GERO 301: Wellness and the Elderly
First Paper: Evidence-Based Programs
15% of class grade
Goal: Type a 4-page paper exploring a specific “evidence-based” program (EBP). How does this program work and how has it been evaluated? To refresh your memory of what and EBP is and why they are important, feel free to re-watch the Presentation that we saw on YouTube from Lindsey Myers at the Colorado Department Public Health and Environment: https://www.youtube.com/watch?v=1sIXrvGcJqY
Aging Networks, Chapter 7: A few “evidence-based” programs for mental healthcare are mentioned here as modelsincluding: Healthy IDEAS, PEARLS, the Alzheimer’s Disease Supportive Services Program, and the NYU Counseling Interventions program. But, each of you has your own interests.
Major Sections: Each should be addressed and is worth a maximum of 5 points.
1. Background: What is the specific policy or program? What is it called? What health problem does it address? What is the evidence (data) on the extent of that health problem for older adults?
2. Implementation: As a “proven” model for providing care, what methods, activities, and resources are needed for the “intervention”? Has it been “replicated”and used in other places (in the USA or abroad)?
3. Evaluation: How was the intervention tested? How was it evaluated? In other words, what evidence was gathered to prove that it was effective? Please describe in as much detail as possible.
Electronic sources are fine, but you must cite them properly. I would like to see 5 resources and references. Some programs are mentioned in the main text (Aging Networks, too—see chaps 7, In addition to the textbook, at least 3 other references must be used.
Proper APA style for citations and references is required. This also includes proper use of quotation marks (for direct quotes), and parenthetical notation (for paraphrasing).
Note on deductions: There is an automatic 2-point deduction for late papers (not submitted in class) as well as 1-point eachfor: lack of references, lack of proper in-text citations, more than four proofreading errors, and missing a reference. Please do your best to address each of the three sections above. A one-point deduction will be made for each section not addressed.
RECOMMENDED RESOURCES AND WEBSITES
Each of you has an area of interest (from preventing obesity to preventing falls to treating incontinence). Please start with the links below to familiarize yourself with what exists and what is being funded. But, you might have to keep looking to find what you really need. I will do my best to help you find other resources.
NCOA Title-3 Highest Tier Evidence-Based Programs
http://www.ncoa.org/improve-health/center-for-healthy-aging/content-library/Title-IIID-Highest-Tier-Evidence-FINAL.pdf
NCOA Evidence-Based Programs (Center for Healthy Aging)
http://www.ncoa.org/improve-health/center-for-healthy-aging/where-to-find-evidence-based.html
National Council on Aging (NCOA): Center for Healthy Aging
Chronic Disease Self-Management Programs
http://www.ncoa.org/improve-health/center-for-healthy-aging/chronic-disease-1.html
Substance Abuse and Mental Health Services Administration (SAMHSA)
National Registry of Evidence-Based Programshttp://www.nrepp.samhsa.gov/ViewAll.aspx
Administration for Community Living:
Center for Disability and Aging Policy (CDAP)
http://acl.gov/Programs/CDAP/OPE/ADEPP.aspx
Other Library Databases (accessed via the York College website library link)
• EBSCO
• PubMed
• AgeLine
• Lexis-Nexis
Topic :Evidence-Based Program
Physical Activity and Health Promotion: Healthy Moves for Aging Well
look for Evidence based program and write about the program.What is it ? How it works ? How is it implemented
SAMPLE PAPER.
GERO 301
4/14/15
Evidence-Based Program
Physical Activity and Health Promotion: Healthy Moves for Aging Well
Physical activity intervention and advanced exercise is one of the most powerful methods for older adults and can improve senior’s ability to function as well as remaining independent in their homes. According to the American College of Sports Medicine, recently published physical activity and public health is needed to improve and maintain health in older adults, Nelson, Rejeski, Blair, Duncan, Judge, King, Macera, Castaneda-Sceppa. (2007). The American College of Sport Medicine recom¬mend that regular physical activity acts is similarly in middle-aged and older adults by reducing the risk of cardiovas¬cular disease, stroke, hypertension, type 2 diabetes mellitus, oste¬oporosis, obesity, colon cancer, breast cancer, anxiety, and depres¬sion. Evidence has shown that physical activity reduces risk of falls and injuries and is effective therapy for many chronic diseases. In addition, Nelson et al., (2007), research shows that muscle strength and functional mobility can potential¬ly be restored with great benefit to the frail population, even those in their nineties. Older adult’s maintaining an active lifestyle decrease lower blood pressure & cholesterol, increase bone density & range of motion, improves mental alertness, mood, and improves functional ability and independence. According to the Centers for Disease Control and Prevention (CDC) in the United States, one of three adults aged 65 years or older falls each year, and falls are the leading cause of injury-related death for this age group. The total costs of heart disease and stroke in 2010 were estimated to be $315.4 billion while the total estimated cost of diagnosed diabetes in 2012 was $245 billion. The CDC also indicated that for upcoming decades, U.S. older adults aged 65 years or older would continue to increase reaching 71 million people by 2030 while the older adults stay physical activity.
