Improving the lives of 10 million older adults by 2020 | © 2019 National Council on Aging

EVIDENCE-BASED PROGRAMS

VIRTUAL/REMOTE DELIVERY

GRAND ROUNDS

This call will begin shortly.

June 2, 2020

Improving the lives of 40 million older adults

by 2030

Improving the lives of 10 million older adults by 2020 | © 2019 National Council on Aging

AGENDA

NCOA Grand Rounds June 2, 2020

Kate Lorig, DrPH

Director

Self-Management

Resource Center

kate@selfmanagement

resource.com

Lesley Steinman, MPH, MSW

Research Scientist

Health Promotion Research Center

University of Washington

lesles@uw.edu

Promoting Older Adult Health Equity During

COVID-19 Times and Beyond:

Evaluating the Public Health Impact of Remote

Evidence-Based Programs

Overview

❑ Welcome

❑ What’s changed in the COVID-19 context

❑ Lessons learned from an Online survey of doing remote EBPs

❑ What’s being done

❑ Who is being reached / not reached

❑ What’s working well? What’s not working so well?

❑ Opportunities

❑ What’s Next

❑ Discussion and Q&A

About the EBLC

Mission

Increase delivery of multiple evidence-based programs

that measurably improve the health and well-being of

diverse adult populations.

Objective

Create a nationally based organization to build a

strong network of providers of EBPs within CBO’s and to

advocate for sustainable funding streams for these

programs.

COVID-19 context and EBPs

Equity

Communities vulnerable in COVID-19 times are

served by EBPs and your organizations

Intersectionality

Concern about widening the digital divide

Older persons

Multiple chronic conditions

People of color

Limited English proficiency

Poverty

Rural

Disabilities

Social isolation and loneliness

Social isolation

Structural – something we can see

Lack of contact with society

Loneliness

Functional – something we feel

Difference between the social

connections we have and those we want

COVID-19 may create both isolation from physical

distancing and loneliness from disconnectedness

Can lead to depression and worse chronic conditions

Related but distinct - loneliness may have bigger impact

Learn more: http://nationalacademies.org/isolationandloneliness

Remote EBP survey learnings

POLL 1

Are you currently offering any EBPs remotely?

1. Yes

2. Planning to in the future

3. No

Goal of the survey

Real-time learning about remote EBPs

Reach

Implementation

Effectiveness

Glasgow, 2019

How are remote EBPs being done?

What remote EBPs are being done?

How many orgs are doing this work?

How many people are being served?

Who is not being reached?

What’s working well? What’s not working so well?

Opportunities for doing this work better?

Participants

278 respondents

68 follow-up surveys

219 organizations

50% social service

34% health care

25% public health

Also: educational, research, state govt

36 U.S. states

9 countries

What EBPs are being done remotely?

Chronic disease management

CDSMP (English 100, Spanish 15)

wCDSMP (7)

CPSMP (42)

DPSMP (English 56, Spanish 10)

EnhanceWellness (8)

HIV PSMP (1)

HomeMeds (1)

Caregivers

BCBH (10)

Powerful Tools (19)

Stress Busting (3)

Falls prevention, nutrition, physical activity

Arthritis Exercise (6)

Bingocize (1)

CAPABLE (1)

SAIL (7)

Tai chi (11)

Tai chi YMCA MBB (10)

Walk With Ease (14)

Behavioral/mental health

Healthy IDEAS (6)

PEARLS (18)

Track the latest guidance here: https://www.ncoa.org/ncoa_acf/covid-19-resources-for-professionals/

What modes of delivery are being used?

Reach

1,298 participants served to date

Who is not being reached?

Persons without access to technology

Phone, email, computers, internet. Both outreach & delivery.

Experiencing poverty

Limited English proficiency

Rural

Caregivers

People with sensory impairments

In assisted living facilities

CHAT BOX Q: Who else is not being reached?

What’s working well with remote EBPs?

Here’s what we learned from the survey:

Benefits to older persons, providers, CBOs

Strategies for doing remote EBPs:

“session 0” – building rapport and orient to tech

Combo of mailed + phone

If using tech, have one or two leaders and one tech

Lay groundwork for remote EBPs post-pandemic

What’s working well with remote EBPs?

Poll 2

What is working best with your remote EBPs?

Combining multiple modalities (e.g. phone + mail)

Having more than one leader

Providing “session 0” for participants and leaders

Tell us what else is working well in the chat box.

What’s not working well with remote EBPs?

Here’s what we learned from the survey:

Lack of access to/comfort with/knowledge of tech

Takes more time

Hard to engage (existing/new participants/leaders)

Building the plane as we fly it

What’s not working well with remote EBPs?

Poll 3

What is your greatest challenge with remote EBPs?

Lack of access to/comfort with/knowledge of tech

Takes more time

Hard to engage (participants and leaders)

Building the plane as we fly it

Tell us what else is not working well

in the chat box.

Opportunities

Continue to share best practices – moving target

Evaluate what is working and opportunities for improvement

Improve access to tech while reaching people through phone and mail

If you have not already done so. Please fill out the survey to help continue shared learnings!

https://redcap.link/EBLC_Remote_EBPs

OK to fill out even if not yet started doing remote EBPs

What’s next

Do remote EBPs work?

Planned evaluation of remote EBP effectiveness

Pre/post remote EBP survey of health outcomes:

mental health, sleep, pain, physical activity, energy,

social isolation, loneliness, social needs

Let us know if you are interested!

Email Kate at kate@selfmanagementresource.com

We will send out a Google Form post-webinar

Discussion and Q&A

Thank you for all you are doing to

support older vulnerable

communities during these pandemic

times and beyond!

Questions?

Please use the Chat Box to ask questions or to identify that you want to verbally ask a question.

Improving the lives of 10 million older adults by 2020 | © 2019 National Council on Aging

NEXT WEEK

• Please note that there will be NO GRAND ROUNDS call next week, June 9, 2020 due to the Age+Action Virtual Conference.

• For more information about Age+Action Virtual Conference, please go to www.ageaction.org