A National Public Health Agenda for

Osteoarthritis

A National Public Health Agenda for

OsteoarthritisTen RecommendationsTen RecommendationsTen RecommendationsTen Recommendations

What Actions can States take?

What Actions can States take?

Erica Odom, Arthritis Grantee Meeting 2010Erica Odom, Arthritis Grantee Meeting 2010

RecommendationsRecommendations

1.1. Self management educationSelf management education should be expanded as a should be expanded as a community-based intervention for people with symptomatic OA.community-based intervention for people with symptomatic OA.

2.2. Low impact, moderate intensity aerobic physical activity Low impact, moderate intensity aerobic physical activity and muscle strengthening exercise should be promoted widely and muscle strengthening exercise should be promoted widely as a public health intervention for adults with OA of the hip as a public health intervention for adults with OA of the hip and/or knee.and/or knee.

3.3. Existing policies and interventionsExisting policies and interventions that have been shown to that have been shown to reduce OA related joint injuries should be promoted, reduce OA related joint injuries should be promoted, implemented and enforced.implemented and enforced.

4.4. Weight managementWeight management should be promoted for the prevention should be promoted for the prevention and treatment of OA, and national nutrition and dietary and treatment of OA, and national nutrition and dietary guidelines for the general population should be followed by guidelines for the general population should be followed by adults with OA so they select a quality diet while staying within adults with OA so they select a quality diet while staying within their caloric requirements.their caloric requirements.

5.5. A national policy platform for OAA national policy platform for OA should be established to should be established to improve the nation’s health through evidence based clinical and improve the nation’s health through evidence based clinical and community prevention and disease control activities, including community prevention and disease control activities, including core public health infrastructure improvement activities.core public health infrastructure improvement activities.

1.1. Self management educationSelf management education should be expanded as a should be expanded as a community-based intervention for people with symptomatic OA.community-based intervention for people with symptomatic OA.

2.2. Low impact, moderate intensity aerobic physical activity Low impact, moderate intensity aerobic physical activity and muscle strengthening exercise should be promoted widely and muscle strengthening exercise should be promoted widely as a public health intervention for adults with OA of the hip as a public health intervention for adults with OA of the hip and/or knee.and/or knee.

3.3. Existing policies and interventionsExisting policies and interventions that have been shown to that have been shown to reduce OA related joint injuries should be promoted, reduce OA related joint injuries should be promoted, implemented and enforced.implemented and enforced.

4.4. Weight managementWeight management should be promoted for the prevention should be promoted for the prevention and treatment of OA, and national nutrition and dietary and treatment of OA, and national nutrition and dietary guidelines for the general population should be followed by guidelines for the general population should be followed by adults with OA so they select a quality diet while staying within adults with OA so they select a quality diet while staying within their caloric requirements.their caloric requirements.

5.5. A national policy platform for OAA national policy platform for OA should be established to should be established to improve the nation’s health through evidence based clinical and improve the nation’s health through evidence based clinical and community prevention and disease control activities, including community prevention and disease control activities, including core public health infrastructure improvement activities.core public health infrastructure improvement activities.

Recommendations (cont’)Recommendations (cont’)

6.6. Systems to deliver evidence-based interventions Systems to deliver evidence-based interventions should be should be expanded.expanded.

7.7. Quality and equal access to evidence-based interventions Quality and equal access to evidence-based interventions for OA for OA should be assured.should be assured.

8.8. Workplace environments Workplace environments should be improved by adopting policies and should be improved by adopting policies and interventions that prevent onset and progression of OA.interventions that prevent onset and progression of OA.

9.9. A well designed communication strategyA well designed communication strategy should be initiated and should be initiated and sustained to enhance understanding and change attitudes and behavior sustained to enhance understanding and change attitudes and behavior among consumers, healthcare providers, policy makers, employers and among consumers, healthcare providers, policy makers, employers and the business community, and community organizations.the business community, and community organizations.

10.10. Research and evaluationResearch and evaluation should be pursued to enhance surveillance, should be pursued to enhance surveillance, better understand risk factors, refine recommended intervention better understand risk factors, refine recommended intervention strategies, evaluate workplace interventions, and examine emerging strategies, evaluate workplace interventions, and examine emerging evidence on additional interventions.evidence on additional interventions.

6.6. Systems to deliver evidence-based interventions Systems to deliver evidence-based interventions should be should be expanded.expanded.

