CDC
Prevention Research Center Program
Healthy Aging Research Networkwww.prc-han.org
contact: [email protected]
PRC-HAN was envisioned to:
• Develop healthy aging research agenda for CDC-PRC Network
• Serve as a model theme network for the CDC-PRC program
University of Washington
University ofCalifornia at Berkeley
University ofColorado at Denver
University of Illinois at Chicago
West Virginia University
University of North Carolina at Chapel Hill
University of South Carolina
Prevention Research Centers’Healthy Aging Research Network
Prevention Research Centers’Healthy Aging Research Network
University of Pittsburgh
Texas A&M University
PRC-HAN Affiliate Members
• The National Council on the Aging Director, Nancy Whitelaw, PhD
• Chronic Disease Directors Director of Program Services, Fran C. Wheeler, PhD
Mission Statement
PRC Healthy Aging Research Network
The mission of the Healthy Aging Research Network is to better understand the determinants of healthy aging in older adult populations; to identify interventions that promote healthy aging; and to assist in the translation of such research into sustainable community-based programs throughout the nation.
Definition for Healthy Aging
Healthy aging is the development and maintenance of optimal physical, mental and social well-being and function in older adults.
It is most easily achieved when physical environments and communities are safe and support the adoption and maintenance of attitudes and behaviors known to promote health and well-being; and by the effective use of health services and community programs to prevent or minimize the impact of acute and chronic disease on function.
Healthy Aging Research NetworkHealthy Aging Research NetworkSocial Ecologic Model of Healthy AgingSocial Ecologic Model of Healthy Aging
Individual
Interpersonal
Institutional
Community
Public Policy
Modified/ Sources: McLeroy et al., 1988, Health Educ Q; Sallis et al., 1998, Am J Prev Med
Physical Environment
Organization of Research Agenda
• Cross-cutting skills and behaviors
• Disease and syndrome topics
• Knowledge domains
Healthy Aging Research Agenda
Health Promoting Behaviors/Skills
• Physical Activity
• Nutrition (including undernutrition)
• Avoidance of tobacco use and substance abuse
• Self-management skills for personal behaviors, chronic disease management and medication use
• Awareness and appropriate use of clinical preventive services
• Social Engagement: participation in meaningful activity & social networks
Healthy Aging Research Agenda
Diseases, Organ System Topics, Geriatric Syndromes & Concerns
Cardiovascular (CHD, HTN, Stroke)
Arthritis and related conditions
Osteoporosis
Diabetes
Cancer (colo-rectal, prostate, breast)
Pulmonary disease
Sensory impairments (vision, hearing)
Depression and Mental Health Issues
Elder Abuse and Neglect
Chronic pain
Frailty
Falls, fractures & other injuries
Cognitive impairment / decline
Incontinence (urinary & bowel)
Sleep disorders
Oral health
Polypharmacy
Care-giving burden
HAN Approach
An assessment of research agenda items
In older adult populations:• What are the health benefits of modifying the risk or
behavioral factor?
• What is the incidence and prevalence of the risk or behavioral factor?
• What are the factors that make it possible to modify the risk or behavioral factor?
• Can we develop successful community interventions to facilitate change in the risk or behavioral factor?
• What policies, programs and environmental-ecological strategies lead to positive change in the risk or behavioral factor?
DRAFT
Organization of Research Agenda
Health Skills & Behaviors
(Six Domains)
Disease & Syndrome Topics
(N=18)
State of Knowledge
(Five Domains)
Organization of Research Agenda
Skills & Behaviors
(6 Domains)
Disease & Syndrome Topics
(18 Topics)
Knowledge Domains
(5 Domains)
Physical Activity
Impact on Health
Frailty, Falls, Cognitive Impairment
Current Research Agenda Topics
• Physical Activity
• Depression
• Nutrition
• Healthy Brain
Lead Center
PRC HEALTHY
Aging RESEARCH
Network
HCFA
NIA
AHRQ
Federal Agencies
Private Foundations
National Council on Aging
Senior CentersArea Agencies
on AgingAdult Day Centers
NationalPRC Network
CDC
PRC Program
Healthcare & Aging Studies
Branch
State Aging Offices
State & TerritoriesHealth Departments
Community Advisory Boards
PRC HEALTHY AGING RESEARCH NETWORK
Interest Groups: Designees from all HAN sites and designated affiliate members. Will at least annually review opportunities for new specific projects and make recommendations to CDC’s Office on Aging and Health Care Studies and the PRC Program office regarding emerging areas for study and dissemination.
