CDC

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CDC Prevention Research Center Program Healthy
Aging Research Network www.prc-han.org contact
logerfo_at_u.washington.edu
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• 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

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Prevention Research CentersHealthy 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 AM University
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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

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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.

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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.

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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
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Organization of Research Agenda

• Cross-cutting skills and behaviors
• Disease and syndrome topics
• Knowledge domains

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• 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

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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
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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-ecologic
  al strategies lead to positive change in the risk
  or behavioral factor?

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DRAFT Organization of Research Agenda
Health Skills Behaviors (Six Domains)
State of Knowledge (Five Domains)
Disease Syndrome Topics (N18)
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Organization of Research Agenda
Physical Activity
Skills Behaviors (6 Domains)
Knowledge Domains (5 Domains)
Disease Syndrome Topics (18 Topics)
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Current Research Agenda Topics

• Physical Activity
• Depression
• Nutrition
• Healthy Brain

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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 CDCs 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.

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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

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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

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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

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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

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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

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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

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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

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PRC HEALTHY AGING RESEARCH NETWORK

• Healthy Brain Interest Group
• James N. Laditka, DA, PhD, MPA
• Working with CDC, NIH, Alzheimers 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 Alzheimers disease, dementia
  and healthy
• behaviors

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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

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PRC-HAN Research Dissemination and Practice
Interest Group

• GOALS
• Summarizing evidence related to best
  practices/data
• Dissemination and diffusion of applied
  
  research
• Curriculum development

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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

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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

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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

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PRC HEALTHY AGING RESEARCH NETWORKNutrition
Interest GroupJoseph R. Sharkey, PhD, MPH, RD

• Formative stages
• HAN linkages to Meals on Wheels
• Evidence-based review

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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

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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

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• 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

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CDC Prevention Research Centers (PRC) Healthy
Aging Research Network (HAN) Logic Model
September 2005
Inputs
Organizing Activities
Outcomes
Network Activities
Network Outcomes

• HAN Functioning
• Conduct Regular Meetings among Work Groups
• Engage Outside Experts as Necessary
• Link back to local community
• Establish and
• Implement Evaluation
• Activities

Long-term
Distal
CDCs Recognition of HANs Importance
Strengthen HAN Capacity
Maximized Relationships with Partners

• 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
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CDC Prevention Research Center Program Healthy
Aging Research Network www.prc-han.org contact
logerfo_at_u.washington.edu