Sunday, December 8, 2024
12/8/2024
The Michigan Department of Health and Human Services Division of Chronic Disease and Injury Control is applying for CDC-RFA-DP-23-0001, Component A, and is located at 235 S. Grand Ave Ste 800, Lansing MI 48933. This will be capacity-building funding for a new Michigan Arthritis Program (MAP) to be located within the Diabetes & Other Chronic Diseases section. The purpose of this proposal is to support statewide dissemination of arthritis appropriate evidence-based interventions (AAEBIs) to increase access and enrollment, increase provider physical activity counseling for adults with arthritis (AwA), and reduce poor health outcomes and inactivity among AwA in Michigan. The MAP will implement two core strategies: 1) dissemination of AAEBIs and 2) improving provider physical activity recommendations and referrals to AAEBIs for people with arthritis. MAP will approach strategy 1 through embedding AAEBIs with other CDC-funded programs, building capacity for electronic referral through existing systems while assessing feasibility of new technology, and fostering AAEBI sustainability through support of instructor training and certification. Supported AAEBIs include Walk With Ease, EnhanceFitness, and PATH (Personal Action Toward Health, Michigan’s name for the Chronic Disease Self-Management Program). For strategy 2, MAP will work with partners to disseminate evidence-based resources and referral avenues to providers involved in the care of people with arthritis, including physicians, physical therapists, diabetes educators and others. According to the 2020 Michigan Behavioral Risk Factor Survey (MiBRFS), one third of Michigan adults (30.1%) reported an arthritis diagnosis, a rate significantly higher than the US median prevalence (24.4%). Michigan adults with disabilities face significant disparities in arthritis prevalence and impact. According to the 2021 MIBRFS, 52.3% of people with disabilities report an arthritis diagnosis, compared to 21.6% of people without a disability - Michigan’s largest disparity in arthritis prevalence. In addition, MiBRFSS data indicate long-term trends in arthritis prevalence increasing with age (from 4.6% of those age 18-24, to 57.3% of those age 75 and older) and lower socioeconomic status (from 23.2% of people with income ≥ 75k, to 38.8% of those with household income under 20k). For these reasons, our equity efforts prioritize people with disabilities, older adults, and people with low socioeconomic status (SES) as disproportionately impacted populations. The MAP will reach older adults and people with low SES with AAEBIs through partnership with key statewide service systems for these populations: Area Agencies on Aging, which provide services for older adults in every Michigan county, and MiBridges, which is the main point of access to income-based state assistance programs. As there is no comparable unified service system for people with disabilities, the MAP will improve capacity to mitigate access barriers to AAEBIs by ensuring a disability culturally competent network of implementation partners, providing resources and support for inclusive program implementation and materials, and locating AAEBIs in disability service locations. With strong organizational support from the MDHHS Division of Chronic Disease and Injury Control, the Michigan Arthritis Program will implement a capacity building approach to meet the required outcomes of this cooperative agreement, including increased AAEBI enrollment; increased number/percent of AwA who get provider counseling about physical activity; and reduced disparities in arthritis management and outcomes.
HHS’ Tracking Accountability in Government Grants System (TAGGS) website provides access to detailed descriptions of grants, loans, aggregated direct payments and other types of financial assistance awarded by the HHS Operating Divisions (OPDIVs) and the Office of the Secretary Staff Divisions (STAFFDIVs).
