Northwest Missouri Area Agency on Aging

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What Are Evidence Based Health Programs?

Evidence Based Programs (EBPs) offer proven ways to promote health and prevent disease among older adults.  These programs are based on rigorous study and scientific evidence and are designed to lower the risk of chronic diseases and help prevent falls. The Health Promotion programs offered through the Northwest Missouri Area Agency on Aging meet the current highest-level criteria for evidence based programs.


For information about any of the listed health programs and to find classes in your area, please contact Micky Bates, Healthy Living Coordinator at 660-240-9400, or email



What Are The Benefits?


· Improved quality of life

· Increased self-efficacy in managing one’s health

· Increased or maintained independence, positive health behaviors, or mobility

· Reduced disability (fewer falls)

· Reduced pain

· Improved mental health



A MATTER OF BALANCE   (In partnership with University of Missouri Extension)

A Matter of Balance is designed to help reduce the fear of falling and to increase the activity levels of older adults      who have concerns about falling.


Classes help participants learn to change their environment to reduce fall risk factors, promote exercise to increase strength and balance, set realistic goals for increasing activity, and view falls and fear of falling as controllable.  The classes are designed to benefit older adults who are at least 60 years of age, are ambulatory, community-dwelling and able to problem solve.

This program is offered in a two-hour, once-weekly class for 8 weeks, or twice weekly for 4 weeks, and is led by two certified coaches.


Living a Healthy Life (formerly the Chronic Disease Self-Management Program or CDSMP)

Living a Healthy Life is an effective self-management education program for people with chronic health problems.  The program specifically addresses arthritis, diabetes, and lung and heart disease, but it teaches skills useful for managing a variety of chronic diseases. This program covers topics such as: techniques to deal with problems associated with chronic disease, appropriate exercise, appropriate use of medications, communicating effectively with health professionals, nutrition, and how to evaluate new treatments. Workshops are facilitated by two trained leaders and are held in a community setting in a 2½ hour, once-weekly meeting for six weeks.




TAI CHI originates from ancient China and is now practiced throughout the world as a very effective exercise for health, and it is adapted by the Arthritis Foundation of America.  Tai Chi is a graceful form of exercise that involves slow, focused movements and controlled breathing. It is a low-impact exercise that puts minimal stress on muscles and joints, making it suitable for many older adults.

Tai Chi has been proven to help prevent falls by improving balance and mobility, increasing flexibility and muscle strength, improving posture, and reducing the fear of falling.  Added benefits include relief from pain and stiffness, improved concentration, stress relief, improved heart and lung function, and integration of body and mind.

The program includes warm-up exercises, controlled breathing techniques, a set of12 movement Tai Chi, and cool-down exercises. Classes may be offered once or twice weekly (depending on your area) and are taught by a certified instructor.


AFEP is a community-based recreational exercise program developed by the Arthritis Foundation.  Trained AFEP leaders cover a variety of range-of-motion, flexibility, strength, balance and endurance-building activities, along with relaxation techniques and health education topics.  All of the exercises can be modified to meet participant needs.  The AFEP benefits include improved functional ability, decreased depression, and increased confidence in one’s ability to exercise.  Most classes are ongoing and meet twice weekly, or can be offered as an 8-10 week session.


Whether you need relief from arthritis pain or just want to be active, this Arthritis Foundation program can help.  It is ideal for people with or without arthritis who want to make walking a daily habit.  The Walk with Ease program is a physical activity and self-management education program that can be done by individuals using the workbook on their own, or in a group led by a trained leader. The group format is a structured six-week program that meets twice weekly.




MEDREADY is an automated medication dispenser available to individuals who are at least 60 years of age.  MedReady units increase medication compliance by virtually eliminating missed doses and accidental overdosing of medication.  MedReady holds 28 doses of pills or capsules and can dispense doses up to four times per day.  MedReady clients include individuals, caregivers, home health agencies, hospitals and doctors’ offices.

Special Features of MedReady Unit Include:


¨ The alarm in the pill dispenser is easy to set

¨ Medication is in locked compartments

¨ Pill compartments are “ramped” for easy removal of medication

¨ Compartments are divided to keep medication in place

¨ Powerful alarm sounds are easy to hear

¨ Rechargeable battery pack




People with arthritis can live a healthy life by actively managing the physical and emotional problems that come with it.  Most types of arthritis cannot be cured; however, living a healthy life with a chronic disease is possible with good self-management.  The Arthritis Toolkit contains information and tips that help many people with arthritis live happier, healthier, more comfortable lives. It contains information and suggested skills that will help you live a healthier life.

The ToolKit materials include:

   Arthritis Self-Management Instruction

   The Arthritis Helpbook

   “Let’s Exercise” Illustrated Guide Booklet

   CD—Time for Healing Relaxation for Mind and Body

Serving older adults and their caregivers in Andrew, Atchison, Buchanan, Caldwell, Clinton, Daviess, DeKalb, Gentry, Grundy, Harrison, Holt, Linn, Livingston, Mercer, Nodaway, Putnam, Sullivan and Worth Counties in Northwest Missouri








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