249630 Chronic Disease Integration Yields Sustainable Intervention Dissemination Through Novel Partnerships

Monday, October 31, 2011

Mari Brick, MA , Arthritis Council, National Association of Chronic Disease Directors, Voorheesville, NY
Jeanne Alongi, MPH , Program Integration Council, National Association of Chronic Disease Directors, Sacramento, CA
1. Significance of the problem. 50 million adults in the U.S. have doctor-diagnosed arthritis. It is the most common cause of disability among adults and adults with arthritis often report one or more other chronic diseases. In 2003, the total cost attributed to arthritis and other rheumatic conditions in the United States was 128 billion dollars. However, there are only 12 states funded to support significant arthritis prevention and control programs

2. Innovativeness of approach. A pilot project integrating arthritis-related public health interventions into non-arthritis specific program areas was funded in nine states.

3. Methodological rigor of approach. Programs emphasizing chronic disease self-management, risk reduction, self-efficacy, and physical activity have been particularly effective in reducing the burden of chronic diseases including arthritis. Such evidence-based programs include the Chronic Disease Self-Management Program, the Enhance Fitness program, the Arthritis Foundation Exercise program. Funded states disseminated these interventions through existing, though non-arthritis specific, delivery systems.

4. Findings. In four case examples highlighting key findings, arthritis interventions were embedded in a healthy aging and disability unit, an injury and disability prevention program, and two diabetes prevention and control programs. Novel partnerships included Area Agency on Aging networks and a statewide Parish Nurse program. Leveraging ARRA-related capacity and partners from the aging services networks were instrumental in expanding reach of these interventions.

5. Implications identified for future practice. Common program goals and components among categorical prevention programs make integration an appropriate and effective strategy for increasing and sustaining the reach of evidence-based interventions.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
1.Participants will be able to compare the models of collaboration, best practices and lessons learned, used by four state AID projects to reach older citizens with arthritis and other co-morbidities. 2.Participants will be able to describe how an Evidence-Based Program can be used by a State Health Department to work with aging services partners at the state, regional, and local levels to reach target populations to offer the programs that are effective for people with chronic diseases like arthritis and other co-morbidities.

Keywords: Community-Based Public Health, Self-Management

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present this information because I am the project manager for the identified state projects and have advised them and followed their activities since 2008.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.