
In the 2006 reauthorization of the Older
Americans Act (OAA) language was
added to encourage the use of evidencebased health promotion programs. [OAA
Sec. 102.(a)(14)]

The FY 2012 Congressional appropriations
now require that Older Americans Act Title
IIID funding is used only for programs and
activities which have been demonstrated
to be evidence-based.
The Administration on Aging has developed
a graduated set (three tiers) of criteria for
defining evidence-based interventions.
Health promotion programs can fall within
any of the three tiers.
 Each AAA will assess their programs based
on the three tier 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 FY-2012 requirements.

Demonstrated through evaluation to be
effective for improving the health and
wellbeing 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.


Programs related to the
prevention and reduction of the
effects of chronic disease
including:
Healthy Eating for Successful Living
http://www.healthlyagingporgams.com/cont
ent.asp?aectionid=30&ElementID=206
 Health screening by registered nurses
 Nutrition counseling and education by
registered dietitians
 Medication review by pharmacists
 Yoga Classes by certified Yoga instructor

Maintain supporting documentation:
 Evaluate effectiveness
1. Peer reviewed journal articles
2. Dissemination products
3. Evidence such a pre/post tests
 Credentials of practitioner’s certification
1. Copy of practitioner license
2. Information on screening
3. Faculty letter/email
4. Transcripts/minimum job
requirements
Intermediate Criteria
 Published in a peer-review journal.
 Proven effective with older adult
population, using some form of a control
condition (e.g. pre-post study, case
control design, etc.).
 Some basis in translation for
implementation by community level
organization.


Eat Better Move More
› http://www2.fiu.edu/~nutreldr/STEPS_Progra
m/Moving_More/Eating_Better_Moving_Mor
e.htm
Undergone Experimental or QuasiExperimental Design
 Level at which full translation has
occurred in a community site.
 Level at which dissemination products
have been developed and are
available to the public.

Active Living Every Day;
A Matter of Balance;
Chronic Disease Self-Management
Program;
 Enhance Fitness
 Walk with Ease
(information available
on Webinar:
April 19, 2012 10:00-11:00)



The new requirements apply to Fiscal
Year (FY) 2012 funds. Contracts made
with previous funds do not have to be
altered.
 Multi-year contracts which began prior
to FY-2012 may have to be altered
depending on whether the contracts
include activities that meet at least the
minimal criteria for evidence-based Title
IIID programs.

The FY 2012-2016 Area Plan that AAA are
currently developing will not be required to
be changed prior to the May 2012
submission.
 However, if the Area Plan includes Title IIID
activities that do not meet the minimal
criteria for evidence-based programs then
an Area Plan Update with activities that
meet the minimal AoA criteria must be
submitted later this year.
 Future guidance to follow.

The reporting requirements for Title IIID
have not changed.
 Data dictionary will be updated

Medication Management (MM) will no
longer be required as a separate service
category; however, MM is an allowable
service activity as part of the Title IIID
services.
 Report MM activities as a Title IIID activity

Following this webinar CDA survey will
distribute a survey for AAAs to:
 Evaluate the criteria level of the
programs provided by the AAA.
 A pdf version will go out for you as a
worksheet.
 If you are have questions please call
Beth Sloane.
1. How does the Older Americans Act (OAA)
define evidence-based?
 A description of evidence-based:
demonstrated through rigorous evaluation
to be evidence-based and effective.
2. How does AoA define evidence-based?
 AoA liberalized the definition to the include
many programs that have minimal
evidence base but encourage movement
towards the highest criteria.
3. Do exercise programs meet the criteria
for evidence-based programs?
 Not all do. Others will depend on the
AAA’s requirement such as credentialed
practitioner to qualify and an evaluation
of effectiveness.
 AAA may set the criteria for evaluation
and certification.
4. Can AAA afford to implement evidencebased programs given limited funded?
 There are free and low cost programs
available. Partnerships and
collaboration are another way to
provide programs such as Walk with
Ease.
5. Why are evidence-based initiatives in
preventative health important?
 Evidence -based programs effectively
promote the adoption of healthy lifestyle
behaviors, which reduce healthcare
costs.
6. Are there new reporting requirements to
reflect the evidence-based requirements.?
 No, there are no new reporting
requirements. Medication Management
will no longer be required as a separate
service category.
 Medication Management is an
allowable service activity as part of Title
IIID services.
7. Are Title IIID funds able to be used for
Chronic Disease Self Management
Program (CDSMP)?
 Yes, it is allowed.
8. What would need to be done to ensure
a program meets the criteria for an
allowable Title IIID expenditure?
 Minimum criteria are evaluation and
having a credentialed practitioner.
 AAA decides to evaluate the program
to demonstrate effectiveness improving
health behaviors, improving knowledge,
or reducing the risk of chronic disease.
8. continued
 Does the program have a foundation in
research, or participant evaluations that
indicate your program leads to
improved health behaviors?
 Does the program require an
appropriately credentialed practitioner?
9. Would a health fair qualify as evidencebased?
 Some activities qualify: health
screenings, programs provided by
appropriately credentialed staff and
activities approved by the AAA.
 Some activities that do not qualify are
sports competitions, health information
booths, and demonstrations.
10. What funding can be used to support
health fair activities that do not qualify as
evidence-based?
 Other funding must be used such as
OAA Title IIIB funding for community
education.
 or volunteers from the community that
provide health fair activity free of
charge.
11. Do grantees have to provide activities
that meet the highest criteria?
 No. Move your programs towards the
highest criteria as possible. Meet the
minimum the criteria.
12. In order to meet the highest-level
criteria does my health promotion first have
to meet the other two criteria?
 Yes, the process is a stepwise transition.
13. Can Title IIID evidence-based funding
be used for Care Transitions?
 Yes, many evidence-based programs
support Care Transitions: Medication
Management, CDSMP, health
assessment, health/nutrition education
and counseling.
14. For interventions that fall into the minimal
and intermediate criteria what, if any,
supporting documentation should SUAs or
AAAs provide to substantiate that they are
meeting the new Title IIID requirements?
 None. The AAA will want to retain
documentation of the evidence behind
their chosen Title IIID program for their own
records.
 CDA will provide a survey for AAA to
identify the criteria met by their programs.
Beth Sloane MPH, RD
Public Health Nutrition Consultant II
916.928.7890
beth.sloane@aging.ca.gov