides a starting point for exploring approaches to improving health outcomes for Alaskans. Organized by the 25 Leading Health Indicators, this tool presents a sample of strategies and programs with scientific proof of effectiveness. The web links will lead you to more detailed descriptions of the programs, with an explanation of the strength of evidence and comparative level of effectiveness, as well as information on implementation and considerations for adaptation and dissemination.
There is no single, universal definition of “evidence-based,” however, it is generally accepted that the highest level of evidence derives from a systematic review of the peer-reviewed scientific literature. A number of national review sources offer searchable databases of public health prevention strategies and programs that have been evaluated at this level. The various sources are organized differently and use different rating systems.
Databases that use a systematic review process were searched for strategies and programs that relate to Healthy Alaskans 2020 Indicators. Selections were made based on high ratings for both quality of evidence and effectiveness in changing health outcomes, as well as linking to program resources.
A brief description of the primary sources used to compile the initial sample of Evidence-based Strategies for Healthy Alaskans 2020 is provided below:
- The Community Guide
Community Preventive Services Task Force
This website is the official collection of all Community Preventive Services Task Force findings and the systematic reviews on which they are based.
Recommended; Insufficient Evidence; or Recommended Against
National Registry of Evidence-Based Programs and Practices (NREPP)
Substance Abuse & Mental Health Services Administration (SAMHSA)
NREPP is a searchable online registry of more than 300 interventions supporting mental health promotion, substance abuse prevention, and mental health and substance abuse treatment.
Readiness for Dissemination Ratings by Criteria (0.0-4.0 scale): Availability of implementation materials; Availability of training and support resources; Availability of quality assurance procedures
What Works for Health
Robert Wood Johnson Foundation County Health Rankings and Roadmaps
What Works for Health is a tool to help select and implement evidence-informed policies, programs, and system changes related to health behaviors, clinical care, social and economic factors, and the physical environment.
Scientifically Supported; Some Evidence; Expert Opinion; Insufficient Evidence; Mixed Evidence; or Evidence of Ineffectiveness
Research-Tested Intervention Programs (RTIPS)
National Cancer Institute and SAMHSA
RTIPs is a searchable database of cancer control interventions and program materials designed to provide program planners and public health practitioners easy and immediate access to research-tested materials.
5-point scale on three criteria - Research Integrity; Intervention Impact; and Dissemination Capability
National Guideline Clearinghouse
Agency for Healthcare Research and Quality
NGC is a public resource for evidence-based clinical practice guidelines.
Detailed narrative description of evidence, methodology, and outcomes, and ability to select and compare a number of guidelines.
Additional reliable and user-friendly sources of evidence-based strategies include:
Social Programs That Work
Coalition for Evidence Based Policy
Promising Practices Network
National Prevention Strategy Implementation Toolkit
Association of State and Territorial Health Officials (ASTHO)
What Works Clearinghouse
Institute of Education Sciences
Model Programs Guide
Office of Juvenile Justice and Delinquency Prevention (OJJDP)
Evidence Based Resources Tool
Healthy People 2020
Tools for choosing evidence-based strategies:
Choosing Your Strategy
Robert Wood Johnson Foundation What Works for Health
Resources and Tools: Questions To Ask as You Explore the Possible Use of an Intervention
SAMSHA's National Registry of Evidence-based Programs and Practices
Strengthening Chronic Disease Prevention
The Toward Evidence-Informed Practice (TEIP) Program Assessment Tool
Centers for Disease Control and Prevention (CDC)