SIGNIFICANCE

Population based needs

The United States (U.S.) has an older population that is rapidly changing as a result of the baby boomers,
those born between 1946 and 1964, reaching the age of 65. This population’s growth will continue until 2060
at which time those 65 and older is estimated to double reaching 94 million (U.S. Census Bureau, 2017). In
addition, the estimated life expectancy after reaching the age of 65 continues to trend upward and currently is
reported to be 19.5 years (CDC, 2018). During these adult years, 80% will live with at least one chronic
disease and 77% will have two or more (National Council on Aging [NCOA], 2018). Pain is a common
comorbid condition for many of these chronic diseases, which results in decreased quality of life and
disability (Reid, Eccleston, & Pillemer, 2015). This not only affects participation with family, friends, and the
community, but also has a significant impact economically. Conservative estimates suggest that annual cost
to the U.S. is anywhere from 560 to 635 billion dollars and exceeds the cumulative cost of cardiovascular
diseases, neoplasms, digestive system diseases, endocrine and metabolic diseases, injury and poisoning, and
respiratory diseases. (Dahlhamer et al., 2019; Gaskin & Richard, 2012). With the forecasted population growth
and the foreseen burden of pain, agencies like the National Institutes of Health (NIH) are working to find ways
to improve health outcomes for those experiencing chronic conditions/diseases. In their most recently
published strategy on pain, they declared the need to find ways to limit pain for aging adults. Their preference
is to support programs that provide educational materials to adults, along with teaching effective approaches
for self-management to prevent and cope with pain and further reduce discomfort and disability (NIH, 2016).
Gaps and Proposed Solutions
Ideally these approaches would be embedded in healthcare and would include various types and methods for
older adults to access and learn about how to implement strategies that would decrease the negative impacts
of pain in their daily lives. However, programs like this are just not supported. In fact, only 1% of national
funds spent on healthcare are devoted to public initiatives that improve overall health of adults with
chronic conditions (NCOA, 2018). Additionally, those programs that exist tend to focus on a single chronic
condition and neglect to consider the added impact of comorbid conditions like pain (Berger et al., 2018;
Friedman, Sha, & Hall, 2015; Warner, Packer, Kervin, Sibbald & Auduly, 2019). Besides being multifaceted, a
program that could be carried out in the home would help bridge the gap of isolation. As mentioned above,
many older adults’ pain levels are so extreme that the reality of them leaving their home is low. Attending a
community-based program in person may seem just as unrealistic as leaving their home for other reasons.
Current Programs
Pain self-management programs reviewed, included a 6-month online intervention incorporating a wide range
of educational topics, such as mindfulness, relaxation, nutrition, exercise, supplements and disease
management techniques. Moderate improvements were found in pain, anxiety and depression measures
(Rod, 2016). A 4-week, arthritis pain specific, online program focusing on Cognitive Behavioral Therapy
principles, to address psychosocial factors and some physical activity education, showed that greater
participant engagement resulted in significant improvements using strategies to cope, catastrophizing pain and
self-efficacy to manage it (Trudeau et al., 2015). The Chronic Disease Self-Management Program (CDSMP) is
a fee-based program promoted by the Center for Disease Control and Prevention (CDC). It is a 6-week in-
person workshop, led by two trainers and focuses on different techniques to support a variety of chronic
diseases, with pain as a small component (CDC, 2018). Utilizing online materials to expand the reach of
programs to older individuals at home, with limited transportation or mobility is promising. The comprehensive
nature of topics in the 6-month and CDSMP programs, along with the psychosocial emphasis of the 4-week
program, lend more to the efficacy of multifaceted care. The incorporation of qualified clinicians to educate on
specific interventions and spark the ongoing process of interdisciplinary pain management is missing from all
three programs.
Program Introduction
The proposed Aging with Pain program is a brief intervention employing a multidisciplinary approach,
including the input of a dietitian, massage therapist, occupational therapist, pharmacist, physical therapist and
psychologist. These health professionals will collectively be involved in improving knowledge and practices of
older adults, in regard to personal pain management. The overall program incorporates an optional online or
in-person format. Online provision of services aims to improve access to health-related materials for older
adults in the community. It also aims to improve knowledge and provide education and demonstration of
effective pain self-management techniques for these adults to practice in their own lives.
Theoretical Support Guiding This Program
Poorly managed pain among older adults impedes their capacity to perform valued daily activities that can
contribute to their health, wellness and quality of life (Hill, 2016). Theories to guide this program were chosen
in regard to this issue. The Do-Live-Well framework theorizes that what an adult does every day and how they
choose to routinely live their life, will result in how well they manage their health (Moll et al., 2015).
Empowering participants to reflect and engage in activities that promote their health and well-being are
emphasized in the framework’s four components (dimensions of experience, activity patterns, health and well-
being outcomes and forces influencing activity engagement; See Table 1 for connections between the
framework and specific program activities).
Table 1. Do-Live-Well Framework Components Addressed in Aging with Pain Program
Component Description Relevant Activities
Dimensions of Looks at experiences related to health and Class members list things they do daily to
experience well-being that affects occupational increase occupational engagement. (ex:
engagement activating the senses through exercise,
diet, church, community recreation, etc.)
Activity Patterns Looks at not just what is being done but Instructor will educate on the importance of
how they engage in it over time and space. interventions to be sustained over time for
Looks at routines, choices, balance, and improved outcomes.
engagement.
Health and Ability to flourish not only in physical and Instructor brings awareness of how
Well-being mental objectives but also in social, addressing other components of this theory
outcomes emotional, and spiritual settings. will result in better health and well-being.
Forces Day to day occupational engagement is Help older adults overcome stigma and
influencing influenced by contextual forces that improve health literacy and provide
activity sometimes are conflicting and complex. community support.
engagement
Specific to pain, the Agentic and Victimic Model of Chronic Pain Management aids in identifying supports,
barriers and more suitable skills for participants to address and maintain management strategies. van Huet,
Innes & Stancliffe, describe agentic characteristics in an individual, which present as action and persistence to
gain skills to manage pain. Victimic characteristics present as passivity, loss of control over life events and
inability to initiate self-management (2013). Intervention integrates promoting agentic perspectives and actions
through the four processes of this model (being, knowing, doing and managing; See Table 2 for connections
between the model and specific program activities).
Table 2. The Agentic and Victimic Model of Chronic Pain Management Components Addressed in
Aging with Pain Program
Component Description Relevant Activities
Process of Being The ‘self-identity’ characteristics of clients Participants identify their valued roles and
and how they see themselves in the social support systems or lack thereof and any
world. serious psychosocial/emotional strains
experienced.
Process of This signifies the meaning ascriptions Address fears and barriers related to
Knowing applied to chronic pain (victimic or victimic ascription and facilitate acceptance
agentic) and how clients view living with of pain, readiness to implement changes
chronic pain. and goal setting.
Process of Doing Symbolizes the active use of strategies, Participants practice and identify
adaptations and techniques that enable appropriate and helpful interventions
clients to engage in their life. presented to them for their pain and
incorporate them into their lifestyle.
Process of The aspects above interact overtime to Participants report pain level, effectiveness
Managing influence management (agentic) /non- of strategies over a period of time and how
management (victimic). well they are able to manage their pain.
Program Alignment with National Health Objectives
Implementing the Aging with Pain program will also support health objectives of multiple national organizations
including the NIH and the Office of Disease Prevention and Health Promotion (authors of Healthy People
2020/2030), by sharing in the responsibility of disseminating evidence-based information and strategies that
will promote self-management of chronic conditions, particularly pain, among older adults.

