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Evidence Based Health Promotion

Nor
t
h
Carolina Division of Aging and Adult Services have an increasing focus on the implementation of Evidence Based Health Promotion.  Evide
nce Based program are researched for content and studied for their effectiveness. 
That is what we know works verses those that we think work.
EVIDENCE-BASED PROGRAM LINKS

Living Healthy:
with a Chronic Condition & Diabetes

Healthy IDEAS: Addressing Depression in Older Adults

Matter Of Balance: A Fear of Falling Program

Walk with Ease: Walking Program for People with Arthritis

Arthritis Foundation Exercise Program

NCOA Center for Health and Aging

Administration on Aging Evidence Based Disease and Disability Programs



Purpose:

This document provides a brief overview of evidence-based [health promotion] programs (EBPs), particularly as they relate to AoA’s initiative to increase the number of EBPs offered through the aging services network.

 

Reminder:

Evidence-based programs are HOT!  However, not everyone uses the same definition of EBPs.  It’s important for us to keep in mind that we are following AoA’s guidelines for EBPs, which may actually be more “strict” than others’ guidelines. 

 

Basic Guidance:

The easiest way to think of an EBP is that it is a “thing” – a packaged program that is ready-to-go.  EBPs have outcomes, but remember, just because a program – any program – has outcomes, that doesn’t mean it’s evidence-based. 


An EBP has…

Some Examples (a VERY short list)

A specific target population

Ex. 1:  Seniors with chronic health conditions

Ex. 2:  People who have a fear of falling

Specific, measurable goal(s)  

Ex. 1:  To increase knowledge about chronic conditions

Ex. 2:   To improve communication with healthcare providers

A stated reasoning behind it (i.e. a reason why it is designed as it is.)

Ex. 1:  A program based on the Social Cognitive Theory

Ex. 2:  People with osteoarthritis have decreased aerobic functioning and decreased muscle strength

Proven benefits

Ex. 1:  Increase weekly minutes of exercise

Ex. 2:  Improves self-reported health

A well-defined program structure and timeframe so others understand how the program works and so it can be easily adopted/disseminated

Ex. 1:  Program has 6 weekly sessions which last 2.5 hours each

Ex. 2:  Program is led by 2 trained leaders

Specifications re: staffing needs/skills

Ex. 1:  Leaders must attend a 20-hour training

Ex. 2:  Leaders must be certified fitness instructors

Specifications re: facility & equipment needs

Ex. 1:  Must have a private room with sufficient space for chairs to be set in a circle or semi-circle

Ex. 2:  Must have hand weights or exercise bands

Program evaluations to measure program quality & health outcomes

Ex. 1:  Program quality is measured by observation of leaders & participant satisfaction surveys

Ex. 2: Health outcomes are measured using baseline and follow-up questionnaires