scholarly journals “We understand our community”: implementation of the Healthy Eating Healthy Aging program among community-based organizations

2020 ◽  
Author(s):  
Judy Leong ◽  
Sou Hyun Jang ◽  
Sonia K Bishop ◽  
Emily V R Brown ◽  
Eun Jeong Lee ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Healthy Eating ◽  
Healthy Aging ◽  
Successful Implementation ◽  
Evidence Based ◽  
Semistructured Interview ◽  
Community Based ◽  
Community Based Organizations ◽  
Outer Setting ◽  
Inner Setting

Abstract Cardiovascular disease is the second leading cause of death in the USA among Asian Americans and Pacific Islanders (AAPIs) over the age of 65. Healthy Eating Healthy Aging (HEHA), an evidence-based heart health program, can provide culturally appropriate nutrition education to decrease the risk of cardiovascular disease. Community-based organizations (CBOs) are optimal settings to implement community-based programs. However, there is inadequate research on how evidence-based interventions like HEHA are implemented in CBOs. This study examined processes that facilitated the implementation of HEHA among CBOs serving older AAPIs. Twelve representatives from CBOs that implemented the HEHA program were recruited to participate in a semistructured interview. All the participants were CBO directors or senior managers. A semistructured interview guide was created and informed by the Consolidated Framework for Implementation Research (CFIR) to capture how HEHA played into the five domains of CFIR: (a) intervention characteristics, (b) outer setting, (c) inner setting, (d) characteristics of the individuals, and (e) process. Data analysis captured themes under the CFIR domains. All five CFIR domains emerged from the interviews. Under intervention characteristics, three constructs emerged as facilitating the implementation of HEHA: (a) the participant’s beliefs around the quality of the HEHA program and its ability to promote healthy eating, (b) HEHA’s adaptability to different AAPI subgroups, and (c) perceptions of how successfully HEHA was bundled and assembled. Under outer setting, the participants described the community’s need for healthy eating programs and how the HEHA program meets that need. Four constructs emerged under inner setting: (a) the CBO’s structural characteristics and social standing in the community; (b) resources dedicated to the implementation and ongoing operations, including funding, training, education, physical space, and time; (c) the culture of the CBO; and (d) the participant’s commitment and involvement in marketing, promotion, and implementation of HEHA. Under characteristics of individuals, participants’ described their desire to learn the content of HEHA and deliver them successfully. Under process, participants described strategies to engage relevant individuals to facilitate HEHA implementation. The interviews with CBO representatives provided insights into CFIR domain constructs that facilitated the implementation of HEHA. CBOs are key settings for community health education. Understanding processes that lead to the successful implementation of evidence-based interventions among CBOs is critical for accelerating the dissemination and implementation of best practices.

scholarly journals Development and implementation of a community-based research network

2020 ◽  
Vol 4 (6) ◽  
pp. 508-514
Author(s):  
Brittany C. Minor ◽  
Jessica Dashner ◽  
Sandra M. Espín Tello ◽  
Rebecca Bollinger ◽  
Marian Keglovits ◽  
...  
Keyword(s):  
Independent Living ◽  
Formative Evaluation ◽  
The State ◽  
Research Network ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Research ◽  
Community Based Organizations ◽  
Practice Based Research

AbstractIntroduction:People aging with long-term physical disabilities (PAwLTPD), meaning individuals with onset of disability from birth through midlife, often require long-term support services (LTSS) to remain independence. The LTSS system is fragmented into aging and disability organizations with little communication between them. In addition, there are currently no evidence-based LTSS-type programs listed on the Administration for Community Living website that have been demonstrated to be effective for PAwLTPD. Because of these gaps, we have developed a community-based research network (CBRN), drawing on the practice-based research network model (PBRN), to bring together aging and disability organizations to address the lack of evidence-based programs for PAwLTPD.Materials and Methods:Community-based organizations serving PAwLTPD across the state of Missouri were recruited to join the CBRN. A formative process evaluation of the network was conducted after a year to evaluate the effectiveness of the network.Results:Nine community-based organizations across the state of Missouri joined the CBRN. CBRN members include three centers for independent living (CILs), three area agencies on aging (AAAs), one CIL/AAA hybrid, one non-CIL disability organization, and one non-AAA aging organization. To date, we have held seven meetings, provided educational opportunities for CBRN members, and launched an inaugural research study within the CBRN. Formative evaluation data indicate that CBRN members feel that participation in the CBRN is beneficial.Conclusion:The PBRN model appears to be a feasible framework for use with community-based organizations to facilitate communication between agencies and to support research aimed at addressing the needs of PAwLTPD.

