“healthy aging & resource programs” panel discussion...national diabetes prevention program...

Wyoming Conference on Aging: Engage at Every Age

“Healthy Aging & Resource Programs”

Panel Discussion

Chronic Disease Self-Management ProgramDominick Duhamel, WyCOA Project Coordinator

• The Chronic-Disease Self-Management Program (CDSMP) is a renowned workshop series for people with any kind of chronic health condition

• Created by Stanford University Patient Education Center in 1996; available in every U.S. state in dozens of countries

• Focuses on giving people with chronic conditions the tools they need to play a more active and productive role in their own self-management

• Also appropriate for caregivers, family, and those interested in health management

• In Wyoming, the program is called “Healthy U” and coordinated statewide by the Wyoming Center on Aging (WyCOA)


• Participants meet once a week for 6 weeks, 2.5 hours per session

• 8-18 participants per workshop

• Delivered by 2 trained and certified Leaders

• Workshops are highly participatory and participant-driven; mutual support and success builds participant confidence and ability

• Emphasis and skill-building rather than disease-specific education

• Participant outcomes include improved health, exercise, cognitive symptom management, communication with physicians; reduced health distress and social/role activities limitations; fewer hospitalizations, days in hospital, and outpatient visits


• Subjects included in a Healthy U workshop include:• Techniques to deal with problems like frustration, fatigue, pain, and isolation

• Appropriate exercise for maintaining and improving strength, flexibility, and endurance

• Appropriate use of medications

• Communicating effectively with family, friends, and health professionals

• Nutrition

• Decision-making

• How to evaluate new treatments

• Action-planning


• Available in 15 counties

• Offered by public health, senior centers, medical centers, wellness centers, senior/subsidized housing, rec centers

• All workshops are free for participants and fully funded by WyCOA

• Healthy U facilitator training coming up in Casper November 5 - 8

• For more information:

[email protected] / (307) 766-2765

National Diabetes Prevention ProgramHannah Herold

• A lifestyle change program following an evidence-based, CDC-approved curriculum

• Designed for people who have prediabetes or are at risk for type 2 diabetes

• Consists of 16 weeks of intervention followed by 6 months of maintenance and follow-up – full program is 1 year

• Focuses on healthy habits


Reduction in Risk of Developing Type 2 Diabetes

11

7.8

4.8

0

2

4

6

8

10

12

Intensive lifestyle intervention (NDPP)

(n=1079)

T2D

M in

cid

en

ce

pe

r 1

00

pe

rso

n-y

ears

Placebo(n=1082)

Metformin850 mg BID

(n=1073)

58%

31%

NDPP is a result of a major clinical research study designed to test whether lifestyle changes (diet and physical activity) could prevent or delay onset of type 2 diabetes.


• 1 in 5 adults could have type 2 diabetes by 2025

• In 2013, diabetes as a primary or secondary diagnosis cost the state of Wyoming $232,825,610 in inpatient costs alone

• Participation in an NDPP resulted in Medicare cost savings of $2,650 per patient compared to control beneficiaries


Fremont County Public Health

NursingRiverton, WY

Northern Arapaho Diabetes Awareness

ProgramEthete, WY

St. John’s Medical Center

Jackson, WY

Cody Regional Health Cody, WY

YMCACheyenne, WY

UW Family Medicine ClinicCheyenne, WY

Memorial Hospital of Converse

CountyDouglas, WY

Mountain-Pacific Quality Health DEEP (Diabetes Empowerment Education Program)™

Brandi Wahlen, Diabetes Project Manager

• Mountain-Pacific has provided the DEEP curriculum through the Centers for Medicare and Medicaid (CMS) Everyone with Diabetes Counts initiative

• DEEP classes are free and interactive; majority of classes are held at senior centers

• Recommended for those with pre-diabetes, diabetes and family members

• Peer led facilitators team up with local medical personnel

● Falls are the leading cause of non-fatal injury to Wyoming older adults 65 and older. Those 65 and older accounted for 75% of all fatal falls (2004-2016) and 68%

of non-fatal fall hospitalizations (2009-2015) though older adults represent less than 15% of the total Wyoming population.

