CDC Prevention Research Center Program Healthy Aging Research Network prc-han

1. CDC Prevention Research Center Program Healthy Aging Research Network www.prc-han.org contact: logerfo@u.washington.edu

2. PRC-HAN was envisioned to: • Develop healthy aging research agenda for CDC-PRC Network • Serve as a model theme network for the CDC-PRC program

3. Prevention Research Centers’Healthy Aging Research Network University of Washington University of Illinois at Chicago University of Pittsburgh University of California at Berkeley University of Colorado at Denver West Virginia University University of North Carolina at Chapel Hill University of South Carolina Texas A&M University

4. PRC-HAN Affiliate Members • The National Council on the Aging Director, Nancy Whitelaw, PhD • Chronic Disease Directors Director of Program Services, Fran C. Wheeler, PhD

5. Mission Statement PRC Healthy Aging Research Network The mission of the Healthy Aging Research Network is to better understand the determinants of healthy aging in older adult populations; to identify interventions that promote healthy aging; and to assist in the translation of such research into sustainable community-based programs throughout the nation.

6. Definition for Healthy Aging Healthy aging is the development and maintenance of optimal physical, mental and social well-being and function in older adults. It is most easily achieved when physical environments and communities are safe and support the adoption and maintenance of attitudes and behaviors known to promote health and well-being; and by the effective use of health services and community programs to prevent or minimize the impact of acute and chronic disease on function.

7. Public Policy Community Institutional Interpersonal Individual Healthy Aging Research NetworkSocial Ecologic Model of Healthy Aging Physical Environment Modified/ Sources: McLeroy et al., 1988, Health Educ Q; Sallis et al., 1998, Am J Prev Med

8. Organization of Research Agenda • Cross-cutting skills and behaviors • Disease and syndrome topics • Knowledge domains

9. Healthy Aging Research Agenda • Health Promoting Behaviors/Skills • Physical Activity • Nutrition (including undernutrition) • Avoidance of tobacco use and substance abuse • Self-management skills for personal behaviors, chronic disease management and medication use • Awareness and appropriate use of clinical preventive services • Social Engagement: participation in meaningful activity & social networks

10. Healthy Aging Research Agenda Diseases, Organ System Topics, Geriatric Syndromes & Concerns Chronic pain Frailty Falls, fractures & other injuries Cognitive impairment / decline Incontinence (urinary & bowel) Sleep disorders Oral health Polypharmacy Care-giving burden Cardiovascular (CHD, HTN, Stroke) Arthritis and related conditions Osteoporosis Diabetes Cancer (colo-rectal, prostate, breast) Pulmonary disease Sensory impairments (vision, hearing) Depression and Mental Health Issues Elder Abuse and Neglect

11. HAN Approach An assessment of research agenda items In older adult populations: • What are the health benefits of modifying the risk or behavioral factor? • What is the incidence and prevalence of the risk or behavioral factor? • What are the factors that make it possible to modify the risk or behavioral factor? • Can we develop successful community interventions to facilitate change in the risk or behavioral factor? • What policies, programs and environmental-ecological strategies lead to positive change in the risk or behavioral factor?

12. DRAFT Organization of Research Agenda Health Skills & Behaviors (Six Domains) State of Knowledge (Five Domains) Disease & Syndrome Topics (N=18)

13. Impact on Health Frailty, Falls, Cognitive Impairment Organization of Research Agenda Physical Activity Skills & Behaviors (6 Domains) Knowledge Domains (5 Domains) Disease & Syndrome Topics (18 Topics)

14. Current Research Agenda Topics • Physical Activity • Depression • Nutrition • Healthy Brain

15. Area Agencies on Aging Adult Day Centers Senior Centers State Aging Offices National Council on Aging PRC HEALTHYAging RESEARCH Network HCFA Private Foundations Federal Agencies NIA Lead Center AHRQ Healthcare & Aging Studies Branch Community Advisory Boards NationalPRC Network PRC Program CDC State & TerritoriesHealth Departments

16. PRC HEALTHY AGING RESEARCH NETWORK Interest Groups: Designees from all HAN sites and designated affiliate members. Will at least annually review opportunities for new specific projects and make recommendations to CDC’s Office on Aging and Health Care Studies and the PRC Program office regarding emerging areas for study and dissemination. Workgroups: These are project specific groups that mutually agree to pursue a specific task such as writing a review or position paper, develop and implement a grant, or disseminate a program. HAN members need not participate in any specific workgroup.

17. PRC-HAN: Physical Activity Programming Interest Group PA Review Paper Work Group Tom R. Prohaska, PhD • Consensus Review and Report Physical Activity, Public Health, and Aging: Critical issues and Research Priorities

18. PRC-HAN: Physical Activity Programming Interest Group Resource Guide for Physical Activity Work Group: Susan Hughes Support and capacity for physical activity in defined communities • Seven site survey of organized PA programs • Potential demand from demographic data • Identified potential resource gaps • Dissemination of community resource guides • Manuscript in press: Characteristics of physical activity programs for older adults: results of a multi site survey

19. PRC-HAN: Physical Activity Programming Interest Group Web Tool Development Workgroup Jim LoGerfoMD , Nancy Whitelaw PhD, Bryant Karras MD National web toolkit Physical activity program resource for • Program providers, practitioners and older adult users • Alpha test in West Virginia, Chicago and Seattle • Beta test state-wide at R-HAN and TX-HAN sites • HAN-wide/national dissemination • www.activeoptions.org

20. PRC HEALTHY AGING RESEARCH NETWORK Healthy Aging and the Environment Interest Group Convener: Delores Pluto, PhD Workgroups: Audit tool for walkability Review paper RWJ Project EPA Healthy Communities Project

