are senior centers becoming wellness centers? philadelphia corporation for aging regional conference...
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Are Senior Centers Becoming Wellness Centers?Philadelphia Corporation for Aging Regional Conference
September 29, 2014
Objectives: Describe Center in the Park CIP’s Experience with Building Capacity to
Deliver Evidence Based Programs How-to’s, Benefits and Challenges of
Academic-Community Based Partnerships Show how successful collaborations and
implementation lead to recognition and better inform delivery of senior center health and wellness programs
Center in the Park promotes positive aging and fosters community connections for older adults, whose voices are critical instruments in shaping its activities and direction.
Center in the Park is a nationally accredited senior community center, founded in 1968, focusing primarily on the needs of older adults.
CIP provides programs and services in four strategic focus areas, including health promotion and evidence-based programs.
CIP’s membership includes nearly 6,000 older adults from NW and all other neighborhoods in Philadelphia, with @2200 active annually and another 1,200 receiving services
On average -180-200 participate daily
A center for positive aging
CIP’s Experience in Delivery of Evidence Based Programs Began with Harvest Health, CDSMP . . . • Originally a collaborative research project conducted through a multi-year
grant (2003-2008) in partnership with Thomas Jefferson University’s Center for Applied Research on Aging and Health (CARAH), Philadelphia Corporation for Aging (PCA) and Albert Einstein Healthcare.
• During the study, CIP recruited 519 participants for Harvest Health who were on average 73 years old, female, unmarried, with an average of three reported health conditions. Participation in Harvest Health demonstrated how being engaged in a senior center program can positively impact quality of life and decrease health distress (Gitlin, et al., 2007).
• CIP is licensed by Stanford University to deliver the program and continues to offer the Harvest Health CDSMP throughout the community and to train lay leaders.
Empowers participants to take an active role in maintaining their health care
Participants learn to manage the symptoms from their chronic conditions
Participants establish their own goals
Weekly action plan
Comprehensive curriculum
Harvest Health/The Chronic Disease
Self-Management Program
Harvest Health Chronic DiseaseSelf-Management Program
•2004 – 2008: Over 500 participants learned to better cope with chronic conditions; pilot research – cultural adaptations for African American older adults
• Ongoing delivery to hundreds of older adults at CIP and in the community
• 4 volunteer Lay Leaders currently active - 12 non-staff trained
• On staff 1T–Trainer, 3 Master Trainers, and 3 Lay Leaders
• Training and monitoring contracts in Bucks County and the State of Delaware, Division of Diabetes Prevention and Control
•Multi-Site Pennsylvania Department of Aging
Contact: Lois Shelton- [email protected]
To verify agencies operating under this license contact Stanford at 650.723-7935
•Erie LifeWorks Erie •Johnstown Conemaugh
Memorial Medical Center
•Langhorne St. Mary Medical Center
•Philadelphia Center in the Park
•Pittsburgh Vintage, Inc
also offers courses in Chinese
Pennsylvania Organizations Licensed to Offer the Chronic Disease Self-Management ProgramLISTED BY CITY
Diabetes Self-Management Program
Participants engage in a six-week course aimed at creating and implementing self-directed health action plans
Learn how to manage diabetes in a balanced way
Understand basics about blood glucose monitoring, and how diet, exercise, medication, and stress affect blood glucose levels.
Learn ways of communicating with their health care team to provide and understand vital information, make treatment decisions and achieve better health outcomes; as well as managing symptoms and sick days.
3 CIP DSMP Master Trainers – 1 Volunteer Lay Leader
•Langhorne St. Mary Medical Center
•Philadelphia Center in the Park
•Pittsburgh Vintage, Inc
Pennsylvania Organizations Licensed to Offer the Diabetes Self-Management ProgramLISTED BY CITY
Research . . . Health Promotion & Evidence-Based Programs
Harvest Health: Chronic Disease Self-Management Program
Diabetes Self-Management Program
In Touch: Mind, Body & Spirit – Healthy Aging Study
Healthy Steps for Older Adults – Regional Pilot
Beat the Blues – Depression Screening and Intervention
Hold That Thought – Mild Cognitive Impairment Study
Second Time Around – Grandparents Raising Grandchildren
Pneumonia Prevention Project – Jefferson School of Pharmacy
NCOA Aging Mastery Program – Pilot and Statewide Dissemination
Entering into the Collaborative Process
Each site must ask: Will my site benefit by participating in this
collaboration? Can my site satisfy the requirements for carrying
out the joint project (e.g., do we have the time, resources, staff, knowledge, expertise)?
