CDC

Prevention Research Center Program

Healthy Aging Research Networkwww.prc-han.org

contact: logerfo@u.washington.edu

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

University of Washington

University ofCalifornia at Berkeley

University ofColorado at Denver

University of Illinois at Chicago

West Virginia University

University of North Carolina at Chapel Hill

University of South Carolina

Prevention Research Centers’Healthy Aging Research Network

Prevention Research Centers’Healthy Aging Research Network

University of Pittsburgh

Texas A&M University

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

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.

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.

Healthy Aging Research NetworkHealthy Aging Research NetworkSocial Ecologic Model of Healthy AgingSocial Ecologic Model of Healthy Aging

Individual

Interpersonal

Institutional

Community

Public Policy

Modified/ Sources: McLeroy et al., 1988, Health Educ Q; Sallis et al., 1998, Am J Prev Med

Physical Environment

Organization of Research Agenda

• Cross-cutting skills and behaviors

• Disease and syndrome topics

• Knowledge domains

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

Healthy Aging Research Agenda

Diseases, Organ System Topics, Geriatric Syndromes & Concerns

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

Chronic pain

Frailty

Falls, fractures & other injuries

Cognitive impairment / decline

Incontinence (urinary & bowel)

Sleep disorders

Oral health

Polypharmacy

Care-giving burden

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

DRAFT

Organization of Research Agenda

Health Skills & Behaviors

(Six Domains)

Disease & Syndrome Topics

(N=18)

State of Knowledge

(Five Domains)

Organization of Research Agenda

Skills & Behaviors

(6 Domains)

Disease & Syndrome Topics

(18 Topics)

Knowledge Domains

(5 Domains)

Physical Activity

Impact on Health

Frailty, Falls, Cognitive Impairment

Current Research Agenda Topics

• Physical Activity

• Depression

• Nutrition

• Healthy Brain

Lead Center

PRC HEALTHY

Aging RESEARCH

Network

HCFA

NIA

AHRQ

Federal Agencies

Private Foundations

National Council on Aging

Senior CentersArea Agencies

on AgingAdult Day Centers

NationalPRC Network

CDC

PRC Program

Healthcare & Aging Studies

Branch

State Aging Offices

State & TerritoriesHealth Departments

Community Advisory Boards

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 CDC’s 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.

PRC-HAN: Physical Activity Programming Interest Group

PA Review Paper Work GroupTom R. Prohaska, PhD

Consensus Review and Report

Physical Activity, Public Health, and Aging: Critical issues and Research Priorities

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

PRC-HAN: Physical Activity Programming Interest Group

Web Tool Development WorkgroupJim 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

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

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 IveySeven site environmental audit training and community pilot

Audit tool refinement and dissemination•Qualitative report

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

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

PRC HEALTHY AGING RESEARCH NETWORK

Healthy Brain Interest Group James N. Laditka, DA, PhD, MPA

Working with CDC, NIH, Alzheimer’s 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 Alzheimer’s disease, dementia and healthy behaviors

PRC HEALTHY AGING RESEARCH NETWORK

Research Dissemination and Practice Interest Group

Mary Altpeter, PhDLucinda 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

PRC-HAN: Research Dissemination and Practice Interest Group

GOALS:

• Summarizing evidence related to best practices/data

• Dissemination and diffusion of applied research

• Curriculum development

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

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

PRC-HAN: Research Dissemination and Practice Interest Group

PRC-HAN: Research Dissemination and Practice Interest Group

Conference Grant Work GroupBasia 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

