NYS Evidence-Based Health Programs

Report
New York State Evidence-Based Health Programs
Quality and Technical Assistance Center
Philip McCallion, Ph.D. & Elaine Escobales
www.ceacw.org
[email protected]
or toll free at 877-496-2780
History of the Center
 The Center for Excellence in Aging and Community
Wellness, organized in 2000 within the University at
Albany’s School of Social Welfare and initially supported by
a series of grants awarded by the John A. Hartford
Foundation:
 Partners with state and local agencies
• Develops social work research capacity around aging issues.
• Translates and implements innovations in aging and health
services at the individual, family, community, regional and
state level.
• Builds community collaborations.
• Responds to the needs of vulnerable and oppressed
populations.
• Values the development, implementation and evaluation of
innovative, evidence-based research, training and services.
Who We Are
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The NYS Quality & Technical Assistance Center (QTAC)supports
evidence-based health and wellness and disease prevention
programs throughout New York State.
 Programs supported include the CDSMP, DSMP, Walk with Ease,
Active Living Everyday, and the National Diabetes Prevention
Program
 QTAC has master and t-trainers in all supported programs, provides
trainings throughout the State, manages all quality issues and
gathers data on program reach
 QTAC is a partner with NYS Department of Health and NYS Office
for the Aging to coordinate delivery and collaboration among
evidence based programs
What we do
- Manage a statewide partner registration and data entry portal
- Offer monthly webinars and in-person technical assistance
- Provide trainings for coach/leaders and master trainers
- Work with state agency, community provider, health system and
insurer partners
- Reach and outcomes data collection
- Assist with business planning to support sustainability
Who We Work With
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State agencies
Health systems
Insurers
Community agencies
Faith communities
EAPs
Employers
County agencies
Retiree groups
Benefits of Being Our Partner
 Five days per week availability of technical
support
 Free or low cost training
 Bulk purchase discounts on materials
 Access to the portal/data reporting
 Integration in statewide efforts
 Assistance with business planning
How We Are Funded
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NYS Department of Health/CDC
NYS Office for the Aging/ACL-AOA
Foundation funds
Donations
Fees
University at Albany support for
McCallion/Ferretti
What Makes a Program Evidence-Based
 Demonstrated research evidence for
effectiveness
 Specific target population
 Specific, measurable goal(s)
 Stated reasoning and proven benefits
 Well-defined program structure and
timeframe
 Specifies staffing needs/skills
 Specifies facility and equipment needs
 Builds in program evaluation to measure
program quality and health outcomes
NCOA, 2006
Programs We Promote
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Chronic Disease Self-Management Program
Diabetes Self-Management Program
Positive Self-Management Program
Chronic Pain Self-Management Program
Walk with Ease (self-directed)
Active Living Everyday
Active Choices
A Matter of Balance
National Diabetes Prevention Program
CDSMP or Living Healthy
∙ Facilitated by 2 trained “peer leaders”
∙ Teaches skills useful for managing a variety of chronic diseases
∙ Workshops - 2 ½ hours once a week for 6 weeks, in community
setting
Covers:
- Exercise
- Medication Management
- Communicating effectively with family, friends, and
health professionals
- Nutrition
- Cognitive symptom management techniques
The Evidence Supporting the CDSMP
• 1000 people with chronic health problems
participated in a randomized control trial and were
followed for up to 3 years:
• The results:
• significant improvements in self-rated health, symptom
management
• Reductions in ER and physician visits
• Increased self-efficacy
Training for Volunteer Leaders
 Should have a chronic condition or be the
caregiver of someone who does
 Willing to lead two 6 week workshops per
year
 4.5 days of training
 Scripted delivery of the intervention
 Support from QTAC
• Application: [email protected]
National Diabetes Prevention Program
 Targets people who have been determined by
blood test or risk test to be pre-diabetic
 Addresses lifestyle changes to prevent people
converting to Type II diabetes.
 1 year program
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Core: 16 sessions, usually held weekly (over 26 weeks)
Post-core: monthly sessions over 6-8 months (min 6)
CORE CURRICULUM: 3 SECTIONS
Skill-building
Self-Monitoring and
Physical Activity
Responding to the
external environment
Psychological and
emotional aspects
of lifestyle change
1.
2.
3.
4.
5.
6.
7.
Welcome
Be a Fat and Calorie Detective
Three Ways to Eat Less Fat and Fewer Calories
Healthy Eating
Move Those Muscles
Being Active: A Way of Life
Tip the Calorie Balance
8. Take Charge of What’s Around You
9. Problem Solving
10. Four Keys to Healthy Eating Out
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16.
Talk Back to Negative Thoughts
The Slippery Slope of Lifestyle Change
Jump Start Your Activity Plan
Make Social Cues Work for You
You Can Manage Stress
Ways to Stay Motivated
WHAT WERE THE DPP STUDY FINDINGS?
100
New England Journal of Medicine, 2002
90
Reduced chance
of developing
diabetes
71%
80
70
60
58%
50
31%
40
30
20
10
0
Lifestyle - total Lifestyle - 60+
Metformin
 Lifestyle intervention sharply reduced the chances of
developing type 2 diabetes (58%)
 71% for aged 60+
 Metformin group reduced their risk but not as much as
the lifestyle intervention group (31%)
Training for Volunteer Coaches
 Should have some personal experience of
diabetes
 Willing to commit to lead a 12 month
intervention
 Two days of training
 Scripted delivery of the intervention
 Support from QTAC
• Application: [email protected]
Populations We Reach
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Health disparity
Aging
Multiple chronic conditions
Caregivers
Largely female (want to reach more
men)
 Urban/suburban/rural
Partners Throughout New York State
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County offices for the Aging
County departments of Health
Aging network agencies
Health systems
Physician practices
Insurers
Libraries/grass roots
organizations/faith communities
Find Workshops and Sign-up online:
https://www.ceacw.org/find-a-workshop
How You Can Help
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Take a class
Become a volunteer leader/coach
Share your experiences with others
Volunteer to help market the programs or to
support organizing classes
You can reach us
by email at [email protected]
or toll free at 877-496-2780
You can reach us
by email at [email protected]
or toll free at 877-496-2780

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