Are benefits offered by the collaboration/project worth the effort/outlay of resources? (e.g., benefit/time/risk ratio)
Academic Setting-Literature review/nature of the evidence-Research evidence to support targeted problem-Identification of potential evidence-based program
(Step 1)
Community Setting-Identification of target population-Identification of context-specific
problem and service needs-Identification of resource needs
(Step 1) Academic-Community Integration
- How to use the evidence-Assessment of fit between the
evidence and target setting and population
- Resource need identification(Step 2)- Identification of immutable
intervention components-Potential research designs/
-Strategy for treatment fidelity Assessments
(Step 3)
-Name and frame program to fit target population-Recruitment/ marketing plan for program-Resource and staff identification
(Step 3)Pre-testing Application of Evidence
-Key informant interviews or focus groups to test program elements;
-Staff training/ Program Refinements
(Step 4)
Implementation of Evidence
-On-going formative and summative evaluations-Treatment fidelity monitoring
-Interpretations
(Step 5)
Design refinementInterpretation
Manuscript generation
Design refinementInterpretation
Manuscript generation
Cost for sustainabilityContinuation funding
Infrastructure refinement
Cost for sustainabilityContinuation funding
Infrastructure refinement
Challenges of a Partnership Having appropriate staff who buy-in to the
partnership and can work collaboratively Time conflicts Management of different funding sources
and shifting roles Keeping the commitment alive and on-
going Assuring on-going mutual respect and
trust
Academic/Community-Based Partnerships:How Collaboration Benefits Academic Institutions, Senior Centers and Elders
Integrated as a member of the team to help inform the research process
Able to give back to future generations (a key value of target population) in a significant way
Benefits derived from participation in evidence-based programs
Help shape systematically the programming offered at the community site
Help shape systematically the program of research pursued by the academic site
Help shape training of future health professionals
Added Value of the Partnership
Access to new funding streams Avenue for professional development of
participants from each site Important role of the collaborative is
mentorship and personal/professional growth of key staff
Community partner gains access to intellectual resources it may not have had previously
Academic partner gains access to research participants, helping to close the gap between research and practice
Recognition . . .
NISC . . . New Models Report: 2008Case Study Wellness CenterCenter in the ParkPhiladelphia, PA
Evidence-based health promotion programs: In Touch, Beat the Blues, Harvest Health, Healthy Steps
Partners with Thomas Jefferson University’s Center for Applied Research on Aging and Health
Working on sustainability business plan for Harvest Health, a chronic disease self-management program
www.centerinthepark.org
Successful Community-Academic Partnerships
and Excellence in Aging Services 2014 Partnered with the National Council on Aging (NCOA) to train and
mentor staff of seven senior centers to deliver the Aging Mastery Program (AMP) throughout the state of Pennsylvania
2013 Selection by the National Council on Aging (NCOA) as one of five sites nationally to pilot the Aging Mastery Program (AMP)
2010 National Institute of Senior Centers (NISC) Research award in collaboration with Thomas Jefferson University’s Center for Applied Research in Aging and Health (CARAH) for the Harvest Health Chronic Disease Self-Management Program
2009 NOMA Award from the American Society on Aging for Excellence in Multi-cultural Aging for CIP’s collaborative work with CARAH on the In Touch: Mind, Body Spirit program
2009 Selection by the U.S. Administration on Aging (AOA) as one of 14 sites nationally to pilot a Diabetes Self Management Training (DSMT) Initiative
2008 Recognition by the National Institute of Senior Centers (NISC) as a New Model : Case Study of Wellness Center.
Center in the Park 215-848-7722
www.centerinthepark.org
Lynn Fields-Harris, MPA Executive Director
Renee Cunningham-Associate Director
Megan McCoyDirector, Grant Research and Development
Delores Palmer, RN In Touch Health Promotion Coordinator
Marie-Monique Marthol Clark, BS In Touch Health Promotion Coordinator
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