Objectives. A community trial was undertaken to evaluate the effectiveness of North Carolina Breast Cancer Screening Program, a lay health advisor network intervention intended increase screening among rural African American women 50 years and older. Methods. stratified random sample 801 completed baseline (1993–1994) follow-up (1996–1997) surveys. The primary outcome self-reported mammography use in previous 2 years. Results. associated with an overall 6 percentage point (95% confidence...

Transforming natural helpers into lay health advisors (LHAs) is a complex undertaking. Using the North Carolina Breast Cancer Screening Program (NC-BCSP) as case study, this article describes steps involved in developing, implementing, and evaluating an LHA intervention, considering factors that make approach appropriate for NC-BCSP's population, setting, focus. The authors review five phases of implementation (start-up, training, activities, follow-up, resource mobilization) discuss...

To evaluate the effects of a revised 6-week walking program for adults with arthritis, Walk With Ease (WWE), delivered in 2 formats, instructor-led group or self-directed.In an observational pre-post study design, 462 individuals self-reported arthritis selected either format (n = 192) self-directed 270) format. Performance and outcomes were assessed at baseline 6 weeks. Self-reported 1 year. Adjusted mean outcome values participants determined using regression models, adjusting...

Older adults, who are racial/ethnic minorities, report multiple chronic conditions, reside in medically underserved rural areas, or have low incomes carry a high burden of illness but traditionally lack access to disease prevention programs. The Chronic Disease Self-Management Program (CDSMP), A Matter Balance/Volunteer Lay Leader (AMOB/VLL), and EnhanceFitness (EF) widely disseminated evidence-based programs (EBP), the extent which they simultaneously delivered communities reach vulnerable...

This study provides the basis for customizing culturally responsive social work health promotion programs aimed at eliminating breast cancer screening and mortality disparities between white African American women. Survey data collected from a random sample of 853 women in rural North Carolina were used to explore impact psychosocial factors, including cultural beliefs, on differences by race age behavioral intentions if lump was found. Multivariate logistic regression analysis revealed that...

Evaluate effectiveness of the Arthritis Foundation Tai Chi Program for community participants with arthritis.343 individuals were randomized to either intervention or wait-list control group. Performance and self-reported outcome (SRO) measures assessed at baseline eight weeks. At one year, SROs only assessed. Adjusted means determined using regression models adjusting covariates, effect sizes (ES) calculated.Average participant age was 66 years, 87% female, Caucasian. Among 284 (83%) who...

One type of lay health advisor model assumes that an effective mechanism for reaching the underserved is through informal advice-givers called natural helpers. Despite growing use this approach, few programs have defined what active does within helping process. To explore perceptions and definitions advisors’ activity, we conducted semistructured, in-person interviews with four field staff who coordinate activities in a breast cancer screening program. These viewed activity as fluctuating...

Journal Article Cultivating Social Work Leadership in Health Promotion and Aging: Strategies for Active Aging Interventions Get access Victor W. Marshall, Marshall Search other works by this author on: Oxford Academic PubMed Google Scholar Mary Altpeter & Work, Volume 30, Issue 2, May 2005, Pages 135–144, https://doi.org/10.1093/hsw/30.2.135 Published: 01 2005 history Received: 16 January 2003 Accepted: 30 June

There is an urgent need to translate science into practice and help enhance the capacity of professionals deliver evidence-based programming. We describe contributions Healthy Aging Research Network in building professional through online modules, issue briefs, monographs, tools focused on health promotion practice, physical activity, mental health, environment policy. also partnerships research activities that helped inform product development ways these products have been incorporated...

Dissemination and implementation (D&I) frameworks are increasingly being promoted in public health research. However, less is known about their uptake the field, especially for diverse sets of programs. Limited questionnaires exist to assess ways that can be utilized program planning evaluation. We present a case study from United States describes RE-AIM framework by state aging services providers partners questionnaire used utility such practice. An online was developed capture community...

The objective of this study is to identify sociodemographics older adults enrolled in a nationally disseminated evidence-based fall risk reduction program, describe different delivery sites, and examine personal site characteristics associated with intervention adherence. Data were analyzed from 6,922 A Matter Balance/Volunteer Lay Leader (AMOB/VLL) model between 2006 2009. Intervention dosage was measured by workshop attendance. Logistic regression analyses examined factors attendance...

This article provides an overview of the evaluation evidence-based health promotion programs for older adults and introduces upcoming series related articles in Journal Applied Gerontology. With aging population, a growing demand chronic disease self-management programs, limited resources, evaluators must provide leadership to identify positive outcomes adult clients, inform program planning, accountability funders. The addresses following topics: need assessing effectiveness programs;...

This article describes how the multi-step mid-course assessment of REACH II community translation project in North Carolina was guided by RE-AIM framework, and summarizes adaptations made to enhance feasibility adoption maintenance while at same time assuring fidelity program core elements. The two-stage involved both quantitative (survey) qualitative (discussion group) components. Results indicated a need focus primarily on tailoring pre-intervention training, streamlining clarifying...

To conduct an exploratory evaluation of the impact Arthritis Foundation's evidence-based Walk With Ease (WWE) program on work place activity limitations adults with self-reported or doctor-diagnosed arthritis.WWE participants who were self-identified as "employed" completed Workplace Activity Limitation Scale (WALS) at 6-week (postintervention; n = 94) and 1-year followup (n 69). Paired t-tests used to determine whether reduced reported 6 weeks maintained followup.Participants average age 55...

This replication study examines participant recruitment and program adoption aspects of disease self-management programs by delivery site types. Data were analyzed from 58,526 adults collected during a national dissemination the Stanford suite chronic education spanning 45 states, District Columbia, Puerto Rico. Participant data using multinomial logistic regression to generate profiles type. Profiles created for five leading types, which included senior centers or area agencies on aging,...

Abstract Purpose: We examined the feasibility of creating a generic training curriculum for volunteers in health promotion programs older adults by identifying common core content topics across 10 national programs. also considered additional material that could augment topics. Design and Methods: reviewed detail program manuals associated materials from evidence-based or best practice use volunteers. In Phase I, we created spreadsheet matrix to track tabulate frequency inclusion elements...

Despite the growing literature about RE-AIM framework as a planning, implementation, and evaluation tool, little is known practitioners’ adoption of framework, confidence to utilize elements, or perceptions its usefulness. To assess how was implemented by state aging service providers public health partners, data were collected using an Internet-delivered, cross-sectional survey from 40 stakeholders in 27 funded states evidence-based disease prevention initiative for older adults. Most...

Chronic disease self-management education (CDSME) programs have been delivered to more than 100,000 older Americans with chronic conditions. As one of the Stanford suite evidence-based CDSME programs, program (CDSMP) has disseminated in diverse populations and settings. The objective this paper is introduce a practical, universally applicable tool assist administrators decision makers plan implementation efforts make case for continued delivery. This was developed utilizing data from recent...