Form 0920-24FZ Success Story Template

ICRC Success Stories

S1) *ICRC Name (drop-down, select one)

S2) *Core Area (drop-down, select one)

• Research project

• Training and education core

• Outreach core

S3) *ICRC Success Story Type (drop-down, select one)

• General

• Research tool

• Practice tool

• Narrative story of innovation and impact

S4) *List one or more personnel associated with this success (2,000 characters max).

S5) *Budget period (Select all that apply):

• Budget Period 1: August 1, 2024–July 31, 2025

• Budget Period 2: August 1, 2025–July 31, 2026

• Budget Period 3: August 1, 2026–July 31, 2027

• Budget Period 4: August 1, 2027–July 31, 2028

• Budget Period 5: August 1, 2028–July 31, 2029

S6) *Date of submission (MM/DD/YYYY):

S7) *ICRC Success Story Name (500 characters max):

S8) *Description (5,000 characters max):

S9) *Role of ICRC (5,000 characters max):

S10) *What are the next steps of this success? (5,000 characters max)

To effectively evaluate the potential of an activity to become a "promising practice," it's crucial to consider its impact, feasibility, adaptability, reach, and sustainability. These factors help us understand if the activity is achieving its goals, can be implemented consistently, is flexible enough to fit different populations, is reaching the intended audience, and can continue to produce positive results over time.

S11) *Based on the criteria below, can this activity be considered a “promising practice”?

• Yes

• No

• I have already answered the Promising Practices questions for this activity in an APR

Promising Practice Criteria:

• Received NCIPC ICRC funding;

• Focused on injury and/or violence prevention; and

• Demonstrated potential for replicability (i.e., fully implemented in two or more populations of interest and/or has documented, empirically based measures of effectiveness)

S11.1) Is there evidence to support the feasibility of this practice? In your response, address the indicators listed below (5,000 characters max):

Feasibility criteria:

• Was the practice delivered as intended?

• Could the practice be replicated in different settings or with different populations?

• What has helped or hindered practice delivery?

• What resources (such as number of facilitators, materials, funding) are required for implementation?

S11.2) Has the practice been successfully adapted? In your response, address the indicators listed below (5,000 characters max):

Adaptability criteria:

• Has the practice been adapted for alternative contexts (settings, populations, or environments)?

• Is there evidence of impact in these alternative contexts?

• What core components or strategies are essential for adaptation?

• Have materials been tailored to cultural or other varying contexts?

S11.3) What is the reach of the practice? In your response, address the indicators listed below (5,000 characters max):

Reach criteria:

• Has the practice reached the priority population(s)? (Please specify the priority population(s)).

• Has the practice been successfully delivered as intended within the priority population(s)?

• Has the practice addressed structural barriers to health equity?

• Has the practice engaged marginalized or underserved groups?

If S2 = research project, ask:

S11.4) Is there evidence to support the effectiveness of this practice? In your response, address the indicators listed below (5,000 characters max):

Effectiveness criteria:

• What evidence of positive impact on injury and violence outcomes or risk/protective factors does the practice have?

• What core components are needed to achieve the intended impact?

• What data (empirical or qualitative) measures the impact of the practice?

If S2 = outreach or training activity, ask:

S14.4) *Is there evidence to support the sustainability of this practice? In your response, address the indicators listed below (5,000 characters max):

Sustainability criteria:

• Has practice delivery been maintained for one or more years?

• Has the evidence of positive impact been maintained over one or more years?

• What core components are needed to support sustainability?

S11.5) In 3–4 sentences, explain why this activity should be considered for future funding and/or replication (5,000 characters max).

S11.6) To help us better understand and evaluate this practice, please upload any relevant publications or documents below.

When naming your files, please use this format:

• Name of the Promising Practice and document number (e.g., ACEs and Suicidal Behavior in African Americans_Doc1)

• Your university (e.g., Iowa)

• APR Year (e.g., 2025)

Example: ACEs and Suicidal Behavior in African Americans_Doc1_Iowa_2025