Design and Evaluation of Three Administration on Aging (AoA) Programs: Chronic Disease Self?Management ProgramnEvaluation Design. Final Evaluation Design Report.

摘要

The goal of this project is to develop a research design that estimates the effect of Chronic Disease Self?Management Programs (CDSMP), as administered in Administration on Aging (AoA)?funded settings, on outcomes of participants among AoA’s target population, i.e., individuals aged 60 or older. The 24 states which were original CDSMP grantees in 2006 and 2007 are eligible for the evaluation. Public health care expenditure in the Medicare and Medicaid programs is an outcome of particular interest to AoA, because there has been little research examining this outcome for CDSMP participants. AoA seeks the most rigorous evaluation methodology and is therefore interested in the feasibility of a randomized controlled trial (RCT) evaluation of CDSMPs. AoA is also interested in a rigorous alternative design if there are feasibility challenges with the RCT design. We propose Propensity Score Matching (PSM) design with matched controls from Medicare administrative records. An overview of the proposed design elements is provided below. After the evaluation design is finalized, AoA will procure the services of an independent evaluation contractor to carry out a national evaluation of the CDSMP.