Source: OREGON STATE UNIVERSITY EXTENSION SERVICE submitted to NRP
MASTERY OF AGING WELL ONLINE SERIES OF E-COURSES
Sponsoring Institution
National Institute of Food and Agriculture
Project Status
COMPLETE
Funding Source
Reporting Frequency
Annual
Accession No.
0215811
Grant No.
2008-46100-04826
Cumulative Award Amt.
(N/A)
Proposal No.
2008-03869
Multistate No.
(N/A)
Project Start Date
Sep 1, 2008
Project End Date
Oct 31, 2010
Grant Year
2008
Program Code
[LX]- Rural Health & Safety Education
Recipient Organization
OREGON STATE UNIVERSITY EXTENSION SERVICE
101 BALLARD HALL
CORVALLIS,OR 97331-3606
Performing Department
COOPERATIVE EXTENSION
Non Technical Summary
Prevention approaches have a documented history with younger populations but have been used less often with older adults. The U.S. Department of Health and Human Services' 2010 Initiative (Steps to a Healthier US) shifted the focus used in Healthy People 2000 and recognizes more completely the role of prevention and the impact of optimum health practices. This on-line series lays the groundwork for disseminating practical information to assist the expanding numbers of aging individuals and their families move through unfamiliar territory with informed ease. Use of the 'Mastery of Aging Well' course materials increases public understanding of prevention-related approaches and introduces innovative tools for optimal aging. The on-line series places particular emphasis on how information about 'aging well' engages and impacts rural communities and rural older adults.
Animal Health Component
100%
Research Effort Categories
Basic
(N/A)
Applied
100%
Developmental
(N/A)
Classification

Knowledge Area (KA)Subject of Investigation (SOI)Field of Science (FOS)Percent
72460103020100%
Knowledge Area
724 - Healthy Lifestyle;

Subject Of Investigation
6010 - Individuals;

Field Of Science
3020 - Education;
Goals / Objectives
Assure an on-line learning series, focused on age and health-related issues, is available to older adults throughout rural Oregon. Develop and field test five topic-specific, practical, research-based on-line courses: 1)age-associated memory loss, 2)late-in-life depression 3)physical activity during aging 4)nutrient-dense eating 5)medication jeopardy. Develop and test pre-post evaluation tools for each course which include an assessment of self-efficacy and changes in individual behavioral intention. Incorporate the on-line series into on-going, non-credit options available through the Oregon State University Extension Outreach and Engagement Programs and lay groundwork for use nationwide.
Project Methods
A suite of five on-line, video-imbedded courses will be developed using award-winning materials and programs pre-tested in rural communities. Content will draw from current research and evidence-based program success. The five-course series will be peer reviewed using an external consultant with expertise in health and gerontology and an eight-person faculty advisory team. The target population for use of course materials is adults over age 60. The 'Mastery of Aging Well' series will have three tiers allowing for instructor-interface according to the preference of the user. The evaluation of the series will use cross-sequential approaches, structured observational techniques and two focus groups to assess impact and implementation. The course content and the evaluation tools will be field-tested in two southern Oregon counties and available for statewide and nationwide use at the end of 2009.

