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

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Chronic disease self-management programs effectively reach diverse populations through various community sites. Findings support strategic planning for broader participant engagement via the aging services network.

Keywords:
chronic disease self-managementevidence-based programparticipant reachprogram implementation

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Area of Science:

  • Public Health
  • Health Services Research
  • Gerontology

Background:

  • Disease self-management programs are crucial for improving health outcomes in adults with chronic conditions.
  • Effective dissemination requires understanding participant recruitment and program adoption across different delivery settings.
  • The aging services network plays a vital role in reaching diverse populations.

Purpose of the Study:

  • To examine participant recruitment and program adoption of chronic disease self-management programs based on delivery site type.
  • To identify variations in participant and neighborhood characteristics across different program delivery locations.
  • To inform strategies for diversifying participant bases in evidence-based health programs.

Main Methods:

  • Analysis of data from 58,526 adults participating in a national dissemination of Stanford chronic disease self-management education programs.
  • Utilized multinomial logistic regression to generate participant and neighborhood profiles by delivery site type.
  • Categorized delivery sites into five leading types: senior centers/area agencies on aging, residential facilities, healthcare organizations, community centers, and faith-based organizations.

Main Results:

  • Significant variations in neighborhood characteristics (rurality, income, age demographics, race) were observed across delivery site types.
  • Participant characteristics (age, sex, ethnicity, race, rurality) also varied significantly by delivery site.
  • Evidence-based programs demonstrated capacity to reach large, diverse participant groups through the aging services network.

Conclusions:

  • The aging services network is effective in disseminating chronic disease self-management programs to diverse populations.
  • Understanding site-specific variations is key to successful participant recruitment and program adoption.
  • Findings can guide program deliverers in developing strategic partnerships to enhance participant diversity.