Good Aging in Lahti Region (GOAL) Regional research and development project

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1 Good Aging in Lahti Region (GOAL) Regional research and development project Raisa Valve, Head of Development, University of Helsinki, Palmenia Centre for Continuing Education , Lahti

2 GOAL = GOod Ageing in Lahti region (international name) Ikihyvä Päijät-Häme (national name) Collaborators University of Helsinki, Palmenia and Faculty of Social Sciences National Institute for Health and Welfare Joint Authority for Päijät-Häme Social and Health Care and its 15 municipalities Lahti University of Applied Sciences

3 Goals To empower both professionals and population in health promotion To increase welfare, diminish morbidity, and improve quality of life among ageing, and thereby to increase attractiveness of the region

5 Figure 2. The occurred and predictable changes in absolute sizes of different age groups in (in millions) P e kka.p arkkine n@ va t t.f i 1,8 1,6 1,4 1,2 1,0 0,8 0,6 0,4 0,2 0, y y y y y y ,8 1,7 1,6 1,5 1,4 1,3 1,2 1,1 1 0,9 0,8 0,7 0,6 0,5 0,4 0,3 0,2 0,1 0

6 Care and service costs according to age ( per month) AGE 0

7 Health and social expenditures and their predicted change in Finland, ilman tuottavuutta Increasing productivity Increasing productivity + postponing of serv.needs

8 Technological innovations are needed in order to improve productivity. Social innovations are needed in order to postpone the needs for and use of services. Antti Karisto

9 Social innovations All innovations are social in the sense that they come into existence through the interaction between producers and users Doing new things, doing things in a new way Challenging the customary way of thinking and acting Also minor novelties may satisfy criteria of innovativeness. Innovations are not disseminated in an uniform and mechanistic way. Antti Karisto

10 Societies are rapidly ageing, and there is a strong need for new innovative working practices in health promotion as well as for new kinds of alliances and co-operation in old age care. Photo by Iiris Salomaa Antti Karisto

11 Goals To increase welfare, diminish morbidity, and improve quality of life among ageing, and thereby to increase attractiveness of the region The project goals have been defined by the representatives from the hospital district, the province, municipalities, national and local research and education institutions, non-governmental organizations

12 Goals To empower both the professionals and the population in health promotion Main entry point to the municipalities is via the social and health care sector Professionals are overburdened and need practices that will clarify responsibilities between different professionals and between patients and professionals

13 Three parts of GOAL 1) 10-year cohort study ( ) Three birth cohorts will be followed, those born in (the baby boomers), and needs assessment general program evaluation 2) Community-based interventions evidence-based implementation studies development of policies and practicies 3) Community Diagnoses Combining data from cohort study, statistical reports and policy documents from each municipality.

14 GOAL program design 2002 N= N= N= F-0 n=2815 F-1 n=2415 F-2 n=205 0 F-3 Interventions Community diagnoses Community diagnoses Evaluation Community diagnoses Interventions F = Follow-up

15 GOAL model GOAL group Sensitivity to emerging intervention needs Municipal administration Community-based interventions Lifestyle counseling T2DM Promotion of functional capability in elderly Interventions support each other ideologically, structurally and methodologically Evaluation and cohort study

16 Community-based intervention : Intervention on promotion of functional capability in elderly THIRD SECTOR ORGANIZATION LOCAL HEALTH CARE CENTER Group-based interventions Contents Physical exercise progam Nutrition Social networks KEY WORDS TO CREATE A SYSTEMATIC MODEL CO-OPERATION WITH THE PUBLIC AND THE THIRD SECTOR DOING THINGS IN A NEW WAY PREVENTIVE ACTION HOLISTIC HEALTH At an early stage identify those who are in a risk of losing their functional capacity 70 years of age Directed to the group-based intervention Directed to the local health care center (follow-up measurements and marking the results

17 Research setting study participant recruitment over 70 years of age, no severe dementia, mental illness, cancer treatment or other fatal disease, Short functional capacity test (Guralnik,SPPB) (home care personnel) more comprehensive tests (the Berg, TOIMIVA) (physiotherapist) interview (researcher) strenght and balance training group-based (GB) at the gym homebased (HB) GB+ goal setting HB+goal setting information group follow-up 3 mo Short functional capacity test (Guralnik,SPPB) (home care personnel) more comprehensive tests (the Berg, TOIMIVA) (physiotherapist) interview (researcher) 9 mo Short functional capacity test (Guralnik,SPPB) (home care personnel) 15 mo Short functional capacity test (Guralnik,SPPB) (home care personnel) more comprehensive tests (the Berg, TOIMIVA) (physiotherapist) interview (researcher)

18 SPPB -test 1. balance a) semi-tandem b) the side-by-side c) Tandem

Funding - Municipalities 2001-2012 2002-2007 2008-2012 Academy of Finland 2002-2004 The Social

19 Funding - Municipalities Academy of Finland The Social Insurance Institution of Finland Ministry of Social affairs and Health, National Health Project

20 To conclude about GOAL Initial focus was on population level Emphasis shifted towards development of social and health care services as primary targets Sensitivity to emerging intervention needs Interventions support each other ideologically, structurally and methodologically Doing new things, doing in a new way Group-based lifestyle counseling How to measure and promote functional capacity in a systematic way Several national and international publications GOAL could be seen as a research and developmental resource in Paijat-Hame

Be Part of the Wellness Movement.

SPORTHEALTHFEELING Be Part of the Wellness Movement Nearly all western countries are facing the same problem: the population is ageing and becoming less fit. We know how to slow this development, but there