Progress 09/01/08 to 10/31/10

Outputs
OUTPUTS: 'Mastery of Aging Well' has been designed and implemented as a five-module, web-based educational program for older adults. It is available in three convenient electronic formats. Option One provides web access to 30-40 minutes of practical, research-based information on each of the following topics: 1) memory difficulties 2) depression in later life 3) medication jeopardy 4)'food as medicine' (nutrition) and 5)physical activity and exercise in later life. The easily found link (http://outreach.oregonstate.edu/aging-well) has, since the project was launched in the Fall of 2009, been the first response to appear when you google "Mastery of Aging Well." The peer reviewed information was developed in a manner that allows older adults to specify a select area of interest or review an entire module; accomodations for hearing or sight impaired person have been incorporated. Narration is clear and has been tested with aging populations and has been consistently well received. The second format, Option 2 is an interactive on-line university-based course in which aging adults or their family members enroll. It provides enhanced information in each of the five subject areas and includes imbedded video segments with actual aging adults in problem-solving situations. Additional print materials and a variety of resource links are also provided and faculty mentoring occurs (on-line and via telephone/skype. The six-week Option 2 course is available for distance learning enrollment, nationwide, for a six-week period in October and April of each year. The final format, Option 3 is a five-set DVD "Learning Package" that does not require internet connectivity. For older adults who prefer television as their educational reference, the Option 1 materials have been converted into DVDs that can be enjoyed a living room setting with family and friends. A peer reviewed faciliator's ("study") guide is contained in each DVD Learning Package to assist and promote discussion of the materials. Increasing use is being made of Mastery materials as "video book clubs" where small groups gather to watch a module and discuss it. The Option 3 video book clubs are being used by organizations that include Osher Lifelong Learning Insitute (OLLI), Elders In Action and select community hospitals. Mastery of Aging Well was developed in concert with AARP Oregon and AARP continues to sponsor the training of AARP volunteers to faciliate the book club approach and be involved in promotion of all options. An AARP-sponsored Telephone Town Hall featuring Mastery of Aging Well occurred in October of 2010 and drew 11,544 callers, 3,000 of whom were provided follow-up Mastery of Aging Well information in a colorful brochure format. In addition, eXtension's Caregiving Community of Practice (COP) houses the modules as well as a brief article about each subject area. PARTICIPANTS: Mastery of Aging Well has been a collaboration between Oregon State University Outreach & Engagement, Oregon State University Extension, Oregon AARP and eXtension. TARGET AUDIENCES: Older adults (age 55+)living in mixed rural/urban areas. PROJECT MODIFICATIONS: Nothing significant to report during this reporting period.

Impacts
The evaluation methods for the 'Mastery of Aging Well" program vary depending on the format. Option One is evaluated based on number of 'hits' on the link (as of this writing, 5-10/day) and the length of time the individuals spends on a specific module. Early indications have been that time spent on a module has exceeded original assumptions. Option Two has a built-in, peer-reviewed, 10-question, pre-post test for each module. Individuals who take all five pre-post tests are automatically awarded the "Certificate of Mastery of Aging Well." To date (in the pilot phase and during the first Option Two course held in the Fall of 2010) the majority of enrollees scored 60-80% of accurately answered questions on the pre-test and 90-100% on the post-test indicating knowledge gains. Option Three is evaluated in four ways: 1) how many collaborating organizations elect to train their volunteers to faciliate video book clubs and how many book club participants attend the series 2)ratings received from individuals who purchase or are given a DVD and complete a one page evaluation form after viewing it 3)anecdotal summary information--written and stated 4) identified behavior change as a result of the information received. To date, 18 individuals representing 9 community-based organizations have been trained to faciliate video book clubs. It is estimated, based on feedback from trained facilitators, that a minimum of 175-250 individuals have experienced the Mastery of Aging Well series using a video Book Club approach. Thirteen DVDs (which became available in the late fall of 2010) have been sold and thirty have been given away as part of initial promotion. Written feedback forms have been received (N=10)that rate the DVD Learning Package on a 1-5 scale with 5 being "excellent" and 1 being "very poor" Ratings to date: Quality of the product has been consistently "5." Ease of product use averages "4.8." Usefulness of the study guide is "4.8." Usefulness of the informaiton provided on the study guide is consistently "5." Select comments from participants in the Option Two and Three approaches: "The DVDs are excellent, very informative and helpful" Lynne deVries, Elders in Action, Portland Oregon November,2010. "This course was just the kick in the pants I needed. It prompted me to eat differenlty and change some of my exercise habits." Robert Carlisle, Mastery of Aging Well enrollee Fall 2010. "Excellent information for our memebers--very well presented." Joyce DeMonnin, AARP Oregon Director of Public Outreach, Summer, 2010.

