Evidence Based Definition Authorizing Legislation: Section 361 of the Older Americans Act (OAA) of 1965, as amended.
Evidence Based Definition
AoA uses a graduated or tiered set of criteria for defining evidence based interventions implemented through the OAA. Health promotion programs can fall within any of the three following tiers, including minimal criteria. Based on the history of the program and the degree of change needed to transition to the optimal-level of evidence based implementation, each program will need to be assessed based on the following criteria. While the goal is for all Title IIID activities to move toward the highest-level criteria, programs meeting the minimal or intermediate criteria will meet the evidence based requirements. However, communities should check with their State Unit on Aging for State-specific requirements.
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The list of program examples under each of the three tiers is not an exhaustive list of interventions, and inclusion on this webpage does not constitute an endorsement. Program submission is a voluntary, self-nominating system in which intervention developers elect to participate. In addition, new interventions are continually being added, so the list is always growing. Please check back regularly to access the latest additions.
- Demonstrated through evaluation to be effective for improving the health and well being or reducing disease, disability and/or injury among older adults; and
- Ready for translation, implementation and/or broad dissemination by community-based organizations using appropriately credentialed practitioners.
- Body Recall
- Clavinova Connection
- Dakim Brain Fitness
- Healthy Eating for Successful Living among Older Adults
- Healthy Steps for Older Adults
- HEROS (Health, Education, Research and Outreach for Seniors)
- PEPPI (Peer Exercise Program Promotes Independence)
- Senior Health Calendar
- Silver Sneakers
- Stay Strong Stay Healthy
- Tai Chi 4 Health & Balance (TC4HB)
- Tai Chi for Arthritis
- Tai Chi for Diabetes
- Tai Chi for Osteoporosis
- Published in a peer-review journal; and
- Proven effective with older adult population, using some form of a control condition (e.g. pre-post study, case control design, etc.); and
- Some basis in translation for implementation by community level organization.
These Tai Chi Guides and DVD provide the detailed information you need to plan a program (including a protocol for people with Parkinson’s)and weekly classes.
- Undergone Experimental or Quasi-Experimental Design; and
- Level at which full translation has occurred in a community site; and
- Level at which dissemination products have been developed and are available to the public.
The following page includes a comprehensive list of all examples:
- Title IIID Highest-Tier Criteria Evidence Based Disease Prevention and Health Promotion Programs Cost Chart
- Active Living Every Day
- A Matter of Balance
- Arthritis Foundation Tai Chi Program
- Arthritis Foundation Exercise Program
- Arthritis Self-Management (Self-Help) Program
- Better Choices, Better Health- Arthritis (online Arthritis Self-Management Program)
- Better Choices, Better Health (online Chronic Disease Self-Management Program)
- Better Choices, Better Health- Diabetes (online Diabetes Self-Management Program) (PDF)
- Brief Intervention & Treatment for Elders (BRITE)
- Care Transitions
- Chronic Disease Self-Management Program
- Chronic Pain Self-Management Program
- Community Stress-Busting Program for Family Caregivers
- Coping with Caregiving
- Diabetes Self-Management Program
- Enhance Fitness
- Enhanced Wellness
- Fit and Strong!
- Healthy IDEAS (Identifying Depression, Empowering Activities for Seniors)
- Healthy Moves for Aging Well
- New York University Caregiver Intervention (NYUCI)
- Positive Self-Management Program for HIV
- Powerful Tools for Caregivers
- Prevention and Management of Alcohol Problems in Older Adults
- Program to Encourage Active, Rewarding Lives for Seniors (PEARLS)
- Programa de Manejo Personal de la Artritis (Spanish Arthritis Self-Management Program)
- Programa de Manejo Personal de la Diabetes (Spanish Diabetes Self-Management Program)
- Reducing Disability in Alzheimer’s Disease (RDAD)
- Resources for Enhancing Alzheimer’s Caregiver Health II (Reach II)
- Savvy Caregiver
- STAR-Caregivers (STAR-C)
- Stay Active and Independent for Life Strength and Balance Program (SAIL)
- Stepping On
- Tai Chi: Moving for Better Balance
- Tailored Caregiver Assessment and Referral (TCARE)
- Tomando Control de su Salud (Spanish Chronic Disease Self-Management Program)
- Walk with Ease
Categories: evidence based tai chi, FSBPT Approved Activity, tai chi fall prevention program, tai chi falls prevention, tai chi parkinson's, tai chi therapy, therapeutic tai chi for fall prevention Tags:
Tai Chi: The More You Sway, the Less You’ll Fall
March 27, 2000 (Venice, Calif.) — On weekday mornings, the boardwalk in Santa Monica, Calif., is a whirlwind of power walkers, runners, inline skaters, and cyclists. Yet each day amid the hubbub, a group stands off to the side. With feet spread wide and knees flexed, they glide through a series of slow, controlled movements, such as the evocatively named “Wave Hands Like Clouds.” They are practitioners of tai chi, an ancient Chinese martial art, and these days groups like them can be found in city parks across the country. Tai chi is good exercise, and for some older people, it could be a lifesaver.
One of every three adults 65 years or older falls each year, sometimes with devastating consequences. A fractured hip often signals the beginning of a long decline that can lead to the loss of independence and even death. But tai chi, research has found, may help prevent the falls that lead to fractures.
In a 1996 study that lasted 15 weeks, Steven L. Wolf, PhD, a rehabilitation medicine specialist at Emory University School of Medicine in Atlanta, assigned 215 people ages 70 and older to three groups. One group practiced tai chi three times weekly. Another got computerized balance training using machines that help people relearn balance after a fall. A third group did no exercise, but met to discuss issues relating to the elderly. Seventeen months after the training stopped, the tai chi practitioners had reduced their risk of falls by nearly half. Wolf believes that improved balance was mainly responsible for the improvement.
“Tai chi makes people think about how they’re moving and gives them a better awareness of where they are,” says Wolf, who is currently conducting a larger, 20-site trial that tests the stabilizing effect of tai chi. “And since tai chi involves swaying, it helps people practice their balance.”
Since Wolf did his study, more and more senior centers have begun to offer tai chi instruction. You will find that gyms catering to people over 60 are another good place to learn. Or just head to a local park early some morning and follow along.
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“Teacher in Training” Tai Chi for Therapy Course for Instructors, trainers, therapists.
Daryn Eller is a freelance writer in Venice, Calif. Her work has appeared in Health, Fitness, and many other publications.