Template: Making Effective Presentation about Your Evidence-based Health Promotion Program

1. This template is intended for you to adapt to your own program and presentation needs. This version of the template includes examples of the slides that were used in the online educational module. Template:Making Effective Presentation about Your Evidence-based Health Promotion Program

2. Title of Presentation Your Name and Organization (include logos if desired)

3. EXAMPLE Texas Healthy Lifestyles:Bringing Chronic Disease-Self Management, EnhanceFitness and Matter of Balance Programs to Communities Marcia G. Ory, PhD, MPH John D. Prochaska, MPH Angie F. Wade, MPH Evaluation Center

4. List your funders Include grant numbers, funding amounts, or logos is desired Funded by

5. EXAMPLE Funded by Administration on Aging (AoA) Atlantic Philanthropies/National Council on Aging California Wellness Foundation Catholic Healthcare West Centers for Disease Control (CDC) Good Hope Medical Foundation Green Foundation Health Trust Foundation Jewish Community Foundation Kaiser Permanente

6. Program Partners • List your program partners • Describe their roles as partners

7. Our Program Partners and Their Roles EXAMPLE

8. EXAMPLE Our Program Partners and Their Roles • Action for Boston Community Development (ABCD) • A Matter of Balance • Department of Public Health • Program management, coordination with partners at local, state and national level, technical assistance, planning and reporting. • Elder Services of the Merrimack Valley (ESMV) • My Life, My Health, a CDSMP program • Executive Office of Elder Affairs • Grant administration and reports, program promotion, fidelity and sustainability • Hebrew Senior Life (HSL) • Healthy Eating for Successful Living in Older Adults

9. Our Program Partners and Their Roles EXAMPLE Action for Boston Community Development Department of Public Health Executive Office of Elder Affairs Elder Services of the Merrimack Valley Hebrew Senior Life

10. Program Purpose • Describe the scope of the health issue your program addresses • National level data • State level data • Local level data

11. EXAMPLE Chronic disease: An epidemic of unparalleled proportions • 80% of older adults have at least one chronic condition • Greater prevalence among minority populations • 1.7 million Americans die of a chronic disease each year • 1/3 of U.S. deaths attributed to modifiablebehaviors Mensah, CDC National Center for Chronic Disease Prevention and Health Promotion: www.nga.org/Files/ppt/0412academyMensah.ppt#18 State of Aging and Health in America 2007: www.cdc.gov/aging

12. EXAMPLE Prevalence of chronic diseases among older North Carolinians is increasing • 50% have arthritis • 23% have diabetes mellitus • 22% have heart disease/stroke • 45% with chronic conditions are disabled • Minorities at greater risk for having chronic conditions and dying from them Source: 2003-2006 Behavioral Risk Factor Surveillance System (BRFSS)

13. Health Disparities in Chronic Disease **p < .001 Philadelphia Health Management Corporation 2004 Household Health Survey (a representative sample of 10,000 people in the greater Philadelphia region) EXAMPLE

14. Target Population • Describe your target population • Racial/ethnic composition • Geographic distribution • Demographic data • Include maps if desired

15. Target Population EXAMPLE State of California: (2006) • Highly populated (36 million) • 11% age 65+ • Racially/ethnically diverse • Geographically varied Population We Aim to Reach: Older adults with: • Multiple health conditions • All income levels, but especially lower income • Representative of the diversity of California

16. EXAMPLE Target Population and Their Settings Older Adults (ages 60+) served by the following areas: • Bexar Area Agency on Aging (San Antonio area) • Brazos Valley Area Agency on Aging • Harris County Neighborhood Centers, Inc. (Greater Houston area) • Areas serviced by Area Agencies on Aging affiliated with the Texas Falls Prevention Coalition

17. Program Description • Impact • What impact or effect does your program have? • Why is it effective? • Purpose • What is the overall purpose of your program? • Key Elements • What are the key components of how your program works? • What strategies and techniques are used? • How is the program structured? • What do participants do in your program? • Research Outcomes • What are the research questions or outcomes that your program addresses?

18. EXAMPLE Evidence that CDSMP Works! • Improvements in health: • Increased self-rated health and energy • Reduced fatigue, social and role activity limitations, distress with health state • Fewer days in hospital in past six months • Trend for fewer outpatient and ER visits • Cost-effective and long-lasting

19. CDSMP Purpose and Key Components EXAMPLE • CDSMP builds self-confidence to manage chronic health conditions • Strategies: • goal setting • feedback • behavior modeling • problem-solving techniques • Techniques: • Relaxation • Changing diet • Managing sleep and fatigue • Using medications correctly • Exercise • Communication with health providers

20. EXAMPLE CDSMP Program Meetings • 2.5 hour weekly sessions • 6 weeks • Standardized manual • Multi-tiered system: T-Trainers, Master Trainers, Lay Leaders • Lay Leaders have chronic conditions • Class size: 12-16 participants

21. Research Questions Do state-wide evidence-based programs improve measures of: quality of life perceived pain and fatigue functional abilities health care utilization rates Is it possible to build capacity using existing organizations and partnerships? EXAMPLE