Publications

  • S. Johnson (2009) Mastery of Aging Well 5-modules [On-line] Available at: http://outreach.oregonstate.edu/aging-well
  • Johnson S. (2009). Impact of Lifestyle on Memory. Article eXtension,[On-line]. Available at: http://www.extension.org/pages/Impact of Lifestyle on Memory.
  • Johnson S.(2009). Recognizing Depression in an Older Adult. Article. eXtension, [On-line]. Available at: http://www.extension.org/pages/Recognizing Depression in an Older Adult
  • Johnson S. (2009) The Question of Food as Medicine. Article eXtension [On-line]. Available at: http://www.extension.org/pages/The Question of Food as Medicine
  • Johnson S. (2009). Take 10: A Caregiver Exercise Program. Article. eXtension, [On-line]. Available at: www.extension.org/pages/Take 10: A Caregiver Exercise Program
  • Johnson S. (2009) Avoiding Medication Jeopardy. Article eXtension [On-line] Available at: http://www.extension.org/pages/Avoiding Medication Jeopardy
  • S.Johnson(2010) Mastery of Aging Well: A Program for Healthy Living, DVD, Oregon State University Outreach & Engagement


Progress 09/01/08 to 08/31/09

Outputs
OUTPUTS: Oregon State University (Outreach and Engagement/Extension Service) launched the web-based, five-module "Mastery of Aging Well" series (http://outreach.oregonstate.edu/aging-well) on August 25, 2009. The extensively peer-reviewed modules are: 1) Memory Difficulties: Should I Be Worried 2) Depression in Later Life 3) Medication Jeopardy 4) Food as Medicine and 5) Physical Activity and Exercise in Later Life. Media attention has been strong and community responsiveness has continued to be highly positive. Mastery of Aging Well is co-branded and co-sponsored by AARP Oregon; AARP assisted with field testing the concepts and continues to be actively engaged in promoting the approach. The Mastery of Aging Well link receives 10-14 hits/day and continues to be used as part of a well-received "video book club" series in concert with Southern Oregon University's OLLI (Osher Learning Lifelong Learning Insitute). eXtension has included the Mastery modules on their Cargiving Community of Practice (COP)site and has recently added a pre-post evaluation for each module. As preferred by eXtension, an article about each of the five topics accompanies the link. Spanish translation of the materials is close to completion. The faculty interactive version of Mastery of Aging Well (Tier 2) is in the final stages of editing and field testing will follow. It includes imbedded videos and additional information about each topic. The Mastery of Aging Well course will be offered as non-credit distance-learning in the spring of 2010 with Sharon Johnson, P.I., as the instructor. In response to community preference, "Tier 3" has been modified and is now a 5-DVD package with study notes. It will be ready for release in February of 2010. PARTICIPANTS: This project was a collaborative, cross-disciplinary effort within Oregon State University's newly established Outreach and Engagement Program. The P.I. (Extension faculty serving two rural counties) worked closely with a seven-person faculty advisory team within the College of Health and Human Sciences composed of experts in gerontology, sociology, nutrition/food science, exercise physiology and evaluation. The OSU Center for Healthy Aging Research provided expertise and peer review. Web designers, instructional designers, a videogrpaher and marketing personnel provided on-campus technical support. A community-based sound technician/studio and a talent pool of rural-based older adults provided in-community expertise. AARP Oregon was constantly offering perspective and creating promotional opportunites. eXtension faculty across five states were a value-added element in assuring a quality product. TARGET AUDIENCES: THe original target audience was expanded to include older adults (50+) in mixed rural-urban areas and their family members and caregivers. PROJECT MODIFICATIONS: Not relevant to this project.

Impacts
This innovative approach to web-based learning for older adults has been available nationwide for five months. Evaluation information to date indicates highly rated "ease of use," "good credibility of information shared" as well as frequently reported "knowledge gains" and some early indications of behavior change. Evaluation information will continue to be automatically gathered via separate pre-post assessments incorporated into the OSU Mastery of Aging Well site and the eXtension site.

Publications

  • http://outreach.oregonstate.edu/aging-well 2009