Live Healthy Georgia, Seniors Taking Charge

1. 1 Live Healthy Georgia, Seniors Taking Charge!!! Statewide Community Intervention 2006

2. 2 National Aging Trends In 2003 35.9 million older adults 12.4 % of the population By 2030 75.1 million older adults 20% of population

3. 3 National and State Aging Trends

4. 4 State Aging Trends In 2004 9.6% of GA is 65+ GA ranks 12th in nation By 2030 GA will have 1,907,837 older adults 15.9% of its population

5. 5 Nutrition and Health Status of Older Georgians Georgia ranks very low in: Physically unhealthy days (38th) Number of days during the previous month when older adults reported their physical health was not good No leisure time physical activity (38th) Daily activities including walking, gardening, etc. Older adults who are eating 5 or more fruits and vegetables daily (45th)

6. 6 Nutrition and Health Status of Older Georgians (cont.) Georgia also ranks low in: Complete tooth loss (44th) Only addresses total loss, not partial loss or disease Percentage of older adults who are obese (38th) BMI greater than or equal to 30 kg/m2 Percent who are up to date on preventative services (43rd for women and 41st for men) Percentage of older adults who have had their cholesterol checked in the past 5 years (81.2 %, 44th)

7. 7 Governor’s Live Healthy Georgia Campaign

8. 8 Key Messageshttp://www.livehealthygeorgia.org/ Get checked Be smoke free Be active Eat healthy Be positive

9. 9 Georgia State Unit on Aging & Area Agencies on AgingPromote Healthy Aging Meals served: > 30,000 people Wellness activities: > 17,000 people Nutrition Physical activity Diabetes self-management Goal is to promote independence Nursing homes cost > $50,000/yr in GA

10. 10 Target Population Population in need Low SES Many chronic diseases Poor nutrition Low physical activity Captive audience Peer groups Infrastructure and facilities

11. 11 Live Healthy Georgia – Seniors Taking Charge! Seniors Taking Charge of Diabetes! (8 lessons) Serving up Fruits, Vegetables and Physical Activity Everyday! (8 lessons)

12. 12 Needs Assessment AoA and State funding Governor’s Long Term Care Initiative Live Healthy Georgia Better disease prevention & management ?More independence ?Less LTC ? Less costs What disease(s) to focus on? Examples in 2005-2006: Community Intervention Study Diabetes Fruits and Vegetables

13. 13 Diabetes is Prevalent in Senior Centers 18% nationally, 1996 30% in NE Georgia, 2004-2005 (n = 174)

14. 14 Diabetes Self-Management Interventions in Senior Centers In North Georgia Senior Centers, a DSM intervention (n = 91) significantly (P < 0.05): Increased compliance with healthy eating plan, spacing carbohydrates, physical activity, testing blood sugar, and foot care Decreased A1c by 1.4% in those with A1c > 8% Decreases in A1c mainly associated with increases in physical activity Burnett, 2003, Redmond, 2004

15. 15 Live Healthy Georgia - Seniors Taking ChargeStatewide Community Intervention

16. 16 Live Healthy Georgia - Seniors Taking ChargeStatewide Community Intervention

17. 17 Topics – Fruits and Vegetables Serving Up Fruits, Vegetables, and Physical Activity Everyday Staying Healthy with Fruits, Vegetables, and Physical Activity Easy Colorful Snacks Canned and Frozen Fruits and Vegetables Serve up Healthy Fruits and Vegetables for Breakfast Loading Up Lunch with Healthy Fruits and Vegetables Serving Up Healthy Fruits and Vegetables for the Evening Meal Eating Healthy Fruits and Vegetables Away from Home

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19. 19 Topics - Diabetes Six Daily Do’s for Diabetes Be Physically Active Everyday Check Your Feet Taking Medications and Testing Blood Sugar Eat Healthy – Plan Your Portions and Plates Eat Healthy – Meal Timing and Carbohydrate Counting Eat Healthy – Take Down Fat, Cholesterol, and Sodium Get Checked for Your A, B, Cs

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22. 22 MessagesFruits and Vegetables 7 to 10 a day the color way 2 to 3 at every meal – it’s a real healthy deal Fruits and vegetables for snacks – keep you healthy to the max Inspiration for messages: USDHHS & USDA, Dietary Guidelines for Americans, 2005 Wade, 2003

23. 23 Live Healthy Georgia - Seniors Taking ChargeStatewide Community Intervention Health Belief Model: Susceptibility and severity Perceived benefits Perceived barriers Cues to action Self-efficacy

24. 24 Live Healthy Georgia - Seniors Taking ChargeStatewide Community Intervention Training the educators: Diverse backgrounds Work with other community partners Provided with all materials and available online: www.livewellagewell.info/study/materials.htm Statewide training Onsite training Technical assistance by phone and email

25. 25 Live Healthy Georgia - Seniors Taking ChargeStatewide Community Intervention

26. 26 Live Healthy Georgia - Seniors Taking ChargeStatewide Community Intervention

27. 27 Live Healthy Georgia - Seniors Taking ChargeStatewide Community Intervention

28. 28 Live Healthy Georgia - Seniors Taking ChargeStatewide Community Intervention

29. 29 Timeline 7/04: Discussions about ‘bigger initiatives” 1/05: Serious discussions, proposal writing 5/05: Governor signs legislation 7/05: IRB submitted (10/05 finalized) 8/05: DAS/UGA contracts finalized 8-10/05: Materials development, A1c 10/05: Statewide training 11-12/05: Pre-tests 01-04/06: Intervention 05-06/06: Post-tests 07-09/06: Data analysis and report writing

30. 30 Results

31. 31 Results

32. 32 Results

33. 33 Results

34. 34 Results

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36. 36 Results

37. 37 Results

38. 38 Results

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44. 44 Results

45. 45 Summary Georgia is aging! Dietary Guidelines challenging to meet Community Intervention Diabetes self-management Fruits, vegetables Physical activity, step counters Challenges Results show program benefits participants www.livewellagewell.info/study/materials.htm Website: www.livewellagewell.info Reinforce healthy living messages for those 50+ and their families and caregivers