2019 Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs Financed by the Prevention and Public Health Fund

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Title
2019 Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs Financed by the Prevention and Public Health Fund
Opportunity ID
309656
Center
AOA
Primary CFDA Number
93.734
Funding Opportunity Number
HHS-2019-ACL-AOA-CSSG-0311
Funding Instrument Type
Cooperative Agreement
Expected Number of Awards Synopsis
10
Length of Project Periods
Other
Project Period Expected Duration in Months
36
Eligibility Category
State governments,County governments,City or township governments,Special district governments,Independent school districts,Public and State controlled institutions of higher education,Native American tribal governments (Federally recognized),Public housing authorities/Indian housing authorities,Native American tribal organizations (other than Federally recognized tribal governments),Nonprofits having a 501(c)(3) status with the IRS, other than institutions of higher education,Private institutions of higher education
Additional Information on Eligibility
To help ensure a wider geographic reach, it is unlikely that more than one applicant per state under each funding option (Capacity-Building and Sustainable Systems) will be funded. Applicants under the Capacity-Building option may request a total budget from $50,000 to $150,000 for the three-year project period. Applicants under the Sustainable Systems option may request a total budget from $500,000 to a maximum of $900,000 for the three-year project period.
Estimated Award Date
Funding Opportunity Description

Background
In the United States, approximately three out of four older adults have multiple (two or more) chronic conditions, such as diabetes, arthritis, heart disease, chronic pain, and depression. [i] This burden places older adults at greater risk for premature death, poor oral health, poor functional status, unnecessary hospitalizations, adverse drug events, and nursing home placement. [ii],[iii] Chronic conditions also impact health care costs: 95% of health care costs for older Americans can be attributed to chronic diseases. The cost of providing health care for an individual aged 65 or older is three to five times higher than younger counterparts. [iv] Additionally, adults with disabilities experience health disparities when compared with the general population. For example, adults with disabilities are more likely to have chronic health conditions such as heart disease, diabetes, and stroke than adults without disabilities. [v]
Evidence-based chronic disease self-management education (CDSME) programs can help mitigate the chronic disease burden by empowering participants to better manage their conditions. The acronym, CDSME, is being used in this announcement as an umbrella term for community-based education programs specifically designed to enhance patient self-management of chronic illnesses, focus on building multiple health behaviors and generalizable skills such as goal setting, decision making, problem-solving, and self-monitoring, and are proven to maintain or improve health outcomes of older adults with chronic conditions. [vi]
AoA has supported CDSME and other evidence-based health promotion programs for many years through its discretionary and formula grants as well as collaborations on various federal initiatives. For example, Prevention and Public Health Fund initiatives in 2017 and 2018 supported a total of 18 CDSME grantees. Evidence-based programs are also supported through Older Americans Act Title III-D funding for disease prevention and health promotion activities. For more information about ACL’s CDSME Program, including profiles of current grantees, please visit: https://www.acl.gov/programs/health-wellness/chronic-disease-self-manag….
Purpose
This funding opportunity is designed for applicants to propose how they will develop capacity for, deliver, and sustain evidence-based self-management education programs that empower older adults and adults with disabilities to better manage their chronic conditions, in close collaboration with the aging and/or disability networks.
Each funding option has two primary goals:
Capacity-Building Grants

Goal 1: Develop capacity in areas with no or limited evidence-based program infrastructure to introduce, deliver, and expand the reach (program participants and completers) of evidence-based chronic disease-self-management education and self-management support programs within underserved geographic areas and/or populations to improve their confidence in managing their chronic condition(s).

Program capacity (including program trainers/facilitators, host/implementation sites, partner organizations, etc.) should be developed in a manner that is sustainable beyond the duration of grant funding.
For the purpose of this funding opportunity, underserved areas/populations include older adults and individuals with disabilities that have experienced health disparities, including minority and rural populations. These populations may have a high risk for multiple health problems (including mental illness, substance abuse/misuse, and poor oral health), lack access to transportation, face a shortage of readily available health care providers, have mobility impairments, and encounter other significant hardships (financial, educational, and housing).

Please refer to Appendix A (Glossary of Terms) for definitions of CDSME and self-management support programs. Applicants for this funding opportunity must propose to deliver one or more CDSME programs. These programs must be on the list of pre-approved interventions in Appendix B. Applications that include programs not found on the list of pre-approved interventions in Appendix B will be administratively eliminated and will not be reviewed.
In addition, applicants have the option of proposing one self-management support program as a secondary intervention. This program must be on the list of pre-approved interventions in Appendix C. Applications that include programs not found on the list of pre-approved interventions in Appendix C will be administratively eliminated and will not be reviewed.

Goal 2: Develop a business plan with strategies to support the proposed programs during and beyond the grant period.For more information on business planning and financial sustainability, please visit https://www.ncoa.org/center-for-healthy-aging/basics-of-evidence-based-…

Sustainable Systems Grants

Goal 1: Significantly increase the number of older adults and adults with disabilities who participate in and complete evidence-based self-management education and support programs to improve their confidence in managing their chronic condition(s).Please refer to Appendix A (Glossary of Terms) for definitions of CDSME and self-management support programs. Applicants for this funding opportunity must propose to deliver one or more CDSME programs. These programs must be on the list of pre-approved interventions in Appendix B. Applications that include programs not found on the list of pre-approved interventions in Appendix B will be administratively eliminated and will not be reviewed.In addition, applicants have the option of proposing one self-management support program as a secondary intervention. This program must be on the list of pre-approved interventions in Appendix C. Applications that include programs not found on the list of pre-approved interventions in Appendix C will be administratively eliminated and will not be reviewed.
Goal 2: Implement new and innovative funding arrangements, including contracts and collaborations with multiple sustainability partners, to support evidence-based self-management education and support programs during and beyond the grant period. Additionally, embed programs into an integrated, sustainable evidence-based prevention program network via centralized, coordinated processes. Sustainable Systems applicants must identify their intended innovative funding arrangements and the mechanism(s) they will use to secure these arrangements.Please see Appendix A (Glossary of Terms) for the definition of an integrated, sustainable evidence-based prevention program network.

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[i] Gerteis J, Izrael D, Deitz D, LeRoy L, Ricciardi R, Miller T, Basu J. Multiple Chronic Conditions Chartbook. AHRQ Publications No, Q14-0038. Rockville, MD: Agency for Healthcare Research and Quality. April 2014.
[ii] Parekh, A.K., et al. 2011. Managing Multiple Chronic Conditions: A Strategic Framework for Improving Health Outcomes and Quality of Life. Public Health Rep. 126(4):460–71.
[iii] Kramarow E. et al. 2007. Trends in the Health of Older Americans,1970–2005. Health Affairs (Millwood). Sep-Oct;26(5):1417 25.
[iv] Centers for Disease Control and Prevention. The State of Aging and Health in America 2013. Atlanta, GA: Centers for Disease Control and Prevention, US Dept of Health and Human Services; 2013.
[v] Centers for Disease Control and Prevention (CDC), Vital Signs, Adults with Disabilities, May 2014.
[vi] Brady, T.J. 2012. Strategies to Support Self-Management in Osteoarthritis.” American Journal of Nursing 112(3), S54-60.

Award Ceiling
900000
Award Floor
50000
Due Date for Applications
Date for Informational Conference Call

Last modified on 10/16/2019


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