Attachment_1.pdf

Identifying our Needs: A Survey of Elders Cycle VI

Conducting and Uses for Native Elder Needs Assessment Training

Collette Adamsen, MPA

Project Coordinator, NRCNAA Administration for Community Living Title VI Training

Funded by Administration for Community Living Grand Number 90O10005/01

Objectives

Following this training, you will:

Ø Be able to conduct a local needs assessment Ø Understand what a needs assessment is Ø Understand the reasons for conducting a needs assessment Ø Be able to understand the uses of the data collected from the needs assessment survey

National Resource Center on Native American Aging

Ø Established in 1994, at the Center for Rural Health, University of North Dakota School of Medicine and Health Sciences

Ø Focuses on:

Ø Education, Training, and Research Ø Community Development & Technical

Assistance Ø Native Elder Health, Workforce & Policy

Ø Website https://www.nrcnaa.org/

Center for Rural Health Ø Established in 1980, at The University of North Dakota

(UND) School of Medicine and Health Sciences in Grand Forks, ND

Ø One of the country’s most experienced state rural health offices

Ø UND Center of Excellence in Research, Scholarship, and Creative Activity

Ø Focus on:

Ø Education, Training, and Resource Awareness Ø Community Development and Technical Assistance Ø Native American Health Ø Rural Health Workforce Ø Rural Health Research Ø Rural Health Policy Ø Program Evaluation

Ø Website:

https://ruralhealth.und.edu/

What is a needs assessment?

v A process where local interests or issues are defined.

v A method by which the nature and extent of needs can be both assessed and documented.

v A basis for planning that is evidence based.

Purpose of Needs Assessment v Assists tribes in assessing options and developing an action plan to address local needs.

v Provides documentation required for planning and grant purposes including fulfilling requirements for tribes’ Title VI elder nutrition program grant applications.

v Provides documentation (Family caregivers percentages) to apply for elder caregivers grant applications.

Tribal Diversity v NRCNAA’s model addresses diversity between and within tribes:

– Measures local community needs which are then unique to that community and fit only that particular community.

– Model utilizes a custom-fitting measure.

One Size Does Not Fit All

Population v Native American elders residing primarily on reservations, Alaskan villages and Hawaiian homesteads.

v Individuals age 55 and over living on or around Indian areas.

– Age 55 is considered comparable to 65 and over in the general population

Population Issues v Growing elder population with Boom generation v Lower life expectancy v Higher chronic disease rates v Higher health risk factors v Lack of screening v Lack of long-term care services in Indian

Country v Changing family structure

Sampling of the Native Elderly Community Populations v Sampling may be used

– In many cases the community has a small enough elder population to survey/ interview all of them.

– If population is large then a properly selected representative sample or fraction of that population is utilized.

– Before drawing a sample tribes will need to obtain a count of their elders in their community.

Sampling (continued) and Interviewing v If you use the NRCNAA

– we will assist with determining sample size and how to draw tribal samples that best represent elderly populations.

– Call toll free-1 800 896 7628 v NRCNAA interviewing suggestions:

– Face-to-face surveying/interviewing

– Trained staff or volunteers to ask the questions and fill out the survey for the elderly

Sample Needs Assessment Survey

Survey Needs Data v General health status of elders v Indicators of chronic health v Activities of Daily Living (ADL’s) v Screenings v Indicators of visual, hearing, and dental v Memory and Disability v Health Care Access v Tobacco and alcohol use patterns v Diet, nutrition, and exercise v Social support pattern and housing v Social Functioning v Use and acceptance of services v Demographics

National Resource Center Provides:

v Survey instruments – a standardized tool v Assistance with sampling v Training on data collection v Technical support v Data entry v Data analysis v Statistical profiles of your elders v Comparisons with national norms

Local Communities Provide:

v A resolution from their tribal councils v A number or count of the elders in the community v Data collection v A repository for the findings and are responsible for getting them to the right people v Local implementation and coordination

Data Collection v Items Needed

– Surveys

– Interviewers Guide

– Pens/pencils

– Other items that may be useful

Clipboard Manila envelope

Interview v Develop a relationship v Explain the survey to the elder v Ask the elder if they consent to be interviewed v Read the verbal consent (pg. 6)

Verbal Consent When an elder agrees to be interviewed this is verbal consent. Before beginning each interview, read the following paragraphs to the elder.

