Matthew Lee Smith|Samuel D. Towne|Angelica Herrera-Venson|Kathleen A. Cameron|Kristie P. Kulinski|Kate Lorig|Scott Horel|Marcia G. Ory
Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality
University of Georgia|Texas A&M University|Texas A&M University|National Council on Aging|National Council on Aging|Administration for Community Living|Stanford University|Texas A&M University|Texas A&M University
background alongside dramatic increase older adults united states us projected aging population residing rural areas continue grow prevalence chronic diseases multiple chronic conditions among adults continues rise additional need evidencebased interventions assist aging population improve lifestyle behaviors selfmanage chronic conditions purpose descriptive study identify geospatial dissemination chronic disease selfmanagement education cdsme programs across us terms participants enrolled workshops delivered counties reached dissemination characteristics compared across rurality designations ie metro areas nonmetro areas adjacent metro areas nonmetro areas adjacent metro areas methods descriptive study analyzed data national repository including efforts 83 grantees spanning 47 states december 2009 december 2016 counts tabulated averages calculated results cdsme program workshops delivered 564 us counties one times study period counties workshop conducted 505 delivered nonmetro areas 300640 participants enrolled cdsme programs 12 attended workshops nonmetro adjacent areas 7 attended workshops nonmetro nonadjacent areas majority workshops delivered healthcare organizations senior centersarea agencies aging residential facilities average participants residing nonmetro areas better workshop attendance retention rates compared participants metro areas conclusions findings highlight established role traditional organizationsentities within aging services network reach remote areas serve diverse participants eg senior centers facilitate growth rural areas technical assistance needed additional efforts needed bolster partnerships eg sharing resources knowledge marketing eg tailored material regular communication among stakeholders