22. Participant Recruitment • Describe how you recruit participants to the program • Where do advertise? • Who does the recruiting? • Corresponds to the REACH component of RE-AIM

23. How We Recruited Participants 2007-08 EXAMPLE • Went where older adults live, work, play, or pray • Used class leaders as recruiters • Used class participants as recruiters • Used RSVP volunteers

24. Site Recruitment • Describe how you recruit sites for the program • Coordination sites • Implementation sites • Corresponds to the ADOPTION component of RE-AIM

25. EXAMPLE Recruitment of Sites: 2007-08 • Coordination sites: • Previous experience delivering programs • Diverse target populations • Potential capacity to continue offering programs post-funding • Implementation sites: • Sites requested the class • Direct recruitment • Advertisements

26. Program Leaders • Describe how you recruit program leaders • Where do you advertise? • Strategies used to retain leaders? • Corresponds to the ADOPTION component of RE-AIM

27. Recruitment and Retention of Program Leaders Recruitment Through existing instructors (50%) Through community partners (25%) Senior Centers, RSVP (10%) Newspapers (10%) Retention Leader Agreement Regular phone calls and meetings Buddy system Quarterly emails Recognition events and mementos EXAMPLE

28. Program Implementation • Describe your strategies to assure fidelity to the program design • Strategies used across sites (class monitoring, evaluations, etc.) • Strategies used within sites (progress reports, etc.) • Corresponds to the IMPLEMENTATION component of RE-AIM

29. Strategies Used To Assure Fidelity To The Program Session observation by Master Trainer Stanford observation checklist On-going technical support provided to workshop leaders Participant evaluations “Fidelity Update” in quarterly email EXAMPLE

30. Adaptations • Describe any adaptations you made to the original program • Describe why the adaptation was needed • Describe how you decided on the adaptation • Describe the actual adaptation • Did you clear your adaptation with the program developers?

31. EXAMPLE Adaptations Made to Our Program • Moment of silence to address preference for spiritual recognition • Avoid sweets & salt • Discussed communicating with health care provider of a different race • Added initial group session for orientation and completion of baseline evaluation Adaptations developed by Jean Goeppinger, RN, PhD, University of North Carolina; pilot tested by Molly Rose, RN, PhD & Christine Arenson, MD, TJU, 2001)

32. EXAMPLE Adaptations to the Original Program PROBLEMInitial session length not enough to enroll participants and collect data PROCESSConducted interviews with program instructors and agency staff ADAPTATIONadded session “0” at beginning of program for registration and data collection

33. If you have data about your program to present, continue on to the next slide. If you do NOT have data to present, skip to slide 64 in this template.

34. Participant Enrollment and Retention Enrollees Number interested Year by year Baseline surveys Percent completing survey Successful completion Percent successful completion Year by year Post-program survey

35. Enrollment, Attendance and Retention (as of September 2004) 267 enrolled 100% completed baseline survey 88% (235/267) completed course (4/6 sessions) 78% (212/267) completed 4 month post-test survey EXAMPLE

36. Description of Participants: General Characteristics Participant characteristics Demographic data Geographic data

37. Description of Program Participants: 2003-2004, n=230 EXAMPLE

38. Description of Program Participants: Years 2003-2004, 2004-2005 EXAMPLE

39. Description of Program Participants: Years 2003-2004, 2004-2005 EXAMPLE

40. Description of the Participants: Health Status (REACH) Percent with health issue being addressed General health status Health care utilization

41. Participants’ Health Characteristics: 2003-2004 Frequent use of medical care High rates of chronic conditions 2 of 5 rate their health poor/fair EXAMPLE

42. Attrition Number non-completers Compare non-completers to completers Demographic data Health status data Health care utilization If any, describe differences

43. EXAMPLE Attrition: Significant Differences between Completers and Non-Completers (2003-2005)

44. Research Design, Data Collection and Analysis Research Design Analysis Methods quantitative data qualitative data

45. Research Design, Data Collection and Analysis (EFFECTIVENESS) Pre-post evaluation: Group baseline interview conducted during orientation session. Four month follow-up phone interview Data analysis: paired Wilcoxon tests on data for individuals with pre-post evaluations EXAMPLE

46. Data Collection: Tools, Methods, Timeframe Types of tools Data collection methods Data collection timeframe and data collection points

47. Program Quality (Process) Measures Participant Demographic Form Participant Satisfaction Survey Attendance Sheet Fidelity Checklist Individual Benefits (Outcome) Measures CDSMP Pre/Post Survey Data Collection Tools (EFFECTIVENESS) EXAMPLE

48. Participant Outcomes General presentation Simply state “improved, did not change, worsened” Use tables or charts Research presentation Use statistics - include percents means, confidence intervals, change scores, p values

49. Significant Outcomes at 4 Months 2004-2005 (N = 212) EXAMPLE

50. EXAMPLE Significant Outcomes at 4 Months Compared to Baseline for 2004-2005 (N = 212)