INNOVATION
Novel Aspects and Advantages
With an optional online medium, a wider reach can be established among older adults in the community
who are eligible to become members of the senior recreation center of interest and participate in the
proposed program. This digital feature is intended to diminish barriers to participation in health promotion
and education activities due to factors such as, limited mobility, transportation, time and pain itself. The
use of computers, smart phones and tablets with the internet, to explore and manage health topics, is
becoming more prevalent among older adults. It is commonly referred to as “e-health” (Rockmann &
Gewald, 2016). With increasing risk for chronic conditions in older adults, e-health practices are seemingly
suitable to empower them to become active participants in their own health management and wellness.
Aging with Pain integrates direct points of contact with multiple health and wellness experts, in a brief and
combined intervention. Optimal pain management for older adults is recommended to include
pharmacological and non-pharmacological approaches (Horgas, 2017; Reid et al., 2015), which often
requires multiple practitioners to be involved. This is due to the complexities of pain, health and life factors
among older adults (Reid et al., 2015; Wickson-Griffiths, Kaasalainen & Herr 2016). Such approaches are
shown to be more effective, but can become costly and time consuming for individuals to seek care from
various professionals, thus adding to the appeal of self-management programs via the internet (Rod,
2016). Participants in this program will receive information from various providers in one place (online or
in-person) and be more equipped to make educated decisions concerning their current and future pain
management. Compared to other programs implemented online, Aging with Pain has a shorter time
commitment. The condensed and comprehensive nature of the program is designed to act more as an
educational and preliminary intervention to promote long-term self-management practices for participants.
It is also suitable to various types of pain and common pain causing conditions in older adults, as opposed
to focusing on just one (e.g. arthritis).

