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B.R.I.D.G.E.S Awarded Patient Centered Outcome Research Institute Grant

A PCORI Pipeline to Proposal Tier A grant was awarded from in October 1, 2017 in order to build a network of stakeholders to continue the work.

The PCORI grant emanated from the critical preliminary data that the Senior Health Program provided.  The PCORI grant, “Building Relationships to Influence program Development and Grow Enduring physical activity Support (BRIDGES),” focused on bringing together patients, community leaders, providers, researchers and innovators.

The goals were as follows:

(1) to understand the barriers and challenges to sustained physical activity (PA) for 60+ mid-life and older adults;

(2) to understand incentives, support and resources needed to ensure that mid-life and older adults have support for sustained PA; and

(3) to establish patient-centered research around interventions that will improve sustained PA

Stakeholder analysis of Salt Lake Communities Strengths, Weakness, Opportunities and Threats in supporting sustained physical activity for older adults with chronic MSK conditions

The project lead, (Dr. Anne Thackeray, PhD) alongside a patient partner (Dr. Ruth Christensen, EdD), developed a strong, autonomous community partner advisory board.  The BRIDGES Advisory Board consists of health providers, patients, community program leaders, researchers and communication and outreach experts.  The BRIDGES Advisory Board has completed the following tasks:

  • Addressed gaps in its membership.  A dozen recommendations for additional partners emerged--The Utah Commission on Aging, community pharmacist, nutritionist, insurance provider, silver sneakers manager, Telehealth coordinator, Aging services, exercise leader, occupational therapist and case manager.  These additional stakeholders are engaged through focus groups.
  • Designed a Governance Structure:  This included confirming the mission, the membership requirements, the membership, the decision-making requirements, and the rules and guidelines for operations.  This has been a fluid document and has evolved by consensus over the course of the project.
  • Assigned the internal communications manager to complete and synopsize literature review and assign the external communications manager to design and develop a website.
  • Determined clear population criteria for the project: adults 60+ years of age with chronic MSK conditions in the lower body who are patients currently or recently in a medically referred physical therapy or physical activity program.
  • Performed a SWOT analysis to identify the existing strengths, weaknesses, opportunities and threats in our the Salt Lake City area that affect older adult’s ability to sustain physical activity (Table 1).
Table 1. Stakeholder analysis of Salt Lake Communities Strengths, Weakness, Opportunities and Threats in supporting sustained physical activity for older adults with chronic MSK conditions
STRENGTHS

·        16 Senior Centers in SLC (free if >60 years of age)

·        First friends program (Senior Centers)

·        University Student base

·        Engaged health providers

§  Evidence Based Exercise Programs

WEAKNESSES

·        Sustainability (cost of programs)

·        Assistance needed for mobility

·        Cross-promotion between health providers and patients/individual with condition

OPPORTUNITIES

·        Cross-referral/awareness of resources

·        Social support: peer to peer

·        Matching individuals with a motivating activity/purpose

·        Improving flow of information across services and providers

·        Underused Senior Centers

THREATS

·        Other health conditions

·        Transportation

·        Program costs

·        Sociodemographic variability

·        Lack of leadership skills/training