TY - JOUR
T1 - Dissemination of chronic disease Self-Management education (CDSME) programs in the United States
T2 - Intervention delivery by rurality
AU - Smith, Matthew Lee
AU - Towne, Samuel D.
AU - Herrera-Venson, Angelica
AU - Cameron, Kathleen
AU - Kulinski, Kristie P.
AU - Lorig, Kate
AU - Horel, Scott A.
AU - Ory, Marcia G.
N1 - Funding Information:
The Administration for Community Living/Administration on Aging is the primary funding source for this national study. The findings, conclusions, and opinions expressed do not necessarily represent official Administration for Community Living/Administration on Aging policy. The National Council on Aging served as the Technical Assistance Resource Center for this initiative and collected data on program participation from grantees. We also recognize the original support from the Administration on Aging with assistance from the National Council on Aging for the CDSME National Database management under cooperative agreement number 90CS0058-01.
Publisher Copyright:
© 2017 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2017/6/14
Y1 - 2017/6/14
N2 - Background: Alongside the dramatic increase of older adults in the United States (U.S.), it is projected that the aging population residing in rural areas will continue to grow. As the prevalence of chronic diseases and multiple chronic conditions among adults continues to rise, there is additional need for evidence-based interventions to assist the aging population to improve lifestyle behaviors, and self-manage their chronic conditions. The purpose of this descriptive study was to identify the geospatial dissemination of Chronic Disease Self-Management Education (CDSME) Programs across the U.S. in terms of participants enrolled, workshops delivered, and counties reached. These dissemination characteristics were compared across rurality designations (i.e., metro areas, non-metro areas adjacent to metro areas, and non-metro areas not adjacent to metro areas). Methods: This descriptive study analyzed data from a national repository including efforts from 83 grantees spanning 47 states from December 2009 to December 2016. Counts were tabulated and averages were calculated. Results: CDSME Program workshops were delivered in 56.4% of all U.S. counties one or more times during the study period. Of the counties where a workshop was conducted, 50.5% were delivered in non-metro areas. Of the 300,640 participants enrolled in CDSME Programs, 12% attended workshops in non-metro adjacent areas, and 7% attended workshops in non-metro non-adjacent areas. The majority of workshops were delivered in healthcare organizations, senior centers/Area Agencies on Aging, and residential facilities. On average, participants residing in non-metro areas had better workshop attendance and retention rates compared to participants in metro areas. Conclusions: Findings highlight the established role of traditional organizations/entities within the aging services network, to reach remote areas and serve diverse participants (e.g., senior centers). To facilitate growth in rural areas, technical assistance will be needed. Additional efforts are needed to bolster partnerships (e.g., sharing resources and knowledge), marketing (e.g., tailored material), and regular communication among stakeholders.
AB - Background: Alongside the dramatic increase of older adults in the United States (U.S.), it is projected that the aging population residing in rural areas will continue to grow. As the prevalence of chronic diseases and multiple chronic conditions among adults continues to rise, there is additional need for evidence-based interventions to assist the aging population to improve lifestyle behaviors, and self-manage their chronic conditions. The purpose of this descriptive study was to identify the geospatial dissemination of Chronic Disease Self-Management Education (CDSME) Programs across the U.S. in terms of participants enrolled, workshops delivered, and counties reached. These dissemination characteristics were compared across rurality designations (i.e., metro areas, non-metro areas adjacent to metro areas, and non-metro areas not adjacent to metro areas). Methods: This descriptive study analyzed data from a national repository including efforts from 83 grantees spanning 47 states from December 2009 to December 2016. Counts were tabulated and averages were calculated. Results: CDSME Program workshops were delivered in 56.4% of all U.S. counties one or more times during the study period. Of the counties where a workshop was conducted, 50.5% were delivered in non-metro areas. Of the 300,640 participants enrolled in CDSME Programs, 12% attended workshops in non-metro adjacent areas, and 7% attended workshops in non-metro non-adjacent areas. The majority of workshops were delivered in healthcare organizations, senior centers/Area Agencies on Aging, and residential facilities. On average, participants residing in non-metro areas had better workshop attendance and retention rates compared to participants in metro areas. Conclusions: Findings highlight the established role of traditional organizations/entities within the aging services network, to reach remote areas and serve diverse participants (e.g., senior centers). To facilitate growth in rural areas, technical assistance will be needed. Additional efforts are needed to bolster partnerships (e.g., sharing resources and knowledge), marketing (e.g., tailored material), and regular communication among stakeholders.
KW - Chronic disease
KW - Dissemination
KW - Evidence-based program
KW - Implementation
KW - Rural
KW - Self-management
KW - United States of America
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UR - http://www.scopus.com/inward/citedby.url?scp=85020918798&partnerID=8YFLogxK
U2 - 10.3390/ijerph14060638
DO - 10.3390/ijerph14060638
M3 - Article
C2 - 28613257
AN - SCOPUS:85020918798
VL - 14
JO - International journal of environmental research and public health
JF - International journal of environmental research and public health
SN - 1661-7827
IS - 6
M1 - 638
ER -