APPROACH
Program Justification
Creation of this program was motivated by currently identified gaps as mentioned above, along with a formal
needs assessment of our targeted population. Data collection started first with informal interviews of staff
members at the Murray Senior Recreation Center (MSRC) in Murray, Utah. This helped us understand current
resources and services available to those 65 and older. The second part of the analysis utilized printed
surveys (n=24 participants, n=4 staff
members) to further understand
participants’ interest and perceived
barriers to engaging in health-related
services (see Appendix A for a complete
list of investigation questions). Survey
results showed staff and participants’
views varied at times, but as figure 1
Shows, there was sustained interest in
programs that would address health
management and more specifically pain,
energy conservation, and sleep
hygiene. When looking at barriers to
attendance, 66.7% reported barriers
related to planning/scheduling issues or
limited transportation. Additionally,
Toossi and Torpey (2017) and MSRC Figure 1. Future Class Interests
staff expressed concern that more
adults are working past the age of 65 and not able to attend daytime programs. We hope in the future that all
participant identified areas of health management will be addressed. However, in the preliminary development
of this program we want to focus on pain due to the significant impact on quality of life, and the national
economy.
Program Methods
Recruitment. Previous recruitment primarily utilized newsletters and word of mouth to bring attention
to programs and classes. In order to increase program awareness, not only to those frequenting the
recreation center, but to everyone in the community, additional marketing strategies will be implemented.
Outreach will be made to local newspapers, news stations, pain clinics, social media pages, and mailings.
Participants. Eligible participants will be community-dwelling adults in Murray city, who are 65 and
older and experiencing pain. Each participant will be required to register online or in person, commit to
complete both sessions of the program, and complete a pre & post program assessment that will include
self-reported levels of pain and knowledge of pain. In-person enrollment will be capped at 15 to ensure an
 intimate setting that promotes social interaction and participation.
Program design. Participants will complete two sessions spaced a week apart. The first session will
consist of a two-hour presentation from an occupational therapist to educate participants on the different
types of pain, typical causes of pain, current management practices, and introduce non-surgical types of
interventions (e.g. energy conservation, mindfulness, meditation, massage, nutrition, exercise, medications)
that will be further discussed during the second session. Course material will be disseminated via
PowerPoint, case studies, and worksheets. The second session will consist of a three-hour,
multidisciplinary discussion by a pharmacist, dietitian, physical therapist, psychologist and massage
therapist. Each practitioner will have 30 minutes to educate on specific self-management strategies that
are unique to their discipline and evidence-based. Table 3 Provides a general outline for proposed
sessions.
Table 3. Example of Sessions Schedule
Session #1 Session #2
15 minutes Welcome and program 5 minutes Welcome and practitioner introductions
outline
45 minutes Lecture – Pain basics and 30 minutes Physical therapy – exercise, yoga
current practices
15 15 minutes Break 30 minutes Massage therapist – Myofascial release,
massage
35 minutes Case studies/worksheets 15 minutes Break
10 minutes Wrap up 30 minutes Pharmacist - medications and supplements
30 minutes Dietitian - nutrition
30 minutes Psychologist - mindfulness and meditation
10 minutes Wrap up and post assessment
Frequency. The Aging with Pain program will be offered in person in January and July at the MSRC. All
sessions will be recorded and uploaded to the MSRC Aging with Pain web page. Associated handouts (e.g.
case studies, worksheets, and post assessments) will be posted allowing any community member to register
and participate in an online version of the program anytime.
Online option. Participants can register for the Aging with Pain program via the MSRC web page.
After submitting registration information, they will be prompted to perform pre assessment measures prior
to release of the curriculum. Upon completion, additional prompts will be given to complete post
