Transcript Slide 1

FROM BINGO to EBP’s:
East Tennessee Area Agency on Aging and Disability
A Division of the East Tennessee Human Resource Agency
Cynthia Rockey, L.C.S.W., M.Ed.
Health Promotion & Resource Manager
WELCOME
Objectives



Discuss the definition and criteria of
Evidenced Based Programming (EBP)
Identify Evidenced Based Programming
(EBP) instrumental in contributing to the
health and wellness of older adults.
Describe partnerships beneficial to the
success and sustainability of Evidenced
Based Programming.
The National Council on Aging
Evidenced Based Programs (EBP)
The primary purpose of the Title IIID Evidenced Based
Programs is to provide services and activities, which
have been demonstrated through rigorous evaluation to
be effective evidence-based programs to assist older
adults in maintaining a healthy lifestyle.
As set forth by the Administration on Aging (AoA), the
program shall target elders aged 60 and older for
education and implementation activities that support
healthy lifestyles and promote healthy behaviors.
According to the AoA, health education reduces the
need for more costly medical interventions.
Source Older Americans Act of 1965
Criteria for and Importance of
Evidenced Based Programs (EBP)
Minimal Criteria:

Demonstrated through evaluation to be effective for improving
the health and wellbeing or reducing disease, disability and/or
injury among older adults; and

Ready for translation, implementation and/or broad
dissemination by community-based organizations using
appropriately credentialed practitioners.
Intermediate Criteria:

Published in a peer-review journal; and
 Proven effective with older adult populations using experimental
or quasi-experimental design; and

Some basis in translation for implementation by community level
organization.
Criteria for and Importance of
Evidenced Based Programs (EBP)
cont’d
Highest-Level Criteria:

Undergone Experimental or Quasi-Experimental Design; and

Level at which full translation has occurred in a community site;
and

Level at which dissemination products have been developed and
are available to the public.
Criteria for and Importance of
Evidenced Based Programs (EBP)
Update
Effective January 2015 Highest Tier Evidenced Based Title
IIID Services:

Demonstrated through evaluation to be effective for improving
the health and wellbeing or reducing disease, disability and/or
injury among older adults; and

Proven effective with older adult population using experimental
or quasi-experimental design; and

Research results published in a peer-review journal; and

Fully translated in one or more community site(s); and

Includes developed dissemination products that are available to
the public.

http://www.ncoa.org/improve-health/center-for-healthaging/content-library/Title-IIID-Highest-Tier-Evidence-FINAL.pdf
Why Evidenced Based
Programs (EBP)?




88% of over 65 population has at least
one chronic health condition
21% of over 65 populations have
chronic disabilities
One-third of over 65 population fall
each year, which is a leading cause of
fatal injuries
Impaired mobility is an independent risk
factor for mortality
Why Evidenced Based
Programs now cont’d?



Sedentary lifestyles count as a major
risk factor for chronic illnesses (heart
disease, diabetes, osteoporosis, etc.)
The aging population is expected to
double to 70 million in the next 25 yrs.
Incidence of stroke across the nation is
30-40% higher in the South and
Southeast states.
State of Aging in Tennessee



Tennessee’s over 65 population is
higher than the national average
Tennessee ranks in the bottom 10
states on almost all health and wellbeing measures
Tennessee in particular have high
incidences of chronic conditions ranking
well above the national norm
Source Governor’s Task Force on Aging 2014
State of Aging in TN cont’d







45th
44th
49th
49th
48th
44th
46th
in
in
in
in
in
in
in
Cancer deaths
Cardiovascular deaths
Heart Attacks
Heart Disease
High Blood Pressure
Strokes
Diabetes
Source United Health Foundation 2014
State of Aging in TN cont’d


Health care for older Americans drives 66%
of the country’s health care budget, but
results in even higher personal costs in terms
of diminished quality of life, loss of
independence, and the ability to engage in
and contribute to community life.
It’s important to note most chronic conditions
older Americans experience are preventable
or can be delayed by the practice of healthy
behaviors, the earlier . . . the better.
HEALTH & WELLNESS
MOVING AT THE SPEED OF LIFE
Physical Activity & Aging
Because of the low functioning
status and high incidence of chronic
disease, there is no segment of the
population that can benefit more
from regular exercise than the
elderly.
Source American College of Sports Medicine
Physical Activity the Rx for
Health & Wellness
The one and only statistically
significant intervention found
to improve overall health
outcomes and quality of life in
the aging population is
regular physical activity.
Source Healthy Aging Briefing Series 2011
Increasing Physical Activity is the FIRST and most
important prescription for virtually ALL chronic
diseases…







Diabetes
COPD
OA
Heart disease
Mood disorders
Fibromyalgia
Chronic Fatigue



Chronic Pain
Cancer
Worried well…
Motivators to Initiate Physical Activity






Improve health
Decrease pain
Improved mental acuity
Never too old (or too young) to
improve function
Improved cognition
Decrease risks of falls
Motivators cont’d….





Addresses several health domains
(social, mental, spiritual, etc.)
Improved Mood
Prevention or slowing of disease
process
Medication decrease
Nerve regeneration
It is your health . . .

Self-Management
Self Management Beliefs



Perceived ability to achieve a
certain level of independence
Expected success and benefits
behavior changes will provide
4 major ways to determine:
performance experience,
observing the experience of
others, verbal persuasion, and
emotional states experienced.
Important considerations when
Initiating Physical Activities Changes


Self management beliefs
are critical
Pleasure, self-regulation
skills and satisfaction are
most important for
sustaining physically
active behaviors (i.e. goal
setting, monitoring,
accountability and
celebrating successes)
Best Practices EBP Programs
available thru ETAAAD









Arthritis Foundation Aquatics
Arthritis Foundation Exercise
Arthritis Foundation Walk with Ease
Tai Chi for Arthritis & Diabetes
Chronic Disease Self Management Program
Diabetes Self-Management Program
Powerful Tools for Caregivers
Silver Sneakers
Stay Active and Independent for Life (SAIL)
Let’s Begin Practicing what we teach!
Educate, Advocate & Demonstrate
Community Leadership
 Data Driven
 Partnership of public, private
and non-profit and faith-based
organizations

Partnerships for Growing and
Sustaining Evidenced Based
Programs (EBP)








Senior Centers
Worship Centers
Worksites
Parks & Recreation Ctrs.
Schools
Community Ctrs.
Professional Organizations
State Government
Challenges







Affordability
Self-Assessment
Self-Management
Community Sustainability
Volunteers
Training
Change takes TIME . . .
References and Links . . .










http://www.ncoa.org/improve-health/center-for-healthaging/content-library/Title-IIID-Highest-Tier-Evidence-FINAL.pdf
Administration for Community Living - www.acl.gov
American Journal of Health Behavior, Hughes et al.,
Nov/Dec2010
http://patienteducation.stanford.edu
www.cdc.gov/diabetes/prevention
www.arthritis.org
www.powerfultoolsforcaregivers.org
www.everydayhealth.com/stroke-risk-higher-in-southeast
Washington State Department of Health (2009). Stay Active
and Independent for Life (SAIL).
tn.gov/sites/default/files/Aging-Task-Force-Final.pdf
Questions ??
THANK YOU
You must BE the
change you wish
to see in the
world!
Gandhi