Tag Archives: evidence-based

Reinventing Senior Centers – Presentation

Here’s the presentation I made at the Michigan Association of Senior Centers conference in Mt. Pleasant on November 6, 2015.  The presentation discusses social, political, and economic trends and how they represent opportunities for senior centers to reinvent themselves by responding to these trends and offering relevant programming to address them.

Evidence-Based Chronic Disease Self-Management Programs

We are living longer in large measure because society has worked hard to control the spread of infectious diseases and medicine has developed treatments to cure acute illness.  As a consequence, it is chronic disease that is costing us in later life, in dollars, productivity, and suffering.  Most chronic diseases can be managed to improve outcomes and quality of life.  Drugs and medical treatments contribute to management of these illnesses, but most of what is needed is a change in a person’s daily routines and habits.  Achieving such lifestyle alterations is not as easy as taking a pill.  It takes education, practice, support, and some resources.  Our health care system is not primarily organized to provide the structure needed to promote chronic disease self-management.  However, a number of programs have been successfully demonstrated and evaluated, and are becoming more widely available.

The evidence-bOlder_adult_exercise_with_tin_can.ased Stanford Chronic Disease Self-Management Program is disseminated in Michigan through the Michigan Department of Community Health, as the PATH program (Personal Action Toward Health).  The program provides classes with information about medication and treatments, problems solving techniques, coping strategies, nutrition information, exercise and physical activity promotion, and ways of working with health care professionals.  The relationships that form among class members are also an important aspect of support fostered by the program.  Each area of the State has a contact person who knows about PATH programs implemented in that area.

At the national level, the National Council on Aging (NCOA) was recently named the National Resource Center on Chronic Disease Self-Management Education Programs to act as a clearinghouse for state and local organizations involved in chronic illness management.  Contact the NCOA’s Center for Healthy Aging for more information on evidence-based programs and how to offer one.  Sue Sweeney, Chair, Gerontology Department, Madonna University