Chronic Disease Prevention, Management & Reversal

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 Community  Care Hubs (CCHs) deliver a wide array of evidence-based programs (EBPs)  focused on chronic disease management, falls prevention, and behavioral  health. These programs are often centralized through the CCH to ensure  fidelity and streamline administrative functions for community-based  organizations (CBOs). Below are examples of evidence-based programs delivered through CCHs:Chronic Disease Prevention & Management

• National Diabetes Prevention Program (National DPP): A lifestyle change program focused on healthy eating and physical activity to prevent or delay type 2 diabetes.
• Chronic Disease Self-Management Program (CDSMP): Also known as "Living Well with Chronic Conditions," this workshop helps individuals manage various chronic health issues.
• Diabetes Self-Management Education and Support (DSMES): Provides the knowledge and skills necessary for effective diabetes self-care.
• EnhanceFitness: A group exercise and falls prevention program specifically designed for older adults. 

Falls Prevention & Physical Activity

• A Matter of Balance: An 8-session program designed to reduce the fear of falling and increase activity levels among older adults.
• Tai Chi for Arthritis and Fall Prevention: Uses specialized movements to improve balance and reduce fall risks.
• Walk with Ease: A program developed by the Arthritis Foundation that encourages safe and comfortable walking routines.
• Bingocize®: Combines the game of bingo with health education and physical exercise. 

Behavioral Health & Caregiver Support

• PEARLS (Program to Encourage Active, Rewarding Lives): A community-based program designed to reduce depressive symptoms in older adults.
• REACH II (Resources for Enhancing Alzheimer's Caregiver Health): Provides support and interventions for caregivers of individuals with Alzheimer’s or dementia.
• Healthy IDEAS: Identifies depression and empowers activities for seniors through evidence-based screening and intervention.
• Powerful Tools for Caregivers: An educational program that provides caregivers with tools and strategies to better handle unique challenges.
• Motivational Interviewing: A clinical method used to enhance a person’s internal motivation for change. 

Case Examples of CCHs Delivering These Programs

• Western New York Integrated Care Collaborative (WNYICC): Delivers the National DPP, CDSMP, and Walk with Ease.
• Oregon Wellness Network (OWN) / Community Integrated Network of Oregon (CINO): Delivers Living Well with Diabetes (DSMP) and Tomando Control de su Salud.
• Iowa Community Hub: Provides a statewide network for the National DPP and other clinical-community linkages.
• AgeOptions (Illinois Pathways to Health): Delivers a variety of self-management and falls prevention workshops.