Online Program

Empowering states to deliver evidence-based disease management and health promotion programs: National outcomes and best practices

Monday, November 4, 2013 : 2:42 p.m. - 2:54 p.m.

Janet C. Frank, DrPH, UCLA Center for Health Policy Research, UCLA Fielding School of Public Health, Los Angeles, CA
Emmanuelle St. Jean, MPH, Center for Healthy Aging, National Council on Aging, Washington, D.C., DC
Christy Ann Lau, MSSW, Multicampus Program in Geriatric Medicine & Gerontology, University of California, Los Angeles, Los Angeles, CA
Michele Boutaugh, MPH, Center for Policy, Planning, and Evaluation, U.S. Administration on Aging, Atlanta, GA
Sue Lachenmayr, MPH, CHES, Resource Center, Center for Healthy Aging, National Council on Aging, Washington, DC, DC
Emily Dessem, MSW, Center for Healthy Aging, National Council on Aging, Washington
Older adults and underserved racial and ethnic minorities disproportionately experience multiple chronic conditions and other preventable health risks, such as falls. The Administration on Aging (AoA) supported two major initiatives for states to build sustainable infrastructure to deliver chronic disease self-management (CDSMP) and prevention programs, with special emphasis on reaching underserved populations. Using secondary analyses, we documented successes, challenges, accomplishments, lessons learned, and products produced. In 2006-7, the AoA's “Empowering Older People to Take More Control of Their Health Through Evidence-Based Prevention Programs” funded 24 states that delivered 21 different programs to over 136,000 people. In 2010, 47states/territories received grants from the American Recovery and Reinvestment Act (ARRA) “Communities Putting Prevention to Work”. The ARRA grantees exceeded their goals by 181% and reached almost 91,000 older adults through more than 9,500 programs. The ARRA participant reach was 22.6% African American, 17% Hispanic/Latino, 1.7% Native American, and almost 5% Asian-Pacific Islander. For both AoA initiatives, indicators of success included supportive state leadership, effective public-private partnerships, strong delivery infrastructures, centralized or coordinated logistical processes, business and sustainability planning, and ongoing quality assurance and fidelity mechanisms. The results demonstrate that synergistic approaches are needed to significantly improve the health and quality of life of older adults, particularly those with multiple chronic conditions. Furthermore, the results have helped to identify numerous strategies, including strengthening public health/aging partnerships at the national level and building states' business acumen, to support sustainable evidence-based prevention programs.

Learning Areas:

Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe key features of systems planning for implementation and sustainability of evidence-based health promotion and disease management programs Identify national outcomes and best practices from AoA-funded evidence-based health promotion and disease management programs Discuss lessons learned and strategies for replication and sustainability of evidence-based health promotion and disease management programs

Keyword(s): Aging, Evidence Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Senior Program Manager with the Center for Healthy Aging at the National Council on Aging. I provided technical assistance, guidance, and program management to state government agencies and community-based providers that are implementing evidence-based health promotion programs, including Stanford University’s Chronic Disease Self-Management Program. I have presented at numerous state and national conferences on the topics of healthy aging, evidence-based programming, and program sustainability.
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.