“Thank you for agreeing to be interviewed regarding the health and social needs of Native American elders. We, as a

Nation, place great value on our elders and we hope these interviews will help us to better understand the needs of the elders in our community. All of your responses will be kept confidential. Your name will not be entered on any part of this survey. You do not have to answer any question that makes you uncomfortable. You may stop the interview at any time for any reason.

The confidentiality of enrolled members and Tribal data is of the utmost importance; therefore, the data for this survey will be collected anonymously by community members with the data stored at the National Resource Center on Native American Aging located at the University of North Dakota School of Medicine and Health Sciences, within a locked file cabinet and destroyed after a period of ten years.

We encourage you to contact your local healthcare providers if you experience any concerns about potential health problems. A list of health providers in your area is available upon request from (INSERT TRIBAL AGENCY).

The (INSERT TRIBAL AGENCY) is coordinating the needs assessment for our area with technical assistance from the National Resource Center on Native American Aging. If you have any questions regarding the project, please contact

(INSERT TRIBAL AGENCY) for more information at (INSERT CONTACT INFORMATION).”

The Survey Questions v Questions with write in response (2, 4, 35, 37, 40, 41, 45, 49, 61, and 66).

The Survey Question (cont.)

v Questions with “Mark all that apply” questions (3, 5, 6, 21, 30, 32, 33, 43, 59).

Questions That May Require Definitions v Question 30 – definition on pg. 10.

Questions that May Require Definitions (cont.)

Question 59 Definitions of these services are on pgs. 12-13 of the interviewer’s guide.

These questions are very important and give a good idea of what services are utilized & what services are still needed.

Post Data Collection v NRCNAA receives completed surveys from participating tribes.

v Surveys are scanned and coded for statistical analysis v A data file is created for each tribal participant v Standard measures are created (such as

Body Mass Index, ADL and IADL limitations, chronic diseases and service uses).

Result Tabulations v NRCNAA prepares comparison sheets for all participating tribes:

v Includes each tribe’s data, national data, and data for all

Native American elders (tribal aggregate).

v Sample comparison sheet can be seen at:

http://ruralhealth.und.edu/projects/nrcnaa/pdf/comparison.pdf v The comparison sheets allow a context for interpretation:

v Helps to determine whether each tribe’s elders are healthier or less healthy than the norm or whether they have more chronic disease.

Community Level Data Uses v Renewal of Title VI Native Elder

Nutrition and Caregiving Grants v Strengthening of grant proposals v Documentation of health disparities v Documentation of need for health promotion, home and community based services, and assisted living

Regional and National Data Use v The applications for data at these levels are numerous and focus on:

v Training for increasing skills for Native elder service providers v Advocating for resources at the state, regional, and national level

Regional and National Data Use continued v Developing policy for informing national Native elder organizations v Filling the research gap for Native elder related publication v Training Native researchers in the aging field

Needs assessment summary v A needs assessment should be conducted every three years to document changes.

v A needs assessment is required by the Administration for Community Living for Title VI projects.

v ACL, the NRCNAA, and others can assist you with conducting a good needs assessment v A needs assessment is a method to document local needs.

v Data from a needs assessment can be used for planning purposes.

Current Status of Needs Assessment v Cycle V Cycle V ended March 31, 2014 v 17,049 Native elder participants have filled out the needs assessment survey

Cycle VI started April 1, 2014 and ends March 31, 2017.

The Needs Assessment Team v Paula Carter, Ph.D.,-NRCNAA Director v Collette Adamsen, MPA-Project Coordinator v Ann Miller-Administrative Secretary v Melissa Wheeler-Graduate Research Assistant

Contact Information v For more information contact:

National Resource Center on

Native American Aging v Center for Rural Health v School of Medicine and Health Sciences v Grand Forks, ND 58202-9037 v Tel: 800-896-7628 v Fax: (701) 777-6779 v http://www.nrcnaa.org