Workgroups: These are project specific groups that mutually agree to pursue a specific task such as writing a review or position paper, develop and implement a grant, or disseminate a program. HAN members need not participate in any specific workgroup.
PRC-HAN: Physical Activity Programming Interest Group
PA Review Paper Work GroupTom R. Prohaska, PhD
Consensus Review and Report
Physical Activity, Public Health, and Aging: Critical issues and Research Priorities
PRC-HAN: Physical Activity Programming Interest Group
Resource Guide for Physical Activity Work Group: Susan Hughes
Support and capacity for physical activity in defined communities
Seven site survey of organized PA programs
Potential demand from demographic data
Identified potential resource gaps
Dissemination of community resource guides
Manuscript in press:
Characteristics of physical activity programs for older adults: results of a multi site survey
PRC-HAN: Physical Activity Programming Interest Group
Web Tool Development WorkgroupJim LoGerfoMD , Nancy Whitelaw PhD, Bryant Karras MD
National web toolkit Physical activity program resource for • Program providers, practitioners and older adult users
• Alpha test in West Virginia, Chicago and Seattle• Beta test state-wide at R-HAN and TX-HAN sites• HAN-wide/national dissemination
• www.activeoptions.org
PRC HEALTHY AGING RESEARCH NETWORK
Healthy Aging and the Environment Interest Group
Convener: Delores Pluto, PhD
Workgroups:
Audit tool for walkability
Review paper
RWJ Project EPA Healthy Communities Project
PRC-HAN: Healthy Aging & Environment Interest Group
Review Paper Work Group•Physical environment and physical activity for older adults -State of the art and needed research: Bill Satariano, et al
Audit Tool Work Group: Susan IveySeven site environmental audit training and community pilot
Audit tool refinement and dissemination•Qualitative report
PRC-HAN: Healthy Aging & Environment Interest Group
•RWJ Active Living Research Walking Project: Study of environmental correlates of activity in Chicago, Pittsburgh, North Carolina, Oakland Bill Satariano, P.I.
•EPA and Healthy Communities Project: Marsha Ory
PRC HEALTHY AGING RESEARCH NETWORK
Depression Interest Group
Evidence-based review Work Group: Mark B. Snowden, PhD
• Identify effective interventions for depression in older adults
• Public database resource
• Expert recommendations
PRC HEALTHY AGING RESEARCH NETWORK
Healthy Brain Interest Group James N. Laditka, DA, PhD, MPA
Working with CDC, NIH, Alzheimer’s Association
Context
• Maintain Your Brain Campaign• National Action Plan
HAN Role:• Participate in National Planning Group convened by CDC • Next Steps Research: Multi-site qualitative study of older adults views of Alzheimer’s disease, dementia and healthy behaviors
PRC HEALTHY AGING RESEARCH NETWORK
Research Dissemination and Practice Interest Group
Mary Altpeter, PhDLucinda L. Bryant, PhD, MSHA
Capacity building and infrastructure for promoting healthy aging through partnership
• Chronic Disease Directors
• National Association of State Units on Aging
• Administration on Aging
• Agency for Healthcare Research and Quality
PRC-HAN: Research Dissemination and Practice Interest Group
GOALS:
• Summarizing evidence related to best practices/data
• Dissemination and diffusion of applied research
• Curriculum development
PRC-HAN: Research Dissemination and Practice Interest Group
Best Practices Project/NCOA
Determined best practice criteria for physical activity programming
Site visit and selection of ten national best practice programs in preparation for full IMPACT study
IMPACT study, UIC-HAN
Administration on Aging (AoA) Partners Project
• Providing topic expertise and technical support to AoA intervention sites through the National Council on the Aging, Center for Healthy Aging
• Conducting site visits
• Developing and disseminating topic review papers
PRC-HAN: Research Dissemination and Practice Interest Group
PRC-HAN: Research Dissemination and Practice Interest Group
Conference Grant Work GroupBasia L. Belza, PhD, RN
Research to Practice Symposium: Disseminating and Sustaining Effective Community-Based Programs for Older Adults
• Physical Activity, Nutrition, Depression
• CDC funded
• Retirement Research Foundation, NCOA, CHEF
• Link to Resource Centers on Minority Aging Research
PRC HEALTHY AGING RESEARCH NETWORK
Nutrition Interest GroupJoseph R. Sharkey, PhD, MPH, RD
• Formative stages
• HAN linkages to Meals on Wheels
• Evidence-based review
