At a minimum, the staff who will provide
EnhanceWellness services must attend the training. It is recommended
that the program coordinator and/or manager also attend. Up to 10 people
may attend.
The original study, which EnhanceWellness is
based upon, used a nurse practitioner/social worker team. Currently, a
nurse/social worker team is used whenever feasible. However, your
organization can choose to use a health educator or other health
promotion professional to provide EnhanceWellness services, if desired.
This choice has not been tested for efficacy, but we believe that it is
most important to hire a person who believes in participant-directed
care.
Services are provided for at least six months or longer, if requested
by the participant.
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What is the average caseload?
A staff working 8 hours/week could have a caseload of 50-55
participants a year.
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What is WellWare?
Your EnhanceWellness staff will use WellWare©, a web-based software
application, to track your participants' enrollment, visits, and
progress in EnhanceWellness. With the information you enter into
WellWare©, you will generate personalized health action plans and other
reports. With WellWare© you can:
- Track participant data, including demographic information, test
results, etc.
- Enter notes for each encounter with a participant categorized by
staff and visit type.
- Develop and print Health Action Plans for participants and
Participant Progress Reports for their physicians.
- Add information on mentors, physicians, and health plans of
EnhanceWellness participants
- Print reports, including site outcome results for a given time
period, lists of participants by health plan, support group
activity, and more.
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What are the sources of referrals to EnhanceWellness?
Referrals come from physicians, site staff, other health and service
providers, and self-referrals. Among the most effective referral sources
are letters, signed by patients' physicians, recommending the program
and providing the EnhanceWellness staff's phone number. If the patient
doesn't contact the EnhanceWellness staff, the staff follows up with the
patient to explain the program and determine interest.
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Who have been EnhanceWellness supporters been in the past?
Geriatricians, university researchers from CDC-funded Prevention
Research Centers, area agencies on aging, health care organizations,
such as hospitals and medical groups, local and national foundations,
and the Administration on Aging have all provided support to
EnhanceWellness in the form of referrals, recommendations, and funding
to support staff and services.
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Is there a fee for EnhanceWellness participants?
No, EnhanceWellness has been
supported by the previously mentioned organizations and participants
have not yet been charged.
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Who can enroll in EnhanceWellness?
Older and disabled adults who want to make a health behavior change.
EnhanceWellness is targeted to those
with chronic conditions.
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What types of activities will my site need to offer as part
of EnhanceWellness?
The EnhanceWellness staff will administer a health risk assessment
from which the participant determines the health behavior that he or she
would like to change. The participant decides what to work on, with
whom, where, and how often. From this, the web-based program WellWare©
will generate an individualized Health Action Plan. The resources that
should be available to participants who are pursuing their goals may
include:
- Support groups covering topics (such as depression and care
giving) and workshops (such as chronic disease management).
- EnhanceFitness or other exercise programs for participants who
are working on goals related to physical activity.
- Trained volunteer health mentors, recruited from your site or
community, to work with participants who need a "coach" in carrying
out their action plan.
You may already have many of these resources in place. Project
Enhance staff can offer suggestions on finding and creating new
resources for your participants.
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How are outcomes collected on participants?
Our web-based software package, WellWare©, tracks participants'
scores in validated health tests, as well as their progress toward
meeting their personal health goals. A variety of administrative and
service reports can be generated so that you are always aware of the
progress experienced by the participants at your site.
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