Philip McCallion, Ph.D. & Elaine Escobales www.ceacw.org

QTAC@albany.eduor toll free at 877-496-2780

New York State Evidence-Based Health Programs Quality and Technical Assistance Center

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

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

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

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 outcomesNCOA, 2006

Programs We Promote

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: QTAC@albany.edu

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 Core: 16 sessions, usually held weekly (over 26 weeks) Post-core: monthly sessions over 6-8 months (min 6)

CORE CURRICULUM: 3 SECTIONS1. Welcome2. Be a Fat and Calorie Detective3. Three Ways to Eat Less Fat and Fewer Calories4. Healthy Eating5. Move Those Muscles6. Being Active: A Way of Life7. Tip the Calorie Balance

8. Take Charge of What’s Around You9. Problem Solving10. Four Keys to Healthy Eating Out

11. Talk Back to Negative Thoughts12. The Slippery Slope of Lifestyle Change13. Jump Start Your Activity Plan14. Make Social Cues Work for You15. You Can Manage Stress16. Ways to Stay Motivated

Skill-buildingSelf-Monitoring and

Physical Activity

Responding to theexternal environment

Psychological and emotional aspects of lifestyle change

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%)

WHAT WERE THE DPP STUDY FINDINGS?

Lifestyle - total

Lifestyle - 60+ Metformin0

10

20

30

40

50

60

70

80

90

100

58%71%

31%

Reduced chance of developing

diabetes

New England Journal of Medicine, 2002

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: QTAC@albany.edu

Populations We Reach

Health disparity Aging Multiple chronic conditions Caregivers Largely female (want to reach more

men) Urban/suburban/rural

Partners Throughout New York State

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

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 QTAC@albany.eduor toll free at 877-496-2780

You can reach us by email at QTAC@albany.edu

or toll free at 877-496-2780