EvidenceBased Programming Initiative: Program Scope and Highlights

1
Evidence-Based Programming Initiative Program
Scope and Highlights

• Julie Kosteas Nancy Whitelaw
• GSA Symposium
• November 24, 2008

2
Evidence-Based Initiative Overview

• AoAs Choices for Independence Initiative
• Offer evidence-based disease prevention and
  health promotion programs through local aging
  services providers
• 27 states funded by AoA and Atlantic
  Philanthropies
• 2006 16 states funded by AoA
• 2007 8 additional states by AoA
• 2008 3 additional states funded by AP

3
27 States Funded by AoA and AP
AK
Hawaii
4
Evidence-based Programs Offered

• Stanford Chronic Disease Self-Management Program
  (required)
• EnhanceFitness
• Matter of Balance
• Active Living Every Day
• Healthy IDEAS
• Healthy Eating
• EnhanceWellness
• Active Options
• Healthy Moves
• Medication Management Improvement System
• Stepping On
• Step by Step
• Strong For Life
• Tai Chi Moving for Better Balance

two or more states
one state
5
Determining the Data

• AoA and NCOA wanted data but did not specify
• Key purpose of the demonstration was to develop
  capacity at both the state and local level, and
  so evaluation was not a priority given the
  limited funding
• A process that engaged the grantees
• Grantees talked among themselves, with NCOA and
  colleagues at the HAN about what was needed v.
  recommended, feasibility of collection, and other
  issues
• Important to NCOA that the grantees find utility
  in this effort and that they "own" the process

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Determining the Data

• A look at national surveys
• BRFSS, NHIS, NAPIS, Census, CDSMP Questionnaire
• Created tiers of measures
• Required v. recommended v. discretionary
• Consistency on variables across states
• Compare across those states that gathered the
  data
• Data gathering processes vary among the states
• Hawaii and Texas will be sharing their process

7
Required Data

• Core demographics
• Age
• Gender
• Race/ethnicity
• Living arrangement
• Zip code
• Attendance
• Implementation site information
• Type
• Session dates
• Location

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Required Data- Core Demographics
9
Central Database- Process and Procedures

• Materials and information sent to states
• Excel data template
• Core demographics, attendance, site information
• Code book
• Guide to using template and code book
• Registration form
• Host site information
• Reporting timeline
• 1st batch of data included entire first grant
  year
• Subsequent data received every 6-months

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Who Are We Reaching?

• N 17,637
• Reporting timeframe October 2006 - July 2008
• Age majority (51) are over 75 years old
• Gender 76 female
• Race/ethnicity 72 white, 11 black, 7 Latino
• Living arrangement 49 alone, 51 with someone
  else
• Zip code rural v. suburban v. urban
• Attendance
• CDSMP 75 attending 4 or more sessions (out of
  6)
• EF 39 attending 70 of available classes
• MOB 75 attending 5 or more sessions (out of 8)

11
Implementation Sites

• N 855
• Types
• 28 senior centers
• 24 residential facilities
• 12 health care organizations
• 8 community centers
• 7 faith-based organizations
• 6 multi-purpose social service agencies
• Other sites include parks dept, recreational
  organization, workplace, AAA

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Current Activities and Next Steps

• Facilitate cross-state learning and collaboration
• Work with states on presenting data to
  stakeholders
• Share data with AoA and other federal agencies