WELL-Balanced. National Resource Center on Native American Aging (NRCNAA) Let s Get Moving: Ideas for Engaging Your Community to be More Active

Transcription

1 WELL-Balanced Let s Get Moving: Ideas for Engaging Your Community to be More Active Jacob Davis National Resource Center on Native American Aging (NRCNAA) Established in 1994, at the Center for Rural Health, University of North Dakota School of Medicine and Health Sciences Focuses on: Education, Training, and Research Community Development & Technical Assistance Native Elder Health, Workforce, & Policy Web site: 1

2 NRCNAA AIMS Empowerment of Native American leaders and service providers Honoring and maintaining cultural values while providing high-quality services Identifying Our Needs: A Survey of Elders AOA funded project Assesses elders social and health needs 3 year cycles (I-IV concluded with current cycle V in progress). Provides tribes with the opportunity to collect information for their communities. Provides tribes with technical assistance and training opportunities to conduct a community needs assessment 2

3 Purpose of Needs Assessment Assists tribes in assessing options and developing an action plan to address local needs. Provides documentation required for planning and grant purposes including fulfilling requirements for tribes Title VI elder nutrition program grant applications. Provides documentation (Family caregivers percentages) to apply for elder caregivers grant applications. Needs Assessment The survey tool has remained relatively consistent throughout the four cycles Cycle I ( ) Cycle II ( ) Cycle III ( ) Cycle IV ( ) Cycle V (April 2011-December 2013) 3

4 Survey Needs Data General health status of elders Indicators of chronic health Indicators of visual, hearing, and dental Tobacco and alcohol use patterns Diet, nutrition, and exercise Social support patterns, housing and work Health care access Unmet needs Use and acceptance of services Needs Assessment Cycles 190 tribes/villages from 87 sites 9,403 Indigenous elders 342 tribes/villages from 145 sites 10,743 Indigenous elders 298 tribes/villages/homesteads from 127 sites 14,791Indigenous elders 303 tribes/villages/homesteads from 166 sites 18,078 Indigenous elders 4

5 Cycle 1 Cycle 2 5

6 Cycle 3 Current Status of Needs Assessment Cycle IV (ended March 31, 2011) 303 Tribes/Alaska Native Villages/Hawaiian Homelands from 166 sites 18,078 Native elder participants have filled out the needs assessment survey All 12 I.H.S. Regional Areas are represented in the national file. Cycle V runs from April, 2011 to December,

7 Elder/Tribal Participation Elder Participation Elders Tribe Participation Tribes Native Elder Population Projections

8 Chronic Diseases The top chronic diseases found among our elders were high blood pressure, arthritis, diabetes, depression and osteoporosis. Each of these lead to limitations on peoples ability to take care of themselves. Five most common chronic diseases for Our Tribes (persons 55 and over) Tribal Agg. Nation High blood pressure 57.6% 56.7% Arthritis 45.7% 48.2% Diabetes 39.5% 16.8% Depression 13.8% 16.2% Osteoporosis 10.6% 4.6% WELL-Balanced Wise Elders Living Longer-Balanced Developed in 2008 A collaboration between the NRCNAA and the UND Wellness Center 8

9 WELL-Balanced Curriculum Experimental evidence design Fall prevention Cognitive behavioral approaches Adherence to exercise WELL-Balanced Goals Goals of program include Fall prevention Diabetes, arthritis, and hypertension Social activity Increase exercise Increase independent living HAVE FUN! 9

10 WELL-Balanced Program Course 16 sessions over 8 weeks Home check Fall screening Home program WELL-Balanced Program is FREE Funding available for exercise equipment and written materials Can provide training and assistance to participating tribes/organizations 10

11 WELL-Balanced Pilot Sites Pilot Site Results 11

12 Pilot Site Results WELL-Balanced Products The manual has been edited New products have been developed based on feedback Muscle charts Curriculum changes Exercise booklets Videos 12

13 WELL-Balanced Booklets Exercise booklets Beginner Intermediate Advanced Possible Uses IHS Clinics Wellness programs CHR s WELL-Balanced Videos Exercise videos Sitting Exercises Standing Exercises Strength Exercises 13

14 NRCNAA Team Twyla Baker Demaray, M.S.- NCRNAA Director Jacob Davis, B.A.-Project Coordinator Paula Carter, Ph.D., Researcher Marilyn Klug, Ph.D., Biostatistician Ann Miller-Project Assistant Patty Lambert-Graduate Research Specialist Robert (BJ) Rainbow-Graduate Research Assistant Kacie Thompson-Temporary Project Assistant Michael Mudgett-Student Research Assistant Contact Information For more information contact: National Resource Center on Native American Aging Center for Rural Health School of Medicine and Health Sciences Grand Forks, ND Tel: Fax: (701)