to view the program - Society for Public Health Education

proven or promising interventions in specific populations. Each
Network will build capacity in communities by recruiting individuals
and organizations to facilitate learning and information sharing across
and within network participants. Tribal Support Centers reduce commercial
tobacco use and abuse among American Indian and Alaska
Native tribal members; eliminate exposure to secondhand smoke;
promote commercial tobacco cessation; and prevent youth initiation
to commercial tobacco use. Methods: In 2007, the Center for Tobacco
Policy Research at Washington University in St. Louis was funded by
the CDC to conduct an evaluation of the National Tobacco Control
Networks for Priority Populations. One of the primary goals of the
National Networks evaluation was to examine the relationships among
the core strategic network partners. The networks were evaluated based
on the following performance measures: program and fiscal management,
communication with partners, training and technical assistance,
and program evaluation. JCW Research & Evaluation Group, Inc.
evaluated the Tribal Support Centers using the MPOWER framework
created by the World Health Organization that outlines 6 policy
strategies that encompass a comprehensive tobacco control program.
Results: The National Tobacco Control Networks for Priority
Populations and Tribal Support Centers have expanded the reach
of the Office on Smoking and Health (OSH). These initiatives have
created linkages with traditional and nontraditional organizations that
serve their populations, which have been beneficial in state, tribal, and
local policy efforts. OSH is using the evaluation results to guide the
ongoing implementation of the programs. However, further examination
of the program and discussion with participants will further
examine future directions and opportunities.
Concurrent Session A4
SOPHE Leadership Development
Partnering for Health: Creating and Sustaining Action-Learning
Collaboratives with Key Stakeholders
Claire Sherry Immediato, MPP, MBA, President, Heaven & Earth
Incorporated
One of the largest challenges we face in our complex world is that the
results that we care about most are not something that one organization
can achieve alone. In addition, complex and dynamic issues
are most successfully addressed with an experimental approach that
acknowledges that we are in new territory and must learn as we go.
This session will provide a simple action-learning model with examples
of gathering the “whole system” in a way that builds relationships
that last by addressing short term issues systemically.
Concurrent Session B
10:30 AM - 12:00 PM
Concurrent Session B1
Regional Approaches to Reducing
Health Disparities: Partnering to
Promote Healthy Aging
Using a Regional Approach, New Mexico and Texas Work to
Address Health Disparities along the Border through Evidence-
Based Programs and Policy and Systems Change- As Seen From a
Regional Perspective
Sue Lachenmayr, MPH, National Council on Aging - Center For
Healthy Aging; Fern Goodhart, MPH, Staff to Honorable Senator
Tom Udall of New Mexico
Background: More than 1.7 million Americans die of a chronic disease
each year. Eighty percent of older adults have at least one chronic
condition; 50% at least two. For minorities and people with low
income, the prevalence of chronic conditions and functional loss is
even greater. In 2011, 25% of seniors with 4 or more chronic conditions
will spend 80% of nation’s $2.8 trillion healthcare dollars. Only
1% of health dollars are spent on public health efforts to improve
overall health. Despite evidence that prevention works, few take
advantage of strategies to prevent chronic disease even when behavioral
risk factors account for about 75% of chronic disease. A national
effort through the U.S. Administration on Aging (AoA), Centers
for Medicare and Medicaid Services, and the Centers for Disease
Control and Prevention is coordinating efforts to maximize the use
of proven self-care management services and bring to scale evidencebased
activities to improve efficiency, quality and costs. The National
Council on Aging (NCOA) is the technical assistance center for 45
states DC and Puerto Rico, funded by AoA through the Recovery
Act, tasked with assisting the grantees to reach 52,000 completers in
the Stanford University Chronic Disease Self-Management Program
(CDSMP) and to create sustainable statewide delivery and distribution
systems for evidence-based prevention programs by April 2012.
Theoretical basis and interventions: Bandura’s Theory of Self Efficacy
is utilized through highly interactive 6-week lay leader led skill-based
group workshops in community settings. Increasing self-efficacy to
reinforce individuals’ beliefs is essential for them to perform behaviors
that can assist them in self-management of their chronic condition(s).
Evaluation measures and results: NCOA, Stanford University and
Texas A&M are conducting a national study to repeat replicability
of Lorig et al. 1999 original research findings, including: significant
improvements in exercise, cognitive symptom management, communication
with physicians, self-reported general health, health distress,
fatigue, disability, and social/role activities limitations. They also spent
fewer days in the hospital, and there was also a trend toward fewer
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SOPHE-NACDD 2011 Joint Academy and Midyear Scientific Meeting