Welcome to the

Living Healthy 2009 Fall Retreat

Welcome and IntroductionsReview PacketOverview of Program YTDEvaluations and What’s NewOther Evidence-Based InitiativesFY10 Goals FidelityBrainstorm with DebiLunchQuestions and Answers Closing

Third and final grant year25 workshops YTD297 total participantsAverage 11-12 participants per class6 Master Trainers39 Leaders All 9 counties in region representedEarly Spring leader training TBA

Held at a wide variety of sites such as churches, congregate nutrition sites, senior centers, community/civic or recreation centers, retirement communities (CCRC)None held yet at an assisted living facility, college, hospital or medical center, Parks and Rec, workplaceScheduled for: Myers Park Clinic

Overwhelmingly positive with approximately 95% rating the class a 4 or 5 in all categoriesNo complaints about the length of the classLeaders get high praise!99% would recommend the class to a friend or family member

Lowest ratings regarding location or siteRoom wasn’t comfortable or conducive to the class success Noise level and distractionsMany stated that their health didn’t always let them complete all the sessions

This healthy living class has made changes in my life.The instructors were very information and helpful They were very caring about all of our problems.I know now that I am not the only one with problems.I look at things differently now…Very well presented and well research.

Master TrainersNext Leader Certification Early Spring 2010Title III-D Health Promotion Disease Prevention Funds 35% NC EBHP requirementBrochuresTwo WOM CardsNew NC Forms – Sign In Sheet and PIF FormAgency AgreementDSMP

EBP stands for evidence-based programEBHP stands for evidence-based health programsProven effective in helping older adults reduce their risk of chronic disease and disabilityBased upon rigorously conducted research (randomized trial) and published Develop and tested with older adultsReplicable in community-based settings

The health and well-being of older adults will be improved only if we work from a broad perspective.

Comprehensive planning and partnerships at all levels are required.

Harassing individuals about their bad habits has very little impact.

Changes at the individual level will come with improvements at the organizational, community and policy levels.

Diabetes Self-Management Program (DSMP)Required a new license and newly certified Master TrainersDeveloped at Stanford University and follows the same format as CDSMP About 50-60% new content specific to diabetesSame book and CD but mostly new chartsCross training for CDSMP leaders complete in 1-2 days

What we know about diabetes……. In 2008, North Carolina ranked 17th highest for

adult diabetes prevalence among all states in the U.S.

An estimated 643,000 North Carolinians or 9.3% had diagnosed diabetes in 2008. Another 232,000 were estimated to have undiagnosed diabetes. There were an estimated 376,000 adults with pre-diabetes in the state. Altogether, an estimated 1.25 million adults in North Carolina had some form of hyperglycemia (high blood sugar levels) in 2008.

A Matter of Balance: Managing Concerns About FallsLicense2 Master TrainersIncludes data analysis and reports twice yearlyLeaders called coachesInexpensive

What we know about falls… 1/2 to 2/3 of falls occur around

the home

A majority of falls occur during routine activities

Falls usually aren’t caused by just one issue. It’s a combination of things coming together.

A large portion of falls are preventable!

Designed to reduce the fear of falling and increase the activity levels of older adults who have concerns about falls.

Relies heavily on cognitive restructuring which turns negative thoughts into positive thoughts, defines barriers or obstacles and identifies strategies to over come them

Designed to benefit community-dwelling older adults who are concerned about falls, have sustained a fall in the past and who may be restricting activities because of concerns about falling. They should be interested in improving flexibility, balance and strength and are 60 or older, ambulatory and able to problem-solve.

During 8 two-hour classes taught by two coaches, participants learn:

To view falls and fear of falling as controllable

To set realistic goals for increasing activity

To change their environment to reduce fall risk factors

To promote exercise and to increase strength and balance

Arthritis Foundation AFEP – Arthritis Foundation Exercise Program

specifically for people with arthritis and is taught by trained leader

Arthritis Foundation Aquatics Arthritis Foundation Tai Chi For more information contact the Arthritis

Foundation at www.arthritis.org Local contact: Arthritis Foundation, Carolinas Chapter Phone:  704-529-5166 or 1-800-883-8806

Fit and StrongA multiple component physical activity and

behavior change intervention that meets for one and a half hours three times per week for eight weeks (24 sessions total) for older adults with lower extremity osteoarthritis.

Instructor is a Certified Exercise Instructor (e.g., ACSM, ACE, YMCA, etc.)

Equipment costswww.fitandstrong.org

Enhance Wellness Enhance Fitness Active Choices Active Living Everyday Strong for Life Wise Women Healthy IDEAS – Depression PEARLS - Prevention and Management of

Alcohol Problems in Older Adults www.healthyagingprograms.org

Another Leader class in early Spring 2010DSMP Cross training class by Summer 2010Representation in each county for both classes and leadersMaintain fidelity of program including class visitsSustainability after the grantReach underserved and unique areas

Participant RecruitmentHandling Difficult Situations

Program Sustainability

Fidelity is part of implementation Fidelity is being faithful to the

elements of the program, in the way that it was intended to be delivered by maintaining the essential core components of the program and delivering the program consistently across leaders and sites

Program success and results rely on the ability to provide a consistent, quality product

Will be conducting workshop fidelity visits

Review leader Job Description

Review MOA No adaptations and no

exceptions – call if you have a question.

TEACH by the manual! TEACH regularly to maintain your skills

and keep up with supplemental training to increase mastery of the material

“Crowd control” means EVERYONE in the workshop benefits

Any questions?What’s working well?

What’s working not so well?

What do you need?

Thanks for being here today and for all you have done to

make the Living healthy program such a big success!