Reaching diverse participants utilizing a diverse delivery infrastructure: a replication study.

Matthew Lee Smith,Marcia G Ory,Basia Belza,Mary Altpeter,Chivon A Mingo,Samuel D Towne,Sangnam Ahn

doi:10.3389/fpubh.2015.00077

Abstract

This replication study examines participant recruitment and program adoption aspects of disease self-management programs by delivery site types. Data were analyzed from 58,526 adults collected during a national dissemination of the Stanford suite of chronic disease self-management education programs spanning 45 states, the District of Columbia, and Puerto Rico. Participant data were analyzed using multinomial logistic regression to generate profiles by delivery site type. Profiles were created for the five leading delivery site types, which included senior centers or area agencies on aging, residential facilities, healthcare organizations, community or multi-purpose centers, and faith-based organizations. Significant variation in neighborhood characteristics (e.g., rurality, median household income, percent of the population age 65 years and older, percent of the population i.e., non-Hispanic white) and participant characteristics (e.g., age, sex, ethnicity, race, rurality) were observed by delivery site type. Study findings confirm that these evidence-based programs are capable of reaching large numbers of diverse participants through the aging services network. Given the importance of participant reach and program adoption to the success of translational research dissemination initiatives, these findings can assist program deliverers to create strategic plans to engage community partners to diversify their participant base.

Highlights

The grand-scale dissemination of evidence-based programs in community settings is contingent upon the presence of a delivery infrastructure capable of serving a large and diverse set of participants
The U.S Administration on Aging led this initiative in collaboration with the Centers for Disease Control and Prevention (CDC) and Centers for Medicare and Medicaid Services (CMS) to support the translation of Chronic Disease SelfManagement Program (CDSMP) in 45 states, Puerto Rico, and the District of Columbia [11]
When comparing these neighborhood characteristics by delivery site type, a larger proportion of workshops in non-metro areas were delivered in healthcare organizations (23.6%), senior centers/area agencies on aging (AAA) (23.1%), and faith-based organizations (21.6%) compared to community/multi-purpose centers (19.0%) and residential facilities (15.7%)

Summary

Introduction

The grand-scale dissemination of evidence-based programs in community settings is contingent upon the presence of a delivery infrastructure capable of serving a large and diverse set of participants. In practice, community partners are encouraged to utilize many different delivery site types to ensure programs are available across geographic space. This ensures a greater likelihood that programs are offered close to participants’ residences in familiar settings that are easy to access [1, 2]. Expanding the number of engaged delivery sites spanning the geographic service region may increase participant enrollment and program completion (i.e., increase attendance to ensure adequate intervention dose is received) [1]

Methods

Results

Discussion

Conclusion