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National Dissemination of Multiple Evidence-Based Disease Prevention Programs: Reach to Vulnerable Older Adults
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...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Frontiers Media S.A.
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410420/ https://www.ncbi.nlm.nih.gov/pubmed/25964901 http://dx.doi.org/10.3389/fpubh.2014.00156 |
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author | Towne, Samuel D. Smith, Matthew Lee Ahn, SangNam Altpeter, Mary Belza, Basia Kulinski, Kristie Patton Ory, Marcia G. |
author_facet | Towne, Samuel D. Smith, Matthew Lee Ahn, SangNam Altpeter, Mary Belza, Basia Kulinski, Kristie Patton Ory, Marcia G. |
author_sort | Towne, Samuel D. |
collection | PubMed |
description | 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 one-quarter 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. |
format | Online Article Text |
id | pubmed-4410420 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-44104202015-05-11 National Dissemination of Multiple Evidence-Based Disease Prevention Programs: Reach to Vulnerable Older Adults Towne, Samuel D. Smith, Matthew Lee Ahn, SangNam Altpeter, Mary Belza, Basia Kulinski, Kristie Patton Ory, Marcia G. Front Public Health Public Health 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 one-quarter 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. Frontiers Media S.A. 2015-04-27 /pmc/articles/PMC4410420/ /pubmed/25964901 http://dx.doi.org/10.3389/fpubh.2014.00156 Text en Copyright © 2015 Towne, Smith, Ahn, Altpeter, Belza, Kulinski and Ory. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Public Health Towne, Samuel D. Smith, Matthew Lee Ahn, SangNam Altpeter, Mary Belza, Basia Kulinski, Kristie Patton Ory, Marcia G. National Dissemination of Multiple Evidence-Based Disease Prevention Programs: Reach to Vulnerable Older Adults |
title | National Dissemination of Multiple Evidence-Based Disease Prevention Programs: Reach to Vulnerable Older Adults |
title_full | National Dissemination of Multiple Evidence-Based Disease Prevention Programs: Reach to Vulnerable Older Adults |
title_fullStr | National Dissemination of Multiple Evidence-Based Disease Prevention Programs: Reach to Vulnerable Older Adults |
title_full_unstemmed | National Dissemination of Multiple Evidence-Based Disease Prevention Programs: Reach to Vulnerable Older Adults |
title_short | National Dissemination of Multiple Evidence-Based Disease Prevention Programs: Reach to Vulnerable Older Adults |
title_sort | national dissemination of multiple evidence-based disease prevention programs: reach to vulnerable older adults |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4410420/ https://www.ncbi.nlm.nih.gov/pubmed/25964901 http://dx.doi.org/10.3389/fpubh.2014.00156 |
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