assessment measures. The online option is included in this program to increase access to self-
management strategies to those who are unable to attend due to schedule conflicts or are isolated at home
due to pain. Additional links/suggestions will be placed in the online curriculum to bring awareness of other
programs at the MSRC that can help with pain management and other health-related concerns (i.e. chair
aerobics, yoga, tai chi, chakra meditation, managing stress, fall prevention, etc.).
Program Goals and Objectives
Goal 1. To improve health-related quality of life for adults 65+ by managing pain effectively.
Objective 1.1. Educational curriculum will be developed to cover types of pain along with
appropriate self-management strategies.
Objective 1.2. This curriculum will then be used in a community-based program to assist at
least 30 participants who report difficulty with pain management.
Objective 1.3. Additionally, the program looks to reduce participant’s reported pain levels by
80% after completion of the program.
Goal 2. Increase access to health-related resources for older adults in the community.
Objective 2.1. creating a link on the MSRC webpage that will allow for full access to the Aging with
Pain program and all associated materials (i.e. assessments, handouts, recorded lectures, etc.).
Objective 2.2. Help increase community members awareness of MSRC resources resulting in a 10%
increase in attendance to activities.
Potential Barriers and Alternative Strategies
Problems that may arise could include a lack of interest in the program among community members or
current center members, especially in regard to the optional online format. The alternative in-person format will
alleviate part of this problem and we believe that new members are more likely to be younger and more
comfortable with online formats. Furthermore, we realize this program neglects to address those who have the
potential to experience pain. In the future we expect to include this population, however, to provide greater
evidence for pain reduction outcomes we have chosen to only allow those currently experiencing pain to
participate.
Program Evaluation
This program and objectives will be evaluated through various qualitative and quantitative methods and will be
gathered (1) prior to start of program (2) at baseline, (3) at completion of the last session, and (4) one-month
after. A pre-program measure including a community sample of accessibility to online materials will be
conducted. Ten community members will be given the task to access the program online and the administrator
will observe and record any supports or barriers to access. (2) Baseline measures will include participants
pain level within the last 7 days (PROMIS SF v.1.0-Pain Intensity 3a), a pain intervention knowledge quiz, a
MSRC resources/services knowledge quiz and data collected on current MSRC class numbers. (3) When
participants complete the program, they will repeat the pain intervention quiz and those who took part in the
online format will rate the ease of accessing the materials. (4) One-month following intervention all participants
will repeat PROMIS pain measure and MSRC resources knowledge quiz. MSRC class participant numbers
will be collected and tracked, as well as whether interest in the class was related to involvement in the Aging
with Pain program. These chosen measures will provide information on feasibility of online format of health
education for older adults and whether the program can effectively educate them on appropriate multifaceted
pain-self management interventions and ultimately reduce their pain levels, within one month of completing the
program.
Personnel and Resources Needed
Aging with Pain is primarily facilitated by an occupational therapist overseeing design, implementation and
evaluation of the program. They will sustain primary duties to recruit the other professionals involved and
perform necessary shopping and preparation, as well as gather and return equipment as needed. Other
professionals involved will be paid as consultants in the program for their time. For a complete breakdown
of resources needed for the program, a compiled budget and justification is provided in Appendix B.
Sustaining the Program
The MSRC directors will need to maintain contact with the facilitating occupational therapist overseeing the
program or provide access to a new leader to sustain the biannual online and in-person program. Web
developer involvement to perform updates to online links and materials/curriculum will need to be ongoing
following new evidence for practices. Training program directors in the facility to access online materials and