scholarly journals Association of an Index of Healthy Aging With Incident Cardiovascular Disease and Mortality in a Community-Based Sample of Older Adults

2016 ◽  
Vol 71 (12) ◽  
pp. 1695-1701 ◽  
Author(s):  
Elizabeth L. McCabe ◽  
Martin G. Larson ◽  
Kathryn L. Lunetta ◽  
Anne B. Newman ◽  
Susan Cheng ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Older Adults ◽  
Healthy Aging ◽  
Community Based ◽  
Incident Cardiovascular Disease

scholarly journals How GWEPs Are Impacting Age Friendly and Dementia-Friendly Communities: Baystate Health

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 545-545
Author(s):  
Maura Brennan
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Health System ◽  
Healthy Aging ◽  
Community Based ◽  
Community Based Organizations ◽  
Healthcare Improvement ◽  
The Press ◽  
State And Local ◽  
Additional Area

Abstract Baystate has collaborated with Community Based Organizations (CBOs) to secure designation for Springfield, MA as both age and dementia friendly. We worked together so our city could be recognized as the first in the nation which was age and dementia friendly and also had an age-friendly health system within it. Baystate joined a Springfield coalition of CBOs; with the assistance of the Massachusetts Healthy Aging Coalition, AARP, State and local Elder Affairs, the Massachusetts Councils on Aging and the Institute for Healthcare Improvement, we secured and celebrated all three recognitions at a public forum in June 2019. The event was attended by the Mayor, Baystate Health and local Elder Affairs leaders, the press and other stakeholders as well as older adults from the community. Along with ongoing efforts to improve transportation and housing, access to age-friendly health care is now also an additional area of focus for the coalition.

scholarly journals Age-Friendly Initiatives and Primary Care in Rural Arkansas

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 545-545
Author(s):  
Robin McAtee ◽  
Leah Tobey
Keyword(s):  
Older Adults ◽  
Primary Care ◽  
Chronic Pain ◽  
Fall Prevention ◽  
Educational Programs ◽  
Evidence Based ◽  
Community Based ◽  
Community Based Organizations ◽  
Geriatric Education ◽  
Evidence Based Programs

Abstract The Arkansas Geriatric Education Collaborative (AGEC)’s Geriatric Workforce Enhancement Program is partnering with a plethora of community based organizations (CBO) and with ARcare, an Arkansas federally qualified healthcare clinic network, to implement the 4Ms of age-friendly care in rural clinics. Baseline clinical data related to the Age-Friendly 4M Framework has been gathered and quality improvement projects initiated to improve the outcomes. Initiatives to improve depression and cognitive screenings are addressing Mentation; fall prevention screens and the offering of fall prevention programs have been added for Mobility; high risk medication screens and chronic pain educational programs are being implemented to address Medications; and finally, Medicare Annual Wellness Visits is the cornerstone to improve what Matters to older adults. A campaign that involves partnered CBOs to address health literacy and increase involvement in evidence-based programs is also helping to drive improvements in age-friendly care in rural Arkansas.

scholarly journals Research priorities for rehabilitation and aging with HIV: a framework from the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC)

2020 ◽  
Author(s):  
Kelly K O'Brien ◽  
Francisco Ibáñez-Carrasco ◽  
Patricia Solomon ◽  
Richard Harding ◽  
Darren Brown ◽  
...  
Keyword(s):  
Healthy Aging ◽  
Research Priorities ◽  
People Living With Hiv ◽  
International Forum ◽  
Research Knowledge ◽  
Community Based ◽  
Community Based Organizations ◽  
Rehabilitation Research ◽  
Patient Reported ◽  
Living With Hiv