As healthy moves for aging mention “Healthy moves for aging well is a simple and safe in home physical activity intervention developed and tested by partners in care to enhance the activity level of frail, high-risk sedentary seniors living at home. The model was developed for community-based care management programs arranging and delivering service to seniors in the home”. For adults to receive the best health, implanting simple, safe, non-equipment using affordable and sustainable homecare-aide based delivery model that reaches the maximum possible number of frail older adults living at home (Nelson et al., 2007). According to Nelson et al., (2007) in Illinois, “Home Care Aides” provide assistance with household tasks such as cleaning, planning and preparing meals, doing laun¬dry, shopping and running errands. Through adaptation of this model to the homemaker delivery setting, the project can potentially improve functional fitness levels, reduce depression and fall risk, and improve well-being and quality of life for frail and sedentary older adults. For such model to be implementing for older adults, HCAs needed to perform healthy moves programs on a regular basis for a period of time (Haley, Andel, 2010). Healthy movement consists of Arm curls, Ankle point & flex, and Seated step in place helping older with their lower and upper body strength. Arm curls consist of sitting in a comfortable position, bending the elbow to touch the shoulder. Ankle point and flex help older adults lift and extend their leg, then flexing the toes to the roof while seated step in place exercise consist of sitting in a stable chair and moving the legs by slowly marching them in place. A research article by Braith, and Stewart, (2006) examine that aerobic exercise and muscle-strengthening activity can also promote and maintain health in older adults. Older adults can benefit from performing activities for a minimum of two day each which will help maintain and increase their muscular strength as well as aerobic physical activity for a minimum of 30min on five days each week. Yan, Wilber, Wieckowski, Simmons, (2009) showed that the healthy moves program effec¬tively reduced number of falls, fear of falling, and depression. They suggested that even though doing regular physical activity benefits older adults in various ways, many seniors who have difficulties with cleaning, shopping, walking, bathing, dressing and other daily activities do not engage in physical activity (Yan et al, 2009).
Healthy moves benefited its older adults by significantly reducing their number of falls and pain level among participants who improved their exercise performance. According to Braith et al., (2006), their finding suggested that the low-intensity exercises were associated with the decline in the number of falls and pain level among high-risk participants. In other words, physical activity have reduces susceptibility to falls and prevents or delays impaired physical function in frail and elderly persons. According to Nelson et al., (2007), related to the three major movement (arm curls, ankle point & flex, and seated step-in-place), 69.2% participant reported that they enjoyed working with their homecare aide on the program and 76.8% reported that working with their homecare aide motivated them to exercise more regularly. Similarly, 76.8% felt that their homecare aide provided enough informa¬tion and assistance to do the exercise and that they regularly per¬formed the movements from the program. In addition, I believe older adult with medical conditions should engage in physical activity to reduce any risk factors of developing chronic diseases. Implementing such, intervention will help promote physical activity in older adults. Physical activity is one of the top priorities in preventing and treating disease in older adults.
Reference
Braith, R. W., Stewart, K. J. Resistance exercise training: its role in the preven¬tion of
cardiovascular disease. (2006). American heart association, Circulation 2006;113:2642-
2650, doi:10.1161/circulationaha.105.584060
Centers for Disease Control and Prevention. Chronic Disease and Health Promotion. Retrieved
from Centers for Disease Control and Prevention website:
http://www.cdc.gov/chronicdisease/overview/index.htm
Haley, C., Andel, R. (2010). Correlates of physical activity participation in commu¬nity-dwelling
older adults. Journal of aging and physical activity Act, 2010:18:375-389
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., Macera,
C.A., Castaneda-Sceppa, C. (2007). Physical activity and public health in older adults:
recommendation from the American College of Sports Medicine and the American Heart
Association. Medicine & Science in Sport & Exercise,
doi:10.1249/mss.0b013e3180616aa2
Patient in Care Foundation: changing the shape of health care. Healthy moves for aging well.
Retrieved from Patient in care foundation: changing the shape of health care Website:
https://www.picf.org/landing_pages/22,3.html
Yan, T., Wilber, K. H., Wieckowski, J., Simmons, W. J. (2009). Results from the healthy moves
for aging well program: changes of the health outcomes. Home Health Care Services
Quarterly, doi:10.1080/01621420903176136
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