21. PRC-HAN: Healthy Aging & Environment Interest Group Review Paper Work Group • Physical environment and physical activity for older adults -State of the art and needed research: Bill Satariano, et al Audit Tool Work Group: Susan Ivey • Seven site environmental audit training and community pilot • Audit tool refinement and dissemination • Qualitative report

22. PRC-HAN: Healthy Aging & Environment Interest Group • RWJ Active Living Research Walking Project: Study of environmental correlates of activity in Chicago, Pittsburgh, North Carolina, Oakland Bill Satariano, P.I. • EPA and Healthy Communities Project: Marsha Ory

23. PRC HEALTHY AGING RESEARCH NETWORK Depression Interest Group Evidence-based review Work Group: Mark B. Snowden, PhD • Identify effective interventions for depression in older adults • Public database resource • Expert recommendations

24. PRC HEALTHY AGING RESEARCH NETWORK Healthy Brain Interest Group James N. Laditka, DA, PhD, MPA Working with CDC, NIH, Alzheimer’s Association Context • Maintain Your Brain Campaign • National Action Plan HAN Role: • Participate in National Planning Group convened by CDC • Next Steps Research: Multi-site qualitative study of older adults views of Alzheimer’s disease, dementia and healthy behaviors

25. PRC HEALTHY AGING RESEARCH NETWORK Research Dissemination and Practice Interest Group Mary Altpeter, PhD Lucinda L. Bryant, PhD, MSHA Capacity building and infrastructure for promoting healthy aging through partnership • Chronic Disease Directors • National Association of State Units on Aging • Administration on Aging • Agency for Healthcare Research and Quality

26. PRC-HAN: Research Dissemination and Practice Interest Group • GOALS: • Summarizing evidence related to best practices/data • Dissemination and diffusion of applied research • Curriculum development

27. PRC-HAN: Research Dissemination and Practice Interest Group Best Practices Project/NCOA • Determined best practice criteria for physical activity programming • Site visit and selection of ten national best practice programs in preparation for full IMPACT study • IMPACT study, UIC-HAN

28. PRC-HAN: Research Dissemination and Practice Interest Group Administration on Aging (AoA) Partners Project • Providing topic expertise and technical support to AoA intervention sites through the National Council on the Aging, Center for Healthy Aging • Conducting site visits • Developing and disseminating topic review papers

29. PRC-HAN: Research Dissemination and Practice Interest Group Conference Grant Work Group Basia L. Belza, PhD, RN Research to Practice Symposium: Disseminating and Sustaining Effective Community-Based Programs for Older Adults • Physical Activity, Nutrition, Depression • CDC funded • Retirement Research Foundation, NCOA, CHEF • Link to Resource Centers on Minority Aging Research

30. PRC HEALTHY AGING RESEARCH NETWORKNutrition Interest GroupJoseph R. Sharkey, PhD, MPH, RD • Formative stages • HAN linkages to Meals on Wheels • Evidence-based review

31. PRC HEALTHY AGING RESEARCH NETWORKKey Issues • Funding levels too low to meaningfully organize to address new issues in a network format • Funding mechanisms cumbersome for a network structure • Human Subjects coordination

32. PRC HEALTHY AGING RESEARCH NETWORKKey Issues • Expectations and rewards for leading major interest group or workgroup • Ability to meaningfully draw on strengths of PRC network and linkages

33. PRC-HAN was envisioned to: • Develop healthy aging research agenda for CDC-PRC Network • Serve as a model theme network for the CDC-PRC program

34. Synergistic Relationship Contextual Factors (e.g., Policy Environment, Social Disparities, Health Priorities, etc.) CDC Prevention Research Centers (PRC) Healthy Aging Research Network (HAN) Logic Model September 2005 Inputs Organizing Activities Network Activities Network Outcomes Outcomes • HAN Functioning • Conduct Regular Meetings among Work Groups • Engage Outside Experts as Necessary • Link back to local community • Establish and Implement Evaluation Activities Strengthen HAN Capacity Maximized Relationships with Partners Long-term Distal CDC’s Recognition of HAN’s Importance • Health Promotion Behavior Skills • Adopt, Increase, and Maintain Health Promotion Behavior Skills in Research Areas New Scientific Partners Infrastructure Funding New Funding Opportunities for HAN Priorities Conduct Community-Based Aging and Public Health Research Programs/Interventions • Social, Community, and Environmental Benefits • Enhance Community Capacity for Prevention • Facilitate Positive Sociocultural Environments • Improve Physical Environment Improved Community-based Aging and Public Health Research OPTIMAL PHYSICAL, MENTAL, AND SOCIAL FUNCTIONING, EQUITABLY DISTRIBUTED AMONG ALL OLDER ADULTS Member-Center (Academic/Community Partnership) Capacity Develop Community-Based Research Agenda • Seek Research Funding SYNERGY CONTRIBUTES TO Demonstrated Change in Local Communities Lead Center Capacity Uptake of Research Findings Translate and Disseminate Findings and Work Products • Optimal Health Promotion Policies • Translate Research into Policy • Implement Effective Interventions Establish Evidence Based Research & Health Priorities • Policy and Program Uptake by: • Public Health • Aging Services • Government Policies • Research Communities • Academics HAN Organizational Structure Establish Dissemination Plan • Institutional Linkages • Alignment of community-based public health and aging services • Linkage to health care system Engage Policy Makers, Students, Planners & Practitioners Establish Marketing Plan Increase Workforce Capacity PRC Network

35. CDC Prevention Research Center Program Healthy Aging Research Network www.prc-han.org contact: logerfo@u.washington.edu