Currently, TJAAA has grant funding and Older American's Act funding for a number of Health Promotion related projects.
Evidence-Based Health Programs
In these economically tight times, aging service providers experience heightened difficulty convincing funding organizations to provide money for activities that help seniors maintain good health. Funders are reluctant to pay for programs unless those programs have been well studied and are proven to “work” in actually improving health and well-being. Along with many other aging service organizations, Triangle J is addressing the funders’ concerns by making available programs that can boast real evidence of their success.
Three “evidence-based” health promotion programs are being taught and/or coordinated by Triangle J Area Agency on Aging.
- The Living Healthy Program
assists persons with various chronic health conditions manage their conditions successfully. People experience a variety of issues related to chronic health conditions such as: pain, fatigue, depression, and medication complications. This program is designed to help participants identify the issues, identify the barriers to successfully managing the issues, and to develop an action plan that will lead to better health and symptom management.
The highly participatory Living Healthy workshops take place once a week for six weeks. Each session is 2 1/2 hours long and is facilitated by two trained leaders.
Subjects covered throughout the workshop include:
- techniques to deal with problems such as frustration, fatigue, pain and isolation
- appropriate use of medications
- communicating effectively with friends, family, and health care providers
- appropriate exercise
- making informed treatment decisions.
The workshop leaders (called Lay Leaders) are individuals within the community who want to conduct these classes for groups of older adults. They are specially trained as leaders/teachers. They then go out into the local communities and guide the Living Healthy Program participants through a goal-oriented, individualized series of activities that involve a high level of participation and mutual support. The participant result is heightened confidence and ability to manage their own health and maintain active and fulfilling lives. Triangle J will be training new Lay Leaders for this program.
This program is based on one of a series of Stanford University School of Medicine evidence based health promotion programs. Stanford received a five year research grant from the federal government. The purpose of the research was to develop and evaluate, through a randomized controlled trial, a community-based self-management program that assists people with chronic illness. Over 1,000 people with heart disease, lung disease, stroke or arthritis participated in an randomized, controlled test of the Program, and were followed for up to three years. "Subjects who took the Program, when compared to those who did not, demonstrated 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 outpatients visits and hospitalizations. These data yield a cost to savings ratio of approximately 1:4. Many of these results persist for as long as three years." One of these programs is the Chronic Disease Self-Management Program which is called the Living Healthy Program in North Carolina. The Living Healthy Program is now available through Triangle J Area Agency on Aging. Jane Armstrong has been certified as a Master Trainer for the program. More...
- The Arthritis Exercise Program
is a group exercise program originally developed by the Arthritis Foundation which involves weekly classes for persons living with arthritis. Each class series is custom-designed to address a participant group at a specific level of mobility, capability and discomfort. Carefully trained "Coaches" assemble exercise and movement routines for each class from a list of some 90 different exercises to be performed while participants are seated, standing or lying flat, as appropriate. Classes also include endurance and/or balance building activities, relaxation techniques, and health education segments. The Arthritis Foundation offers Coach training in some of Region J's counties and Triangle J helps to coordinate these trainings. More...
- A Matter of Balance
is a program designed to reduce the incidence of falls and the fear of falling. The program emphasizes practical strategies that boost participants’ strength and balance through specialized exercises and other activities. "Coaches" conduct a series of eight weekly two-hour sessions, after their initial thorough training. Triangle J is helping to coordinate classes to train new Coaches that will be offered by Duke University Master Trainers.
For more information regarding this or any of the evidence-based health-promotion programs at Triangle J, contact Ashley Price at firstname.lastname@example.org or (919) 558-2711.
Relay for Extra Help … Relaying Medicare Information to NC Communities
Triangle J Area Agency on Aging is working with key partners to “relay” information about two programs that help pay for prescription drugs and Medicare co-pays and deductibles. The NC Seniors Health Insurance Information Program has determined that many eligible individuals have not acted to enroll in the benefits, possibly due to lack of awareness of the programs.
The Low Income Subsidy (also known as Extra Help) helps those covered by Medicare Part D pay for their prescription drugs.
The Medicare Savings Program helps those with low incomes pay for Medicare co-pays and deductibles.
Triangle J Area Agency on Aging is working with Triangle J’s county SHIIP coordinators and volunteers to assist Medicare recipients in registering for the programs’ benefits.