EBP Characteristics [15] | General Aging Populations | Racial and Ethnic Minoritized Groups and Under-resourced Setting Considerations |
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Community characteristics | • Limited range of accessibility: hearing, seeing, mobility, cognitive impairment • Varying levels of independence • Emotional barriers related to lack of social support, loss of loved ones • Difficulty with paperwork (privacy concerns and/or finding it hard to read) • Social isolation and anxiety about going somewhere new if not aware of the EBP-providing organization • Need for flexibility in participation requirements (i.e., doctors appointments, health, wellbeing) | • Range of literacy levels • Language preference (including language heterogeneity) not depicted in EBP • Competing responsibilities: home, caretaking, job responsibilities, basic needs, religion, etc. • Affordability and accessibility of technology (phones, internet) affecting awareness or participation • Access to safe, reliable transportation or lack of walkability in the community • Low awareness of EBPs and prevention programs in the community • Lack of aging related services in the area |
Intra organizations characteristics | • The administrative burden of program management • Variable leadership support and buy-in for implementing EBPs • The administrative burden of data collection and submission for EBPs, including multiple required submissions and copies for EBP developers, funders, etc. • Lack of ability and capacity building to do internal program improvement and data collection • Opportunity to collaborate with other community agencies to distribute work and promote program sustainability | • Opportunity, need, and administrative time burden for building programs and EBP partnerships within trusted institutions (faith-based programs, programs within public housing) • Leadership not understanding population needs, assets, values, culture(s) |
Evidence-based program characteristics | • Need for data transparency from EBP developers or funders for feedback for CBO quality improvement Data restrictions (ability to add questions, submission requirements, etc.) • Intrusive data gathering on participants • Challenge of senior engagement in class length and time of day for classes (takes time to find the “right” timing for the population served) • Eligibility is limiting to serving the community’s needs | • Lacking cultural relevance in language or materials and diverse representation of examples in the curriculum • Tailor curriculum to lower literacy levels to increase accessibility • Should address social determinants (food insecurity, poverty, etc.) • Language heterogeneity beyond English or Spanish |
Fidelity | • Need tools, training, or resources to ensure fidelity | • The tension between the need for cultural adaptations and maintaining fidelity • Need for flexibility in attendance for elderly and high SES-burdened population • There is a need to build trust in local organizations to establish programs which cater to the local population |
Staffing and Training | • The administrative burden of staff management: staff or volunteer turnover, the hidden costs of volunteers, workforce development • Training takes time and has a cost • Capacity training to recruit, train, and deliver the program | • Lack of volunteer staff or pool of volunteers that looks like the population served • Lack of program evaluation skills and perceived importance of collecting meaningful data • Staff qualifications (limited professional, educational, or training experience) |
Marketing, cost, payment sources | • Outreach and recruitment take time, and staff not typically covered • Needs for referral sources • Cost of training can be expensive and takes time • Financial burden of EBP implementation: evaluation, training time and cost, teaching, fidelity | • Need consistent funding streams to promote uninterrupted program delivery • Diverse representation in marketing materials • Offer incentives |