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Role of CDA Evidence-Based Health Promotion Programs in Fall Prevention Efforts. Lora Connolly, CA Department of Aging April 14, 2008. Contributing Fall Factors. Balance problems Lack of exercise Poor nutrition Medication side effects Vision problems Environmental hazards
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Role of CDA Evidence-Based HealthPromotion Programs in Fall Prevention Efforts Lora Connolly, CA Department of Aging April 14, 2008
Contributing Fall Factors • Balance problems • Lack of exercise • Poor nutrition • Medication side effects • Vision problems • Environmental hazards • Fear of falling leads to more falls
Compelling Fall Statistics • More than 13, 700 people over age 65 die each year from fall related injuries (30%-40% were preventable) • Leading cause of senior injury deaths • After a fall, 40% of seniors remain dependent on care from others
Chronic Diseases Contribute to Increased Fall Risk • Arthritis, diabetes, Parkinson's, various cardiovascular conditions, vision loss, MS, and many other chronic conditions increase the risk of falling. • Medications taken for these & other health conditions can also contribute to fall risks.
Nexus with California’s Evidence Based Health Promotion Federal Grant • 2006--Administration on Aging releases competitive grants to states to implement the Evidence Based Health Promotion Programs in in home & community settings • 2006—California submits & receives AoA grant ($300,000 to be used over 3 years)
California Older Adult Evident Based Health Promotion Program • CDA is the lead agency in partnership with CA Department of Public Health • 5 initial counties & respective Area Agencies on Aging participating (Fresno, Los Angeles, Madera, San Diego & Sonoma) • Partners in Care Foundation, already implementing two AoA evidence based programs serving frail seniors, acting as project coordinator • Goal that seniors at all levels of disability including the very frail would be served. Would be offered in English and Spanish.
Participating CA Counties Original County New County
Programs Being Implemented • Stanford Chronic Disease Self Management in LA, Orange, and soon in SD, Sacramento, San Bernardino counties; • Matter of Balance in LA, SD, Sonoma and other counties • Healthy Moves & Medication Management in LA, Fresno/Madera, soon in Kern counties
Atlantic Philanthropies Grant • CA was just awarded additional $300,000 to be used over next 3 years • Expand & develop sustainability of the Chronic Disease Self Management Program • Strategy relies on building an infrastructure that involving community colleges older adult courses; CA Association of Physician Groups, and county public health departments.
Ultimate Goals • Develop an infrastructure/platform for disseminating a variety of evidence based health promotion interventions • Leverage the shared resources of CDA and CDPH • Establish strong regional partnerships invested in these programs to continue these programs after grant funding ends