to teach participants how to access them will be helpful to sustain Aging with Pain.
 References
Berger, S., Escher, A., Mengle, E., & Sullivan, N. (2018). Effectiveness of health promotion, management, and
maintenance interventions within the scope of occupational therapy for community-dwelling older
adults: A systematic review. American Journal of Occupational Therapy, 72(4), 1-10.
https://doi.org/10.5014/ajot.2018.030346
Centers for Disease Control and Prevention [CDC]. (2018). Mortality in the United States, 2017. Retrieved from
https://www.cdc.gov/nchs/products/databriefs/db328.htm
Dahlhamer, J., Lucas, J., Zelaya, C., Nahin, R., Mackey, S., DeBar, L., . . . Helmick, C. (2018). Prevalence of
chronic pain and high-impact chronic pain among adults - United States, 2016. Morbidity and Mortality
Weekly Report, 67(36), 1001-1006.
Friedman, S., Shah, K., & hall, W. (2015). Failing to focus on healthy aging: A frailty of our discipline? Journal
of the American Geriatrics Society, 63(7), 1459-1462.
Gaskin, D., & Richard, P. (2012). The economic costs of pain in the United States. Journal of Pain, 13(8), 715-
724.
Hill, W. (2016). The role of occupational therapy in pain management. Anaesthesia & Intensive Care
Medicine, 17(9), 451-453.
Horgas, A. (2017). Pain Management in Older Adults. Nursing Clinics of North America, 52(4), E1-E7.
https://doi.org/10.1016/j.cnur.2017.08.001
Moll, S., Gewurtz, R. Krupa, T., Law, M., Lariviere, N., & Levasseur, M. (2015). “Do-Live-Well": A Canadian
framework for promoting occupation, health, and well-being. Canadian Journal of Occupational
Therapy, 82, 9-23.
National Council on Aging [NCOA]. (2018). Healthy aging facts. Retrieved from
https://www.ncoa.org/news/resources-for-reporters/get-the-facts/healthy-aging-facts/
National Institute of Health [NIH]. (2016). National pain strategy: a comprehensive population health-level
strategy for pain. Retrieved from
https://www.iprcc.nih.gov/sites/default/files/HHSNational_Pain_Strategy_508C.pdf
Reid, M. C., Eccleston, C., & Pillemer, K. (2015). Management of chronic pain in older adults. BMJ (Clinical
research ed.), 350, h532. doi:10.1136/bmj.h532
Rockmann, R., & Gewald, H. (2016). Examining older adults’ enhanced use of eHealth. Procedia
Computer Science, 98, 401-406.
Rod, K. (2016). Finding ways to lift barriers to care for chronic pain patients: Outcomes of using
internet-based self-management activities to reduce pain and improve quality of life. Pain
Research and Management, 2016, 1-8. http://dx.doi.org/10.1155/2016/8714785
Toossi, M. & Torpey, E. (2017). Older workers: labor force trends and career options. Retrieved from
https://www.bls.gov/careeroutlook/2017/article/older-workers.htm
Trudeau, K., Pujol, J., DasMahapatra, L., Wall, A., Black, P., & Zacharoff, R. (2015). A randomized controlled
trial of an online self-management program for adults with arthritis pain. Journal of Behavioral
Medicine, 38(3), 483-496.
U.S. Census Bureau. (2017). National population projections tables. Retrieved from
https://www.census.gov/data/tables/2017/demo/popproj/2017-summary-tables.html
van Huet, H., Innes, I., & Stancliffe, R. (2013). Occupational therapists perspectives of factors influencing
chronic pain management. Australian Occupational Therapy Journal, 60, 56-65.
Warner, G., Packer, T., Kervin, E., Sibbald, K., & Auduly, A. (2019). A systematic review examining whether
community-based self-management programs for older adults with chronic conditions actively engage
participants and teach them patient-oriented self-management strategies. Patient Education and
Counseling, 6318, 1-21. Htt https://doi.org/10.1016/j.pec,2019.07.002
Wickson-Griffiths, A., Kaasalainen, S., & Herr, K. (2016). Interdisciplinary approaches to managing pain
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 Appendices
Appendix A
Participant survey and summary:
Strongly Disagre Agree Strongly
Disagree e Undecid Agree
ed
0% 8.3% 8.3% 45.8% 45.8%
Fees at the center are reasonable
4.2% 20.8% 4.2% 37.5% 33.3%
I perform a least 20 min. of moderate level
exercises, 3-5 times a week.
0% 12.5% 8.3% 29.2% 50%
I am able to prepare meals at home with no
limitations.
20.8% 29.2% 4.2% 25% 20.8%
I have to manage pain on a daily basis.
16.7% 16.7% 12.5% 50% 4.2%
I manage pain or emotional stress daily
33.3% 50% 4.2% 8.3% 0%
I have problems remembering when and if I took my
prescriptions.
4.2% 12.5% 0% 20.8% 62.5%
I understand what the doctors tell me at my
appointments.
54.2% 37.5% 4.2% 4.2% 0%
I forget doctors’ appointments, social events, or
other appointments.

