TY - JOUR
T1 - National dissemination of multiple evidence-based disease prevention programs
T2 - Reach to vulnerable older adults
AU - Towne, Samuel D.
AU - Smith, Matthew Lee
AU - Ahn, Sang Nam
AU - Altpeter, Mary
AU - Belza, Basia
AU - Kulinski, Kristie Patton
AU - Ory, Marcia G.
N1 - Funding Information:
Administration for Community Living is a primary CDSME workshop funder. Opinions expressed do not necessarily represent official Administration for Community Living policy. The national dissemination of these programs was supported as part of the United States Administration on Aging’s Evidence-Based Disease and Disability Prevention program (EBDDP) initiative. In addition to the AoA, this initiative was made possible by partnerships with the Centers for Disease Control and Prevention, Agency for Healthcare Research and Quality (AHRQ), Centers for Medicare and Medicaid Services (CMMS), Health Resources and Services Administration (HRSA), Substance Abuse and Mental Health Services Administration (SAMHSA), and over 30 private foundations. We recognize the support from the AoA with assistance from the National Council on Aging for the evaluation of the EBDDP initiative under co-operative agreement number 90OP0001/01, as well as the Healthy Aging Research Network, funded through the Centers for Disease Control and Prevention’s Prevention Research Centers. The findings and conclusions in this article are those of the author(s) and do not necessarily represent the official position of AoA, National Council on Aging, or any other agency. The authors specifically acknowledge the contributions of Nancy Whitelaw, Don Grantt, Wendy Zenker, Kelly Horton, Meghan Thompson, Ashley Wilson, and Linnae Hutchison.
Publisher Copyright:
© 2015 Towne, Smith, Ahn, Altpeter, Belza, Kulinski and Ory.
PY - 2015/4/27
Y1 - 2015/4/27
N2 - Older adults, who are racial/ethnic minorities, report multiple chronic conditions, reside in medically underserved rural areas, or have low incomes carry a high burden of chronic illness but traditionally lack access to disease prevention programs. The Chronic Disease Self-Management Program (CDSMP), A Matter of Balance/Volunteer Lay Leader (AMOB/VLL), and EnhanceFitness (EF) are widely disseminated evidence-based programs (EBP), but the extent to which they are simultaneously delivered in communities to reach vulnerable populations has not been documented.We conducted cross-sectional analyses of three EBP disseminated within 27 states throughout the United States (US) (2006-2009) as part of the Administration on Aging (AoA) Evidence-Based Disease and Disability Prevention Initiative, which received co-funding from the Atlantic Philanthropies.This study measures the extent to which CDSMP, AMOB/VLL, and EF reached vulnerable older adults. It also examines characteristics of communities offering one of these programs relative to those simultaneously offering two or all three programs. Minority/ethnic participants represented 38% for CDSMP, 26% for AMOB/VLL, and 43% for EF. Rural participation was 18% for CDSMP, 17% for AMOB/VLL, and 25% for EF. Those with comorbidities included 63.2% for CDSMP, 58.7% for AMOB/VLL, and 63.6% for EF while approximately onequarter of participants had incomes under $15,000 for all programs. Rural areas and health professional shortage areas (HPSA) tended to deliver fewer EBP relative to urban areas and non-HPSA. These EBP attract diverse older adult participants. Findings highlight the capability of communities to serve potentially vulnerable older adults by offering multiple EBP. Because each program addresses unique issues facing this older population, further research is needed to better understand how communities can introduce, embed, and sustain multiple EBP to ensure widespread access and utilization, especially to traditionally underserved subgroups.
AB - Older adults, who are racial/ethnic minorities, report multiple chronic conditions, reside in medically underserved rural areas, or have low incomes carry a high burden of chronic illness but traditionally lack access to disease prevention programs. The Chronic Disease Self-Management Program (CDSMP), A Matter of Balance/Volunteer Lay Leader (AMOB/VLL), and EnhanceFitness (EF) are widely disseminated evidence-based programs (EBP), but the extent to which they are simultaneously delivered in communities to reach vulnerable populations has not been documented.We conducted cross-sectional analyses of three EBP disseminated within 27 states throughout the United States (US) (2006-2009) as part of the Administration on Aging (AoA) Evidence-Based Disease and Disability Prevention Initiative, which received co-funding from the Atlantic Philanthropies.This study measures the extent to which CDSMP, AMOB/VLL, and EF reached vulnerable older adults. It also examines characteristics of communities offering one of these programs relative to those simultaneously offering two or all three programs. Minority/ethnic participants represented 38% for CDSMP, 26% for AMOB/VLL, and 43% for EF. Rural participation was 18% for CDSMP, 17% for AMOB/VLL, and 25% for EF. Those with comorbidities included 63.2% for CDSMP, 58.7% for AMOB/VLL, and 63.6% for EF while approximately onequarter of participants had incomes under $15,000 for all programs. Rural areas and health professional shortage areas (HPSA) tended to deliver fewer EBP relative to urban areas and non-HPSA. These EBP attract diverse older adult participants. Findings highlight the capability of communities to serve potentially vulnerable older adults by offering multiple EBP. Because each program addresses unique issues facing this older population, further research is needed to better understand how communities can introduce, embed, and sustain multiple EBP to ensure widespread access and utilization, especially to traditionally underserved subgroups.
KW - Aging health
KW - Community intervention
KW - Evidence-based programs
KW - Minority adults
KW - Older adults
UR - http://www.scopus.com/inward/record.url?scp=85020899304&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85020899304&partnerID=8YFLogxK
U2 - 10.3389/fpubh.2014.00156
DO - 10.3389/fpubh.2014.00156
M3 - Article
AN - SCOPUS:85020899304
VL - 2
JO - Frontiers in Public Health
JF - Frontiers in Public Health
SN - 2296-2565
IS - APR
M1 - 156
ER -