PRC HEALTHY AGING RESEARCH NETWORK
Key Issues
• Funding levels too low to meaningfully organize to address new issues in a network format
• Funding mechanisms cumbersome for a network structure
• Human Subjects coordination
PRC HEALTHY AGING RESEARCH NETWORK
Key Issues
• Expectations and rewards for leading major interest group or workgroup
• Ability to meaningfully draw on strengths of PRC network and linkages
PRC-HAN was envisioned to:
• Develop healthy aging research agenda for CDC-PRC Network
• Serve as a model theme network for the CDC-PRC program
SYN
ER
GY
InputsInputs
Organizing Activities
Organizing Activities Outcomes
Outcomes
Infrastructure Funding
Infrastructure Funding
Member-Center (Academic/Communit
y Partnership) Capacity
Member-Center (Academic/Communit
y Partnership) Capacity
Lead Center CapacityLead Center Capacity
Long-termLong-term
DistalDistal
Social, Community, and Environmental Benefits
Enhance Community Capacity for Prevention
Facilitate Positive Sociocultural Environments
Improve Physical Environment
Social, Community, and Environmental Benefits
Enhance Community Capacity for Prevention
Facilitate Positive Sociocultural Environments
Improve Physical Environment
Optimal Health Promotion Policies
Translate Research into Policy
Implement Effective Interventions
Optimal Health Promotion Policies
Translate Research into Policy
Implement Effective Interventions
OPTIMAL PHYSICAL, MENTAL, AND
SOCIAL FUNCTIONING,
EQUITABLY DISTRIBUTED
AMONG ALL OLDER ADULTS
OPTIMAL PHYSICAL, MENTAL, AND
SOCIAL FUNCTIONING,
EQUITABLY DISTRIBUTED
AMONG ALL OLDER ADULTS
CDC’s Recognition of HAN’s Importance
CDC’s Recognition of HAN’s Importance
Network ActivitiesNetwork Activities
HAN Functioning
Conduct Regular Meetings among Work Groups
Engage Outside Experts as Necessary
Link back to local community Establish and Implement Evaluation Activities
HAN Functioning
Conduct Regular Meetings among Work Groups
Engage Outside Experts as Necessary
Link back to local community Establish and Implement Evaluation Activities
Establish Dissemination Plan
Establish Dissemination Plan
Network OutcomesNetwork Outcomes
Improved Community-based Aging and Public
Health Research
Improved Community-based Aging and Public
Health Research
Demonstrated Change in Local Communities
Demonstrated Change in Local Communities
Policy and Program Uptake by:
Public Health Aging Services Government Policies Research Communities Academics
Policy and Program Uptake by:
Public Health Aging Services Government Policies Research Communities Academics
Engage Policy Makers, Students, Planners &
Practitioners
Engage Policy Makers, Students, Planners &
Practitioners
Strengthen HAN
Capacity
Strengthen HAN
Capacity Maximized Relationships with
Partners
Maximized Relationships with
Partners
New Scientific PartnersNew Scientific Partners
New Funding Opportunities for HAN
Priorities
New Funding Opportunities for HAN
Priorities
CO
NTR
IBU
TES
TO
CDC Prevention Research Centers (PRC) Healthy Aging Research Network (HAN) Logic Model
Develop Community-Based Research Agenda
Seek Research Funding
Develop Community-Based Research Agenda
Seek Research Funding
Establish Evidence Based Research & Health Priorities
Establish Evidence Based Research & Health Priorities
September 2005
HAN OrganizationalStructure
HAN OrganizationalStructure
Health Promotion Behavior Skills
Adopt, Increase, and Maintain Health Promotion
Behavior Skills in Research Areas
Health Promotion Behavior Skills
Adopt, Increase, and Maintain Health Promotion
Behavior Skills in Research Areas
Institutional Linkages Alignment of community-
based public health and aging services
Linkage to health care system
Institutional Linkages Alignment of community-
based public health and aging services
Linkage to health care system
PRC NetworkPRC Network
Synergistic Relationship
Uptake of Research Findings
Uptake of Research Findings
Conduct Community-Based Aging and Public
Health Research Programs/Interventions
Conduct Community-Based Aging and Public
Health Research Programs/Interventions
Establish Marketing Plan
Establish Marketing Plan
Increase Workforce Capacity
Increase Workforce Capacity
Contextual Factors (e.g., Policy Environment, Social Disparities, Health Priorities, etc.)
Translate and Disseminate Findings and Work Products
Translate and Disseminate Findings and Work Products
CDC
Prevention Research Center Program
Healthy Aging Research Networkwww.prc-han.org
contact: [email protected]
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