0% 0% 4.2% 25% 70.8%

The Center is an inviting place

0% 0% 8.3% 37.5% 54.2%

All resources at the Center are accessible to me.
0% 0% 0% 37.5% 62.5%
I feel safe here at the Center.
12.5% 8.3% 12.5% 33.3% 33.3%
Occupational Therapist help people find or return to
employment.
0% 12.5% 12.5% 37.5% 37.5%
I have a good understanding of how Occupational
Therapist can help me in the future.

I avoid attending certain activities/events at the Center.

83.3% No
16.7% Yes, If so why? – Prefer exercise classes, some people don’t like me to sit next to them in
bingo, not interested.
What is the primary reason you come to the Senior Center?
62.5% Social interaction
45.8% Educational courses
37.5%Physical Exercise
29.2% Community Outings
16.7% Health Screens/Services
12.5% Other: Art classes, Bridge, volunteering
8.3% Meals
What makes it hard to attend classes/events at the Center?
29.2% Time of day event is offered
 25% No barriers
16.7% Other: Too busy, poor planning
12.5% Limits on class sizes
8.3% Transportation
4.2% Hard to see or hear what is being presented
4.2% Cost
0% Events are too long

If a new class was offered here at the Center, what would you like it to focus on?
41.7% Health Management
29.2% Energy management during daily activities
25% Sleep Hygiene
25% Pain Management
16.7% Home Safety/Management
12.5% Financial Management
4.2% Other: dealing with depression
0% Caregiving for family members and pets
0% Medication Management

How many medications do you take daily?

1 = 4.2%
2 = 12.5%
3 = 20.8%
4 = 25%
5 = 16.7%
7 or more = 16.7%

What are the most common reasons you see a doctor?