● In 2015, non-fatal fall hospitalizations among Wyoming older adults cost an estimated $9,739,000 in combined lifetime work and medical loss costs.

● In addition to lifetime work and medical loss costs, fall injuries contribute to a decreased quality of life and a loss of independence among older adults.

● Though physical injuries remain a significant concern, many older adults who fall also develop a fear of falling. This fear of falling may cause them to limit daily

activities resulting in reduced independence, mobility, and physical fitness and an increased risk of falling again.

● In July of 2018 The Wyoming Department of Health’s Injury and Violence Prevention Program was awarded a three year grant by The Administration for

Community Living. This grant will run for three years and help us to not only expand on our current efforts in falls prevention but also allow us to bring a second

evidence based falls prevention program to Wyoming.

WDOH - Tai Chi/Matter of BalanceLindsay Martin

● The Tai Chi for Arthritis (TCA) program was designed to target adults with or without arthritis who have a higher risk of falling.

● TCA is currently implemented in seven counties through partnership with the Aging Division and Public Health Nursing.

● Participants attend 16 one hour sessions once or twice per week conducted by a certified instructor.

● Some of the observed outcomes include: improved balance, increased muscular strength, improved mobility, increased flexibility, improved psychological health,

decreased pain, and reduction in fall risk.

● A Matter of Balance targets older adults in an 8-week structured group intervention that emphasizes practical strategies to both reduce the fear of falling and

increase activity levels.

● At the completion of the three year grant period we will have trained trainers in both a Matter of Balance as well as Tai Chi for Arthritis in all 23 counties in

Wyoming.

For more information please contact: Lindsay Martin, MPH at 307-777-8034 or [email protected]

WDOH - Tai Chi/Matter of BalanceLindsay Martin

• Tailored Caregiver Assessment and Referral (TCARE) Finding & engaging resources that help is

difficult Connect caregiver with the right strategies to

reduce stress and burden at the right time

TCARE Robin Barry, PhD


Assess

TCARE Consultant

conducts 40-60 min. assessment

with caregiver

Plan

Identifies goals, strategies, initial list of strategies

(services & resources)

Feedback & Tailoring

Recommendations tailored to

caregiver’s needs, preferences, and

availability

Follow-up

At 3-month intervals, adjust

care plan as needed

• Reduces clinical depression• Reduces relationship & stress burden• Helps keep family member at home• Reduces Medicaid service use by 20%• Prevents care crisis• Improves overall health of caregiver & care receiver


History• The ADRC website was created by the WDH, CLS in partnership with the Wyoming

Center on Aging (WyCOA).

• Its intention is to rebuild the website using the database that belonged to the ADRC, which was dissolved in 2015.

• It is now maintained by the WDH.

Aging and Disability Resource Center (ADRC)WY Department of Health (WDH), Aging Division, Community Living Section (CLS)

Heather Welch

Function• The function of the ADRC website is to connect older adults, people with

disabilities, and providers to a variety of helpful information and services that address their specific needs.

• The website reflects a renewed commitment to making a comprehensive and accurate network of state and local resources easily accessible to the people of Wyoming.

ADRC CLS, Heather Welch

Where We Are Now• We continue to add new resources to the website.

• We are still in the process of rebuilding the website using the database that belonged to the ADRC that was dissolved.

• Ability to suggest a new resource, website survey, contact us

• UW study through IRB (Institutional Review Board)

• https://adrcwyoming.org


https://adrcwyoming.org/

Questions?

Heather Welch

Aging Division, Community Living Section

[email protected]

307-777-7988


mailto:[email protected]

Slides with Healthy Aging & Resources Panel information can be downloaded for future reference at:

Wyoming Center on Aging

www.uwyo.edu/wycoa

[email protected]

http://www.uwyo.edu/wycoa

mailto:[email protected]

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