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Learn about Neighborhood Centers Inc.'s activity centers for seniors in Houston, Texas. These centers offer evidence-based programs to promote health and wellness in the aging population. Discover the benefits, implementation issues, and outcomes of the program.
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Senior CentersSites for Successful Evidence-based Programs ACTIVITY CENTERS FOR SENIORS Neighborhood Centers Inc. Houston, Harris County, Texas presented by Chris Pollet, MSW Director of Planning, Research & Evaluation cpollet@neighborhood-centers.org NCOA/ASA Joint Annual Conference Chicago – March, 2007
Neighborhood Centers Inc. Activity Centers for SeniorsHouston, Harris County, Texas • 1907 – Neighborhood Centers Inc. (NCI) founded in Houston as part of the settlement house movement • 1940 – opened 1st new community center with area dedicated to senior adult day activities • 1950-70s – developed quality child care centers for working mothers of Baby Boom generation • 1980s – contracted with AAA for senior nutrition • 2000 – formed precursor of Care for Elders • 2003 – with new AoA grant chose to replicate EnhanceFitness as Activity Centers for Seniors
Neighborhood Centers Inc. Activity Centers for SeniorsHouston, Harris County, Texas • Houston metro area one of the youngest in nation, yet age 60+ population over 384,000 (11%) • very dispersed population with isolated, underserved low-income neighborhoods, mobility barriers • city not zoned, not elder-friendly, hot and humid • Care for Elders & NCOA brought new awareness of aging issues, sedentary lifestyles, marginal nutrition, chronic health conditions, surging Baby Boomers • NCI focus on upgrading 15 congregate sites to senior centers ready for NISC accreditation • Physical activity key to new focus on health and wellness
Neighborhood Centers Inc.Activity Centers for SeniorsHouston, Harris County, Texas • Why physical activity classes? • customer requests, amateur hours, Senior Olympics • concerns with adoption and maintenance in behavior change models for low-income, less educated minorities of color • good first step in transition to health & wellness centers • Activity Centers for Seniors, 2003-present replication of EnhanceFitness – rationale: • evidence-based, solid outcome data, proven success • social group supports cohesion, reinforcement, retention • cost-effective, sustainable, easily replicated with fidelity • national growth trends, awards, references
Neighborhood Centers Inc.Activity Centers for SeniorsHouston, Harris County, Texas • What is Activity Centers for Seniors/ EnhanceFitness? • begins with enrollee orientation, physician approval • baseline fitness tests with four-month follow-ups • one-hour classes, 3 days/week • safely led by certified, specially trained fitness instructors • stretching/ flexibility/ balance, aerobics, strength training • no equipment – just chairs and soft ankle/ wrist weights • enough floor space for 15-25 class participants • Key to success is finding instructors who connect with elders, are energetic and reliable • may be found among current center staff and volunteers • Activity Centers for Seniors is paying $30 - $35/hour
Neighborhood Centers Inc.Activity Centers for SeniorsHouston, Harris County, Texas • Implementation Issues in Houston • rearranged some center activity schedules to accommodate classes, and still have to work around special events • smaller centers had to increase operating hours • enrollee concerns about costs, so fees waived for a trial period that has been extended • participant absences due to caring for grandkids, long visits out-of-town with family • potential language barriers did not surface • much less interest by men – they prefer weight-lifting over dance-like aerobics, and want competition, sport • long-term sustainability not yet secured
Neighborhood Centers Inc.Activity Centers for SeniorsHouston, Harris County, Texas • ACES Outcomes Today • 400+ participants in 17 classes at 13 sites: • 56% Hispanic, 27% African-American, 10% Asian • average age 74 years; 85% female • Fitness lower than average at baseline, much better at four months, now tracking national averages. • Participants have more energy, agility, fewer aches/ pains, high satisfaction, and in focus groups say: • exercise is essential to better health in old age • were not motivated to exercise on their own, needing the structure and social support of classes • New AoA grant in partnership with State aging unit to disseminate ACES to 20 more sites in 3 years