U.S. Department of Health and Human Services: Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs
The Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education (CDSME) Program is designed to 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. There are two types of awards with that each have two primary goals:
Goal 1: Develop capacity in areas with no or limited evidence-based program infrastructure to introduce, deliver, and expand the reach 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). 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). Applicants must propose to deliver one or more CDSME and self-management programs. Refer to Appendix A in the solicitation for definitions of CDSME and self-management and Appendix B for a listing of pre-approved interventions (programs must be on the list of pre-approved interventions). 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 of the solicitation.
Goal 2: Develop sustainability strategies to support the proposed programs during and beyond the grant period. Sustainability strategies include, but are not limited to:
- Business plans with clear strategies, contracts, and/or other means to secure and expand sustainable financing
- Strategic partnerships with organizations that have the capacity to embed programs into their routine operations, particularly those organizations with access to multiple delivery systems/implementation sites
- A delivery infrastructure/capacity to increase access to evidence-based chronic disease self-management education and self-management support program
- Coordinated public awareness, education, marketing, and recruitment processes
- Fidelity monitoring and other ongoing quality assurance efforts
Sustainable systems grants:
Goal 1: Significantly increase the number of older adults and adults with disabilities who participate in evidence-based self-management education and support programs to improve their confidence in managing their chronic condition(s). Refer to Appendix A of the solicitation for definitions of CDSME and self-management support programs. Applicants must propose to deliver one or more CDSME programs. These programs must be on the list of pre-approved interventions in Appendix B of the solicitation. 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 of the solicitation.
Goal 2: Implement innovative funding arrangements, including contracts and collaborations with one or more 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.
Amount: A total of $6,275,090 is available to award up to 10 cooperative agreements ranging from $500,000-$900,000 per project year for up to three years. To help ensure a wider geographic reach, it is unlikely that more than one applicant per state will be funded. Awards specific to categories are as follows:
- Capacity-Building Grants: Approximately four grants of $50,000-$150,000 will be awarded
- Sustainable Systems Grants: Approximately six grants of $500,000-$900,000 will be awarded
Eligibility: Domestic public or private nonprofit entities including state and local governments, Indian tribal governments and organizations, faith-based organizations, community-based organizations, hospitals, and institutions of higher education.
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