PRC HEALTHY AGING RESEARCH NETWORK

Nutrition Interest GroupJoseph R. Sharkey, PhD, MPH, RD

• Formative stages

• HAN linkages to Meals on Wheels

• Evidence-based review

PRC HEALTHY AGING RESEARCH NETWORK

Key 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

PRC HEALTHY AGING RESEARCH NETWORK

Key Issues

• Expectations and rewards for leading major interest group or workgroup

• Ability to meaningfully draw on strengths of PRC network and linkages

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

SYN

ER

GY

InputsInputs

Organizing Activities

Organizing Activities Outcomes

Outcomes

Infrastructure Funding

Infrastructure Funding

Member-Center (Academic/Communit

y Partnership) Capacity

Member-Center (Academic/Communit

y Partnership) Capacity

Lead Center CapacityLead Center Capacity

Long-termLong-term

DistalDistal

Social, Community, and Environmental Benefits

Enhance Community Capacity for Prevention

Facilitate Positive Sociocultural Environments

Improve Physical Environment

Social, Community, and Environmental Benefits

Enhance Community Capacity for Prevention

Facilitate Positive Sociocultural Environments

Improve Physical Environment

Optimal Health Promotion Policies

Translate Research into Policy

Implement Effective Interventions

Optimal Health Promotion Policies

Translate Research into Policy

Implement Effective Interventions

OPTIMAL PHYSICAL, MENTAL, AND

SOCIAL FUNCTIONING,

EQUITABLY DISTRIBUTED

AMONG ALL OLDER ADULTS

OPTIMAL PHYSICAL, MENTAL, AND

SOCIAL FUNCTIONING,

EQUITABLY DISTRIBUTED

AMONG ALL OLDER ADULTS

CDC’s Recognition of HAN’s Importance

CDC’s Recognition of HAN’s Importance

Network ActivitiesNetwork Activities

HAN Functioning

Conduct Regular Meetings among Work Groups

Engage Outside Experts as Necessary

Link back to local community Establish and Implement Evaluation Activities

HAN Functioning

Conduct Regular Meetings among Work Groups

Engage Outside Experts as Necessary

Link back to local community Establish and Implement Evaluation Activities

Establish Dissemination Plan

Establish Dissemination Plan

Network OutcomesNetwork Outcomes

Improved Community-based Aging and Public

Health Research

Improved Community-based Aging and Public

Health Research

Demonstrated Change in Local Communities

Demonstrated Change in Local Communities

Policy and Program Uptake by:

Public Health Aging Services Government Policies Research Communities Academics

Policy and Program Uptake by:

Public Health Aging Services Government Policies Research Communities Academics

Engage Policy Makers, Students, Planners &

Practitioners

Engage Policy Makers, Students, Planners &

Practitioners

Strengthen HAN

Capacity

Strengthen HAN

Capacity Maximized Relationships with

Partners

Maximized Relationships with

Partners

New Scientific PartnersNew Scientific Partners

New Funding Opportunities for HAN

Priorities

New Funding Opportunities for HAN

Priorities

CO

NTR

IBU

TES

TO

CDC Prevention Research Centers (PRC) Healthy Aging Research Network (HAN) Logic Model

Develop Community-Based Research Agenda

Seek Research Funding

Develop Community-Based Research Agenda

Seek Research Funding

Establish Evidence Based Research & Health Priorities

Establish Evidence Based Research & Health Priorities

September 2005

HAN OrganizationalStructure

HAN OrganizationalStructure

Health Promotion Behavior Skills

Adopt, Increase, and Maintain Health Promotion

Behavior Skills in Research Areas

Health Promotion Behavior Skills

Adopt, Increase, and Maintain Health Promotion

Behavior Skills in Research Areas

Institutional Linkages Alignment of community-

based public health and aging services

Linkage to health care system

Institutional Linkages Alignment of community-

based public health and aging services

Linkage to health care system

PRC NetworkPRC Network

Synergistic Relationship

Uptake of Research Findings

Uptake of Research Findings

Conduct Community-Based Aging and Public

Health Research Programs/Interventions

Conduct Community-Based Aging and Public

Health Research Programs/Interventions

Establish Marketing Plan

Establish Marketing Plan

Increase Workforce Capacity

Increase Workforce Capacity

Contextual Factors (e.g., Policy Environment, Social Disparities, Health Priorities, etc.)

Translate and Disseminate Findings and Work Products

Translate and Disseminate Findings and Work Products

CDC

Prevention Research Center Program

Healthy Aging Research Networkwww.prc-han.org

contact: logerfo@u.washington.edu