Philip McCallion, Ph.D. & Elaine Escobales www.ceacw.org QTAC@albany.edu or toll free at 877-496-2780

1. New York State Evidence-Based Health Programs Quality and Technical Assistance Center Philip McCallion, Ph.D. & Elaine Escobales www.ceacw.org QTAC@albany.edu or toll free at 877-496-2780

2. 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.

3. 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

4. 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

5. Who We Work With • State agencies • Health systems • Insurers • Community agencies • Faith communities • EAPs • Employers • County agencies • Retiree groups

6. 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

7. 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

8. 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 outcomes NCOA, 2006

9. 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

10. 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

11. 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

12. 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

13. 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)

14. CORE CURRICULUM: 3 SECTIONS • Welcome • Be a Fat and Calorie Detective • Three Ways to Eat Less Fat and Fewer Calories • Healthy Eating • Move Those Muscles • Being Active: A Way of Life • Tip the Calorie Balance Skill-buildingSelf-Monitoring and Physical Activity 8. Take Charge of What’s Around You 9. Problem Solving 10. Four Keys to Healthy Eating Out Responding to theexternal environment 11. Talk Back to Negative Thoughts 12. The Slippery Slope of Lifestyle Change 13. Jump Start Your Activity Plan 14. Make Social Cues Work for You 15. You Can Manage Stress 16. Ways to Stay Motivated Psychological and emotional aspects of lifestyle change

15. WHAT WERE THE DPP STUDY FINDINGS? New England Journal of Medicine, 2002 • 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%) Reduced chance of developing diabetes

16. 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

17. Populations We Reach • Health disparity • Aging • Multiple chronic conditions • Caregivers • Largely female (want to reach more men) • Urban/suburban/rural

18. 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

19. Find Workshops and Sign-up online: https://www.ceacw.org/find-a-workshop

20. 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.edu or toll free at 877-496-2780

21. You can reach us by email at QTAC@albany.edu or toll free at 877-496-2780