Purpose
NCCHW will collaborate with our large network of state, regional, and local partners to build referral systems to CDC-recommended AAEBIs and walking initiatives, scale programs to meet referral needs, and disseminate information to increase awareness of Arthritis and resources to address it. The AAEBIs to be scaled include: CDSMP, Tomando Control de Su Salud, group-led WWE, and EF. The expansion of programs and referral systems, coupled with outreach, education, counseling, training, regional network convening, marketing, and communication strategies will increase the availability of, and participation in, AAEBIs and reduce the burden of disease across NC. We expect to reach over 120,000 state employees, 54,000 older adults, and thousands more through collaboration with the NC Office of State Human Resources’ Miles for Wellness Walking Challenge, AAAs, and healthcare system partners.
Outcomes
The NCCHW at UNCA will report on all six medium and long-term outcome measures (OM) stemming from the Behavioral Risk Factor Surveillance System (BRFSS) as required for agencies implementing self-management and physical activity AAEBIs. The current baselines, targets, and data sources for these OM are described in detail in the Performance Work Plan.
In NC, past and future data can be assessed annually as Core Modules for the following:
¿ OM1-Reduced, or no increased, percent of adults (18 and older) diagnosed with Arthritis, within the state and underserved populations, who report being physically inactive.
¿ OM3-Reduced, or no increased, percent of adults (18 and older) diagnosed with Arthritis, within the state and underserved populations, reporting fair or poor health status.
Past data for the follow OMs is available during odd-year Core Modules available:
¿ OM5-Increased percent of adults (18 and older) diagnosed with Arthritis, within the state and underserved populations, reporting walking for exercise among their top two forms of exercise (by 1%).
¿ OM6-Reduced, or no increased, percent of adults (18 and older) diagnosed with Arthritis, within the state and underserved populations, who report severe joint pain within the past 30 days.
Arthritis Management Modules (AMMs) available on demand with no past data include:
¿ OM 2- Increased percent of adults (18 and older) diagnosed with Arthritis, within the state and underserved populations, who report being counseled by a physician or other health professional to be physically active or exercise to help manage their Arthritis or joint symptoms (by 1%).
¿ OM 4- Increased percent of adults (18 and older) diagnosed with Arthritis, within the state and underserved populations, who report they have ever taken an educational course or class to teach them how to manage problems related to their Arthritis or joint symptoms (by 1%).
To ensure NCCHW is able to report on the OMs annually, costs to implement OM2 and OM4 in 2019 have been included in the budget. By August 2018, NCCHW will submit an application to the NC State Center for Health Statistics (SCHS) to add these questions for implementation starting January 2019. The SCHS will support this project by providing NCCHW with reports needed for CDC outcomes (see letter of support). At the time of this application, the Spanish-speaking population reporting Arthritis was too small a number to include baseline data.
NCCHW will report on the following OMs related to this proposal at least annually:
1. Identification of 3-4 sustainable funding mechanisms to support AAEBI growth.
2. Increased confidence managing Arthritis symptoms among group-led WWE completers.
3. Increased minutes of walking among group-led WWE completers.
4. Increased confidence managing their chronic condition(s) among CDSMP completers.
5. Maintained and/or increased participation in the AAEBIs CDSMP, Tomando, WWE and EF.
6. Increased referral pathways to HANC Health Coach and AAEBIs per year of the grant.
7. Increased “miles walked” among Miles for Wellness