7.7. Quality and equal access to evidence-based interventions Quality and equal access to evidence-based interventions for OA for OA should be assured.should be assured.

8.8. Workplace environments Workplace environments should be improved by adopting policies and should be improved by adopting policies and interventions that prevent onset and progression of OA.interventions that prevent onset and progression of OA.

9.9. A well designed communication strategyA well designed communication strategy should be initiated and should be initiated and sustained to enhance understanding and change attitudes and behavior sustained to enhance understanding and change attitudes and behavior among consumers, healthcare providers, policy makers, employers and among consumers, healthcare providers, policy makers, employers and the business community, and community organizations.the business community, and community organizations.

10.10. Research and evaluationResearch and evaluation should be pursued to enhance surveillance, should be pursued to enhance surveillance, better understand risk factors, refine recommended intervention better understand risk factors, refine recommended intervention strategies, evaluate workplace interventions, and examine emerging strategies, evaluate workplace interventions, and examine emerging evidence on additional interventions.evidence on additional interventions.

National Platform for CDCNational Platform for CDC

Programs &Programs &PartnershipsPartnerships

Research & Research & SurveillanceSurveillance

Health Health CommunicationsCommunications

PolicyPolicy

Programs &Programs &PartnershipsPartnerships

Research & Research & SurveillanceSurveillance

Health Health CommunicationsCommunications

PolicyPolicy

Programs & PartnershipsPrograms & Partnerships

State ProgramsState Programs (AID & CDC)(AID & CDC)

National Programs National Programs

(AF, DHPE & NACDD)(AF, DHPE & NACDD)

OA Coalition (TBA)OA Coalition (TBA)

New PartnershipsNew Partnerships YMCA - EFYMCA - EF NEA - Mail-based NEA - Mail-based

Arthritis ToolkitArthritis Toolkit

State ProgramsState Programs (AID & CDC)(AID & CDC)

National Programs National Programs

(AF, DHPE & NACDD)(AF, DHPE & NACDD)

OA Coalition (TBA)OA Coalition (TBA)

New PartnershipsNew Partnerships YMCA - EFYMCA - EF NEA - Mail-based NEA - Mail-based

Arthritis ToolkitArthritis Toolkit

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are needed to see this picture.

Research & SurveillanceResearch & Surveillance

Intervention Intervention ResearchResearch

Johnston CountyJohnston County

NHISNHIS

Intervention Intervention ResearchResearch

Johnston CountyJohnston County

NHISNHIS

Health CommunicationsHealth Communications

Revised Health Revised Health Communication Communication CampaignCampaign

Partner Efforts (AF)Partner Efforts (AF)

OA Agenda OA Agenda Implementation Implementation GuideGuide

Revised Health Revised Health Communication Communication CampaignCampaign

Partner Efforts (AF)Partner Efforts (AF)

OA Agenda OA Agenda Implementation Implementation GuideGuide

Policy Policy

Annual AAGAnnual AAG

PA Policy Guidance PA Policy Guidance Meeting (TBD)Meeting (TBD)

OA Agenda OA Agenda Policymaker Materials Policymaker Materials (TBD)(TBD)

Other Partner P&L Other Partner P&L Activities (e.g. AF, Activities (e.g. AF, NACDD, YMCA)NACDD, YMCA)

Annual AAGAnnual AAG

PA Policy Guidance PA Policy Guidance Meeting (TBD)Meeting (TBD)

OA Agenda OA Agenda Policymaker Materials Policymaker Materials (TBD)(TBD)

Other Partner P&L Other Partner P&L Activities (e.g. AF, Activities (e.g. AF, NACDD, YMCA)NACDD, YMCA)

CDC, AF & CoalitionCDC, AF & Coalition

OA Agenda Evaluation QuestionsOA Agenda Evaluation Questions

Balance between accuracy, feasibility, Balance between accuracy, feasibility, and utilityand utility

Short-term outcomes to measureShort-term outcomes to measure Change in partnershipsChange in partnerships Change in policy attentionChange in policy attention Change in media attentionChange in media attention

Balance between accuracy, feasibility, Balance between accuracy, feasibility, and utilityand utility

Short-term outcomes to measureShort-term outcomes to measure Change in partnershipsChange in partnerships Change in policy attentionChange in policy attention Change in media attentionChange in media attention

Draft Logic ModelDraft Logic Model