Abstract BackgroundPeople living with HIV are living longer, and can experience physical, mental and social health challenges associated with aging and multimorbidity. Rehabilitation is well positioned to address disability and maximize healthy aging. An international collaborative network, called the Canada-International HIV and Rehabilitation Research Collaborative (CIHRRC), works to guide this emerging field. In this article, we report findings from CIHRRC’s aim to identify emerging research priorities in HIV, aging and rehabilitation from the perspectives of people living with HIV, clinicians, researchers, representatives from community organizations and policy stakeholders. MethodsWe conducted a multi-stakeholder mixed-method international consultation with people living with HIV, researchers, clinicians and representatives of community-based organizations to identify research priorities in HIV, aging and rehabilitation. Stakeholders identified research priorities during a one-day International Forum comprised of presentations and facilitated discussion. We collated and analyzed data using content analytical techniques, resulting in a framework of research priorities. ResultsSixty-nine stakeholders from countries including Canada (n=62;90%), the United Kingdom (n=5;7%), United States (n=1;1%) and Australia (n=1;1%) attended the International Forum on HIV, Aging and Rehabilitation. Stakeholders represented community-based organizations (n=20;29%), academic institutions (n=18;26%), community or institutional healthcare organizations (n=11;16%), research or knowledge production organizations (n=10;14%), and organizations representing government or industry (n=10;14%). The Framework of Research Priorities in HIV, Aging and Rehabilitation includes seven research priorities: 1) nature, extent and impact of disability, concurrent health conditions and chronic inflammation with HIV; 2) prevalence, severity and impact of frailty; 3) community and social participation aging with HIV; 4) strategies for chronic disease management and healthy aging with HIV; 5) facilitators and barriers to access to and engagement in, rehabilitation; 6) effectiveness of rehabilitation interventions for healthy aging with HIV; and 7) advancing development and use of patient reported outcome measures in HIV and aging. The Framework highlights methodological considerations to approach the priorities and the importance of knowledge translation and exchange to apply research knowledge into practice, programs and policy. ConclusionsThese priorities offer a foundation for collaboration among international and multidisciplinary teams to advance the field of HIV, aging and rehabilitation in order to promote healthy aging with HIV.

scholarly journals Preparing Facilitators From Community-Based Organizations for Evidence-Based Intervention Training in Second Life

2014 ◽  
Vol 16 (9) ◽  
pp. e220 ◽  
Author(s):  
Angel Felix Valladares ◽  
Michelle Aebersold ◽  
Dana Tschannen ◽  
Antonia Maria Villarruel
Keyword(s):  
Second Life ◽  
Evidence Based ◽  
Community Based ◽  
Intervention Training ◽  
Community Based Organizations

scholarly journals A Roadmap to Inform the Implementation of Evidence-Based Collaborative Care Interventions in Communities: Insights From the Michigan Mental Health Integration Partnership

2021 ◽  
Vol 9 ◽  
Author(s):  
Amy Rusch ◽  
Lindsay M. DeCamp ◽  
Celeste M. Liebrecht ◽  
Seo Youn Choi ◽  
Gregory W. Dalack ◽  
...  
Keyword(s):  
Mental Health ◽  
Best Practices ◽  
Collaborative Care ◽  
Project Teams ◽  
Successful Implementation ◽  
Evidence Based ◽  
Structured Interviews ◽  
Community Based ◽  
Mental Health Integration ◽  
Implementation Steps

Background: Despite increasing calls for further spread of evidence-based collaborative care interventions (EBIs) in community-based settings, practitioner-driven efforts are often stymied by a lack of experience in addressing barriers to community-based implementation, especially for those not familiar with implementation science. The Michigan Mental Health Integration Partnership (MIP) is a statewide initiative that funds projects that support implementation and uptake of EBIs in community-based settings. MIP also provides an in situ implementation laboratory for understanding barriers to the uptake of EBIs across a variety of settings. We report findings from a statewide qualitative study of practitioners involved in MIP projects to garner their perspectives of best practices in the implementation of EBIs.Methods: Twenty-eight semi-structured interviews of practitioners and researchers from six MIP Projects were conducted with individuals implementing various MIP EBI projects across Michigan, including stakeholders from project teams, implementation sites, and the State of Michigan, to identify common barriers, challenges, and implementation strategies deployed by the project teams, with the purpose of informing a set of implementation steps and milestones.Results: Stakeholders identified a number of barriers to and strategies for success, including the need for tailoring program deployment and implementation to specific site needs, development of web-based tools for facilitating program implementation, and the importance of upper-level administration buy-in. Findings informed our resultant community-based Implementation Roadmap, which identifies critical steps across three implementation phases—pre-implementation, implementation, and sustainability—for implementation practitioners to use in their EBI implementation efforts.Conclusion: Implementation practitioners interested in community-based EBI implementation often lack access to operationalized implementation “steps” or “best practices” that can facilitate successful uptake and evaluation. Our community-informed MIP Implementation Roadmap, offering generalized steps for reaching successful implementation, uses experiences from a diverse set of MIP teams to guide practitioners through the practices necessary for scaling up EBIs in community-based settings over pre-implementation, implementation and sustainability phases.

Sign in / Sign up

Export Citation Format

Share Document