Skip Navigation

Administration on Aging (AoA)

Evidence-based Disease and Disability Prevention Program (EBDDP)

The Purpose of the Program

Older Americans are disproportionately affected by chronic diseases and conditions, such as arthritis, diabetes and heart disease, as well as by disabilities that result from injuries such as falls. More than one-third of adults aged 65 or older fall each year.* Twenty-one percent of the population aged 60 and older – 10.3 million people – have diabetes.** Seven of every 10 Americans who die each year, or more than 1.7 million people, die of a chronic disease.***

Funding support to states under the Evidence-Based Disease and Disability Prevention programs has been provided by AoA to empower older adults to take control of their health. In theses programs, seniors learn to maintain a healthy lifestyle through increased self-efficacy and self-management behaviors. These classes are provided to older adults:

  • In their own communities
  • In familiar non-clinical settings, such as community centers
  • In peer learning groups which provide support, socialization and reinforcement of positive health behavior changes

Under the EBDDP grants, 24 grantees across the country were funded to support dissemination of evidence-based programs in their communities. These programs may include:

  • Physical activity programs, such as Enhance Fitness or Healthy Moves, which provide safe and effective low-impact aerobic exercise, strength training, and stretching.
  • Falls management programs such as Matter of Balance, which addresses fear of falling, and Stepping On and Tai Chi, which build muscle strength and improve balance to prevent falls.
  • Nutrition Programs, such as Healthy Eating, which teaches older adults the value of choosing and eating healthy foods, and maintaining an active lifestyle.
  • Depression and/or Substance Abuse Programs, such as PEARLS and Healthy IDEAS, which teach older adults how to manage their mild to moderate depression.
  • Stanford University Chronic Disease Self-Management Programs which are effective in helping people with chronic conditions change their behaviors, improve their health status, and reduce their use of hospital services.

Back to top

Data Highlighting Extensive Services Provided To Seniors

Since 2006, more than 181,000 seniors have participated in interventions funded through AoA’s Evidence-Based Disease and Disability Prevention and American Recovery and Reinvestment Act programs. The number of persons served has increased substantially each year, with approximately 64,000 seniors served during the most recent program year (an increase of nearly 119% from the previous program year).

Back to top

Funding History

Since 2003, AoA has supported states as they have developed infrastructure, workforce, and capacity to deliver Evidence-Based Disease and Disability Prevention programs through the Aging Services Network and local partners. Over $23 million has been invested since 2003 to support programs to help keep older adults healthy and engaged in their communities.

Back to top

State Profiles

Back to top

Resources and Useful Links

Back to top

*Centers for Disease Control and Prevention. Falls Among Older Adults: An Overview, available at:

**Centers for Disease Control and Prevention. Diabetes Public Health Resource: 2007 National Diabetes Fact Sheet ,available at:

***Centers for Disease Control and Prevention. Chronic Disease Prevention and Health Promotion. Available at:

Last Modified: 12/31/1600