Transcript Document

Community and Web Based Health
Education for
Diverse Elders: An Interdisciplinary
Approach
William M. Susman, PT, PhD & Rebecca A.
States, PhD
Division of Physical Therapy
Introduction
 Grant Title: Interdisciplinary Community-
Based Health Education for Elders from
Diverse Backgrounds.
 A three-year Allied Health Project grant
(#1D37 HP00838-01) awarded by the Health
Resources & Services Administration to Long
Island University – Brooklyn Campus (LIU-BC)
for $292,438. Now in the final year.
 Project Director: Rebecca States, PhD
Project Co-Director: William Susman, PT, PhD
 An Interdisciplinary Advisory Board directs
the grant activities with participants from:
• Communication Sciences and Disorders
• Nursing
• Occupational Therapy
• Pharmacy
• Physical Therapy
• Respiratory Care
• Social Work
Several Objectives Will Address
Each Health Topic
 Community Education Modules (CEMs):
Designed for community-dwelling, well-elderly
have been presented in English & Spanish at
Senior Centers in Brooklyn.
Three Health Topics
 Three health topics of importance to elders
reflecting the agenda of Healthy People 2010
have been addressed sequentially.
 Dementia and Depression (Fall 2002)
 Stress Reduction (Spring 2003)
 Physical Activity (Fall 2003)
Community Service Organizations
Liaisons have been established with local
community service organizations. The Senior
Centers host the community education
programs and help identify clients for the case
studies.
 Multimedia Case Study Modules (MCSMs):
One client will be followed over time for a given
health topic. The case materials will be
incorporated into an interdisciplinary, webbased, computer-conferencing module for use
by students in health care and related
disciplines at LIU-BC.
 New York City Department for the Aging,
Bureau of Community Services
 Web Site: Provides resources for elders and
health care education programs by
disseminating the products from the CEMs and
MCSMs.
 Ft. Greene Senior Citizens Center
 New Continuing Studies Course: Designed
for health care professionals to learn
interdisciplinary techniques related to health
care education for the elderly.
 Wyckoff Gardens Senior Center
 Brooklyn Interagency Council of the Aging
 Spanish Speaking Elderly Council RAICES
 Eileen Dugan Senior Citizens Center
 Hope Gardens Senior Center
 Times Plaza Senior Center
Community Education Modules
 Researched the content and available resources and
acquired health education pamphlets from established
agencies.
 Generated presentations and interactive activities in
English, and translated them into Spanish.
 Created a mechanism for students from all participating
disciplines to attend and assist with the CEM’s.
 Conducted 33 CEM sessions with 805 clients attending:
19 in English with 327 clients, 14 in Spanish with 478 clients.
 53 students from six disciplines have participated to date
from PT, OT, Nursing, Speech, Pharmacy, Social Work.
 Another set of CEM’s is currently underway on the topic of
Physical Activity, and will serve over 100 clients.
Characteristics Of Clients Completing Evaluations
NO. of
EVALS
TOTALS
AVERAGE
AGE
288
73.4
PERCENTAGE
GENDER
ETHNIC BACKGROUND
M
F
Black
White
Hispanic
Other*
64
230
74
38
44
133
21.8
78.2
25.6
13.1
15.2
46.0
* This category includes people who did not want to provide the information.
Client Evaluations: Stress Reduction
Client Evaluations: Dementia & Depression
Other
100%
Other
100%
No
M
or
e
In
fo
?
?
s?
H
C
P
In
ar
n
us
D
is
c
or
e
Le
P?
H
C
M
D
C
se
U
ng
e?
0%
C
ha
0%
fo
?
20%
?
20%
In
fo
?
40%
is
cu
ss
?
40%
ha
ng
e?
60%
In
fo
?
60%
Le
ar
n?
Yes
80%
U
se
Yes
80%
No
Evaluation Questions:
Learn? Did you learn anything about today’s topic?
Use Info? Will you use any of the information covered today?
Change? In the next week, will you change your behavior as a result of today's session?
Discuss? In the next week, will you discuss the issues raised with friends or family?
HCP? In the next month, will you discuss the issues raised with any of your health care providers?
More Info? Would you like more information related to today's topic?
Development of the GERIE Web Site:
“Geriatric Educational Resources for Instructors &
Elders”
 Researched interdisciplinary health care web sites, those that
offer case studies and education for health professionals, and
those that provide health education for older adult consumers.
 Researched and purchased technology to provide streaming
video for the web site.
 Developed an overall structure, and style guidelines, for the web
site.
 Generated initial list of web resources for use on the site.
 Developed structure for, and have begun to build, the web page
related to the CEMs, including:
 Power Point presentations; outlines for client activities;
evaluation forms for clients, students and community center
administrators.
 Video elements to show physical and social environment and
to show techniques that assist in conveying the information to
clients.
MCSMs: New Developments
 An interdisciplinary panel discussion was conducted to show a mock client and daughter interview,
and demonstrate team communication with participants from PT, OT, RC, Nursing, Speech and SW.
 The panel discussion was used to create an interdisciplinary, multimedia, educational module using
theWebCT computer conferencing platform:
• Students are put in small WebCT groups with participation from PT, OT, RC and Nursing in each
group and with a faculty mentor from one of the disciplines.
• Students view the interdisciplinary panel, and have moderated discussions on interdisciplinary
practice, professional roles and conflict.
• Student teams also collaboratively develop a plan of care for one case study of an older adult client.
 A series of videotaped interviews with older adult clients also continues for the three health topics.
These will be integrated into a second MCSM on interdisciplinary care of older adults.
Continuing Studies Course for
Health Professionals
 Title: Development of Community Health Education:
Conceptual and Practical Considerations.
 Demonstration of the GERIE web site, and discussion
of planning for community education programs.
 Interactive interdisciplinary panel on identifying topics
and educational approaches relevant to the targeted
community and clients.
 Hearing directly from invited elder clients.
Future Activities
 During Fall 2003 we are running the
first MCSM, and presenting CEMs on
the topic of Physical Activity.
 The web site is being built to
include the products of the CEMs,
MCSMs, and streaming video clips.
 The Continuing Studies Course and
the second MCSM will be presented in
Spring 2004, and we expect to publish
the website then.