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Strategic approaches to expanding the reach of evidence-based interventions : results of a multistate evaluation : executive summary
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July 2012
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Description:An estimated 50 million adults—one in five American adults—have self-reported, doctor-diagnosed arthritis, making it one of the most common diseases in the United States (Cheng, Hootman, Murphy, Langmaid, and Helmick, 2010). Arthritis is also the most common cause of disability in the United States (Hootman, Brault, Helmick, Theis, and Armour, 2009). Research has shown that the pain and disability accompanying arthritis can be minimized through early diagnosis and appropriate management (Hootman, Brady, Helmick, 2012). Participation in community-based self-management education and physical activity interventions has been demonstrated to improve quality of life for those who have arthritis (Hootman, Brady, Helmick, 2012).
Since 1999, the Centers for Disease Control and Prevention (CDC) have led public health efforts to reduce the burden of arthritis among Americans. As part of this effort, CDC has worked with State health departments to disseminate evidence-based physical activity (PA) and self-management education (SME) interventions.
This report evaluates the strategies used by 21 state health departments in using funding from CDC and the National Association of Chronic Disease Directors (NACCD) to expand the reach of arthritis- appropriate evidence-based interventions in their states. It compares and contrasts processes that grantees have used to achieve this expanded reach. It explores the ability of states to achieve their grant objectives, assesses strategies that states used to disseminate their selected interventions; and evaluates the effectiveness of these strategies at expanding reach. The study focuses on the systems level—the interaction between state health departments and their partners.
This report was prepared by Jennifer Berktold, Joseph Sonnefeld, and Rachel Gaddes of Westat for the National Association of Chronic Disease Directors and the Centers for Disease Control and Prevention.
This work was supported by the Centers for Disease Control and Prevention’s Arthritis Program, through cooperative agreement U58/CCU324336-05 with the National Association of Chronic Disease Directors.
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Pages in Document:29 numbered pages
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