Annual visits = 83.3%
Prescriptions = 25%
Sick = 20.8%
Heart condition = 12.5%
Injury = 8.3%
Blood work = 8.3%
Stroke = 4.2%
Diabetes = 4.2%
Pain management = 4.2%
Eye problems = 4.2%

Staff survey and summary:

1. What is the main purpose of the Murray Senior Center?

a) To provide recreation, education, meals & info about community resources to people 55+ to help them
live independently & maintain a high QOL
b) To provide a healthy & fun place for all seniors – with a variety of activities for everyone
c) To assist those over 55 to enjoy QOL
d) A senior center that provides activities, classes, socialization, meals to people 55+

2. What percentage of participants are single?

a) Maybe around 60% (not certain, I help track but don’t do final statistics)
b) N/A
c) 70% (This is a personal guess, we don’t track it)
d) ?
3. What kind of demographic/health information is obtained from participants when they join the
Center?
a) sex, age, race, income, marital status, disability (self-reported not official status)
b) only release for the exercise room is required (however we are not a care facility)
c) age, disability, ethnicity, income (see participant form)
d) no health info, demographics are optional

4. What are the most popular events at the Center?

75% Educational courses
50%Social interaction
75%Physical Exercise
25% Health Screens/Services
75%Meals
25%Community Outings
25% Other: special events (meals w/ entertainment, boutique, etc.)

5. How do you make the Center a welcoming and safe environment for participants?
a) Greet all visitors when they arrive, ensure visitors sign/scan at front desk, have procedures for dealing
w/ problematic guests, provide assistive devices if adequately notified, encourage participants to be
helpful and friendly, react to conflict and resolve them, etc.
b) We are always making sure it is safe place – We welcome and watch all of our participants
c) Say “hi”, show interest, be aware of needs
d) Building is clean every day, staff is friendly and welcoming

6. If a new class was offered here at the Center, on what would you like it to
focus?
50% Health Management25% Caregiving for family members and pets
25% Financial Management25% Sleep Hygiene
50% Pain Management25% Medication Management
75% Home Safety/Management
25% Energy management during daily activities
Other: 25% Mobility and transportation (help people manage their transportation needs
as their abilities change), 25% Memory loss, fall prevention

7. Do you have input in what programs are offered?

50% Yes
50% No

8. How is the budget determined for the Center?

Murray city – based on previous year needs

9. Are current funds sufficient for needs?

75% Yes
No
25% unsure – not her area of expertise

10. How do you perform outreach to find resources/instructors in the community

for classes/events at the Center? (i.e. physical therapist for Stepping On,
massage therapist, computer classes, etc.)
a) collaboration with city and county, word of mouth, cold calling outreach, networking
b) Networking
c) handled by program coordinators
d) reach out to hospital, university and word of mouth

11. How is the Center advertised to members of the community?

 a) Murray City website, Murray Journal, Center newsletter, SL counting aging and adult services
website and 55+ book, word of mouth (most common and effective)
b) Newsletter, website, Facebook
c) Murray Journal, Facebook, Murray City website
d) Newsletter, monthly Murray Journal

12. In what area could the Center improve to better meet needs of participants/
age 55+ adults in the community?
a) Greater visibility, ability to provide regular transportation to and from the center
b) More advertising – getting the word out that we are here and available to everyone 55 and over
c) Not really sure…be innovative, see what is being done at other center in other states – look beyond
Salt Lake County for ideas
d) Get more people participating – Get more people aware of the center

