Evidence-based programs (EBPs) offer proven ways to promote health and prevent disease among older adults.
They are based on research and provide documented health benefits, so you can be confident they work. Older adults who participate in EBPs can lower their risk of chronic diseases and falls—or improve long-term effects of chronic diseases or falls.
What are evidence-based programs?
Solid Research: EBPs are based on rigorous study of the effects or outcomes of specific interventions or model programs. They demonstrate reliable and consistently positive changes in important health-related and functional measures.
Packaged Programs: Tested model programs are translated into practical, effective community-based programs. If you implement one, you will receive a packaged program with a variety of supportive materials. As a result, the program’s content and fidelity will be consistent in all settings, and it will be easy to deliver. Packages usually include implementation manuals and specialized training. Examples:
- Stanford’s Chronic Disease Self-Management Program.
- A Matter of Balance for falls prevention.
- Healthy IDEAS for depression management.
Why use EBPs?
EBPs can save older adults from chronic disease and falls and can strengthen communities.
Reduce Chronic Diseases and Falls: The percentage of older individuals in the population has increased with each decade, and the proportion of persons 75 years and older has grown even faster. As a result, chronic diseases and falls have increased and are now the leading causes of death and disability among older Americans.
Fortunately, both chronic diseases and falls are highly preventable. EBPs can help turn the tide and raise older adults’ quality of life—improving health behaviors, health and functional status, and overall well-being.
Form Community Partnerships: Equally important, community organizations and health care entities can partner to implement EBPs. Making community-clinical linkages is integral to promoting good health and reducing disease and disability.
What are the benefits of EBPs?
EBPs work! They are based on rigorous study of interventions and model programs carried out with multiple populations in a variety of settings. Therefore, they are more likely to produce positive changes or outcomes for people who participate.
Benefits to Older Adults:
- Improved quality of life.
- Increased self-efficacy in managing one’s health.
- Increased or maintained independence, positive health behaviors, or mobility.
- Reduced disability (fewer falls, later onset or fewer years of disability, etc.)
- Reduced pain
- Improved mental health (including delays in loss of cognitive function and positive effects on depressive symptoms)
Benefits to Community-Based and Health Care Organizations:
- More efficient use of available resources.
- Facilitation of partnership development and community/clinical linkages.
- Better health outcomes and a more positive health care experience.
- Fewer hospital and doctor visits and lower health care costs.
- Ease of replicating and spreading programs.
- Greater opportunity for varied funding sources, as programs get proven results.
What programs can I offer?
The Administration for Community Living/Administration on Aging (ACL/AoA) provides guidance:
- Learn about Older Americans Act Title III-D Program funding
- See programs that meet highest-level criteria for Title III-D funding
Evidence-Based Program Review Council
The purpose of the Evidence-Based Program Review Council is to identify new community programs that meet the criteria established by the Administration for Community Living/Administration on Aging (ACL/AoA) for evidence-based programs funded through the Older Americans Act (OAA) Title III-D (see Appendix A). It is important to note that Title III-D criteria specifically addresses older adults, but programs submitted through this process may address older adults and/or adults with disabilities.
The ACL-funded National Chronic Disease Self-Management Education Resource Center, based at the National Council on Aging (NCOA), is overseeing this process in partnership with the Evidence-Based Leadership Council (EBLC). Together, NCOA and EBLC are establishing a Review Council to conduct the assessments of programs submitted through this application process. The Review Council will consist of national leaders with expertise in program research, evaluation, and implementation.
The evidence-based program review process provides several benefits:
- Programs will be reviewed for potential inclusion on the ACL Title III-D approved list in a timely, unbiased manner;
- More programs targeting varied risk factors and populations will be available for dissemination; and
- Community, state, and tribal organizations/agencies can use the recommendations of Review Council to reference programs that have been deemed to be appropriate for inclusion for ACL Title III-D or other ACL future evidence-based program discretionary funding.
Request for Letters of Intent
To prepare for the applications that will be submitted through this process, NCOA and EBLC are requesting Letters of Intent from those that plan to submit programs for review. This is not a required part of the process, but is highly encouraged. Please review the instructions here and submit your Letter of Intent by August 18, 2017.
- Letters of Intent Due: August 18
- Release of Stage 1 and Stage 2 Program Applications: August 18
- Stage 1 Program Applications (i.e., Program Research and Evidence) Due: September 15
- Invitations to Submit Stage 2 Program Applications (i.e., Program Implementation) Released: November15
- Stage 2 Program Applications Due: December 15
- Notification of Approved Programs: Mid-February
Questions about the Evidence-Based Program Review application or process? Contact firstname.lastname@example.org.