Reach and Adoption of Evidencebased Programs: Sharing Preliminary Data

1
Reach and Adoption of Evidence-based Programs
Sharing Preliminary Data
Marcia Ory, Ph.D, Texas AM Health Science
Center Basia Belza, Ph.D., RN, University of
Washington
NCOA and ASA Annual Conference March 2009
2
Acknowledgments

• AoA Evidence-based Disease Prevention Initiative
• CDC Prevention Research Center Healthy Aging
  Research Network
• Senior Services of Seattle/King County
• NCOA Healthy Aging Program

3
Questions Being AddressedFocus on Two RE-AIM
Elements

• Are these programs reaching populations that will
  help reduce health and service disparities?
• How many and what kinds of organizations are
  delivering the program?
• What patterns are emerging in required data?

4
Evidence-based Programs

• Chronic Disease Self-Management Program (CDSMP)
• A Matter of Balance (AMOB)
• EnhanceFitness (EF)
• Other (onlys)

• 6 week group classes
• 8 week group classes with physical activity
• Continuous physical activity program
• ALED, AC, Tai-Chi, Stepping on

5
Participants Reached Over Time
YR 1
YR 2
YR 3
YR 1 10/1/2006-7/31/2007 YR 2 6/1/2007 -
7/31/2008 YR 3 6/1/2008 - 7/31/2009 and 99
challenge grant participants (1/08-12/08) As
of 3/11/2009
6
Participants Reached Over Time by Program
TOTAL 3833 12374
2766 5942
YR 1 10/1/2006-7/31/2007 YR 2 6/1/2007 -
7/31/2008 YR 3 6/1/2008 - 7/31/2009 and 99
challenge grant participants (1/08-12/08) As
of 3/11/2009
7
of Ethnic/Minority Populations Reached All
Programs and Years Combined
There is a range across the state with a low of
2 and high of 90 Based on 15121 participants
data as of 3/11/2009 with unknown, n
9730. Includes categories Native American,
Asian, Pacific Islander, Multi-racial.
8
Participants Age All Programs and Years Combined
data available for 14910 total participants as
of 3/11/09, unknown is 9441.
9
Participant Age All Programs and Years Combined
52
10
data available for 14910 total participants as
of 3/11/09, unknown is 9441.
10
Living Arrangements for Total PopulationAll
Programs and Years Combined
data available for 12787 total participants as
of 3/11/09, unknown is 12064.
11
Participant GenderAll Programs and Years
Combined
75
data available for 14410 total participants as
of 3/11/09, unknown is 9605.
12
Definition of Host Organization and
Implementation Sites

• Host organization is one that provides funding
  (through the AoA demonstration dollars or related
  funds) and/or technical assistance and
  oversight of implementation sites. 
• Implementation site is where programs are offered.

13
Host Organizations and Sites
YR 1 10/1/2006-7/31/2007 YR 2 6/1/2007 -
7/31/2008 YR 3 6/1/2008 - 7/31/2009 and
challenge grant participants (1/08-12/08) As of
3/11/2009 Unknown, 99 sites.
14
Types of Implementation SitesAll Sites, All
Years Combined
YR 1 10/1/2006-7/31/2007 YR 2 6/1/2007 -
7/31/2008 YR 3 6/1/2008 - 7/31/2009 and
challenge grant participants (1/08-12/08). As of
3/11/2009 Unknown, 99 sites.
15
Implementation Sites All Sites Combined, by Year
1,048
614
310
124
YR 1 10/1/2006-7/31/2007 YR 2 6/1/2007 -
7/31/2008 YR 3 6/1/2008 - 7/31/2009 and
challenge grant participants (1/08-12/08) As of
3/11/2009 Unknown, 99 sites.
16
Types of Implementation Sitesby Year
YR 1 10/1/2006-7/31/2007 YR 2 6/1/2007 -
7/31/2008 YR 3 6/1/2008 - 7/31/2009 and
challenge grant participants (1/08-12/08) As of
3/11/2009 Unknown, 99 sites.
17
Conclusions

• More than 20,000 seniors have been reached since
  late 2006
• Participants do reflect diversityage , living
  arrangements and ethnicity/minority status
• Starting to scale upalmost 200 host sites, over
  1000 implementation sites
• Not strong penetration at a particular site
  yet-in terms of multiple offerings of repeat
  offerings of either multiple programs

18
Limitations

• Just the first looka snapshot in time
• A lot of data still being processed
• The reporting only refers to AoA initiative
  funded programs
• Lots of missing data/unknowns on the 5
  demographics
• Only looking at two RE-AIM Elements

19
Website http//re-aim.org
20
Future Directions

• Redo analyses with more complete 3rd year data
• Examine geographic dispersion
• Investigate time trends
• Examine further interrelationships between
  demographics, organizational characteristics and
  outcomes via state-specific data
• Plan for a national evaluation of evidence-based
  programs

21
Acknowledgements and Contact Information

• Acknowledgements
• States funded by Choices for Independence.
• Senior Services, Seattle, WA
• Contacts
• Basia Belza at basiab_at_u.washington.edu
• Marcia Ory at MOry_at_srph.tamhsc.edu