Appendix B

Grant Budget

Budget Item Cost Rationale

Supplies (e.g., materials, printing costs)
Printed handouts (B&W):
$0.10/pg x 10 pages x 20
copies x 2 (biannual)
Writing materials: (60 ct pens $34
= $13.00; 5”x8” notepads
pack of 12 (need 3 packs) =
$21.00
Refreshments: $30/session x $120
4 total sessions
Intervention materials for
consultants
Equipment (e.g., tablets, computers)
Video and microphone
equipment
Purchase:https://www.amazo
n.com/Camcorder-YouTube-
Vlogging-Recorder-
Microphone/dp/B07X4X17H
B/ref=sr_1_1?keywords=vide
o+recorder&qid=157309395
2&sr=8-1
Laptop
Purchase:
https://www.costco.com/hp-
14%22-laptop---intel-core-
i5.product.100431790.html
Projector and speakers for
presentations
Rental = $90.00 a day x 4
$40 The handouts provided will allow for participants to
recall important information covered during the
program.
Writing materials will provide opportunities for
participants to take personalized notes to increase
application of interventions during daily activities.
Length of sessions varies between 2 and 3 hours.
Provision of food and water will be necessary for
individuals with medical needs and for sustained
energy and attention.
$200 Professional consultants can pull from this combined
budget, if they choose to acquire and bring any
supplies or equipment to demonstrate interventions.
$110 This equipment is necessary to adequately film the
portion of the program that will be provided in an
online format for participants that are accessing the
initial session outside of the facility.
$580 A laptop is required for the development of the online
material for participants at home and for
communication between participants pre and post
program, if email is preferred. A laptop will also be
utilized during hands-on learning session to present
information on a larger screen.
$360 Projector and speakers will allow participants to
clearly see and hear curriculum that is presented via
power point.

Marketing (e.g., flyers, advertising)

 Flyers (B&W): $0.10 x 100 x
2 (biannual program with
recruitment twice per year)
Personnel (e.g., salary with % time/effort, hourly wage, benefits, consultant fees)
Occupational therapist
($40/hr): $40 x 20 hrs x 2
programs/year
Pharmacist – consultant for 6 5 consultants
hrs at $100/hr
Physical therapist –
consultant for 6 hrs at
$100/hr
Dietitian – consultant for 6
hrs at $100/hr
Massage therapist –
consultant for 6 hrs at
$100/hr
Psychologist – consultant for
6 hrs at $100/hr
Web developer – consultant
for 3 hrs at $100/hr
Total Requested
In-kind Contributions
Space
Foldable tables
Foldable chairs
Monthly facility newsletter for marketing
$20 Flyers are required to distribute information about the
program and recruit participants. Printed flyers will
be posted at various local facilities (e.g. doctor’s
offices, pain clinic offices, and other senior recreation
centers). Flyers will also be shared via electronic
methods, such as email and current social media
associated with the hosting senior recreation center.
$1600 The occupational therapist is the leading facilitator of
the program. Their expertise will guide the design
and implementation of pain management materials
being provided in class and online. They will lead the
evaluation methods of the program including pre and
post surveys, as well as recruit appropriate
practitioners and acquire and manage all needed
supplies and equipment.
Having a pharmacist present during program will
for 6 hrs at help clarify medication concerns in relationship to
$100/hr each = pain management and how to avoid overdose or
negative health outcomes.
$3000 The physical therapist will educate participants on
safe exercise routines and methods to avoid injury
and further pain.
The Dietitian will bring awareness of the correlation
between diet and pain levels and provide instruction
on diets that can reduce pain.
The Massage therapist will help teach various self-
massage techniques that participants can do to help
reduce pain.
The psychologist will provide necessary mental
health education on how pain can impact
psychological well-being. Cognitive Behavior
Therapy and positive psychology techniques will be
components of instruction.
$300 The website developer is needed to create useable
links on MSRC website to increase access to health
management related material.
$6364
MSRC room rental fee for unaffiliated classes or programs is
$50 per day, accommodating 10-30 people: $50 x 4 = $200
Foldable tables (5), Rental is $40 per day x 4 = $160
https://www.eventrentalutah.com
Foldable chairs (21), Rental = $28.00 per day x 4 = $112
https://www.eventrentalutah.com
Cost is $1.00 per newsletter x 100 printed per month = $100