Welcome to NDEP’s Partner Spotlight webpage! The page is being updated regularly to feature some of the great activities that our partners are doing to promote NDEP.
We Want to Hear from You!
Have you been featured in a local or national media outlet? Do you have a promotion that you’d like to see featured on the Partner Spotlight webpage? First answer these questions:
- Does your promotion highlight NDEP’s campaigns and resources?
- Is your promotion innovative?
- Has the promotion been recently implemented, and are you able to evaluate how it’s doing?
- Are there lessons learned that can help other partners?
If you answered yes to all of these questions, your organization could be featured in the next Partner Spotlight! Complete the submission form to let us know about your activities. Send any photos, media results, and contact information to Stephanie Corkett at email@example.com.
NDEP Partner Elizabeth Venditti, Ph.D. Relies on NDEP Resources to Support Lifestyle Change
For the University of Pittsburgh’s Elizabeth Venditti, Ph.D. the National Diabetes Education Program (NDEP) has become an integral component of her work to help people change their lifestyles and manage their diabetes.
A clinical health psychologist, Venditti found her way to a career largely focused on diabetes prevention through her early work and research in obesity back in the mid-1990s with Rena Wing, PhD.
“I was always very interested not only in the idea of managing a disease that could cause problems, but doing so in a way that helps people feel good,” Venditti said. “I think that’s what has kept me in the field: what I’m really interested in is helping people not feel futile about having an impact on their lives—both physical and mental.”
And that’s where the work of the NDEP enters in.
- Assistant Professor, Department of Epidemiology, University of Pittsburgh (since 2010)
- Assistant Professor, Department of Psychiatry, University of Pittsburgh (since 2005)
- Principal Investigator, Diabetes Prevention Program Outcomes Study (DPPOS), University of Pittsburgh (2002-2015)
- Faculty, Diabetes Prevention Support Center, University of Pittsburgh (since 2005)
- NDEP partner since 2002
“I was on the first committee to take the DPP and say, ‘How do we communicate this to a primary care physician?’” Venditti explained. She referred to the Diabetes Prevention Program—the landmark study sponsored by the National Institutes of Health—that found people at increased risk for type 2 diabetes can prevent or delay the onset of the disease by losing 5 percent to 7 percent of their body weight through increased physical activity and a reduced-fat and lower-calorie diet. It was this research that led to the Small Steps. Big Rewards. Prevent Type 2 Diabetes. campaign, which Venditti cited as a prime example of how the NDEP applies research in a way that can help people make changes in their lifestyles and health. That’s especially useful today, as providers and payers emphasize evidence-based care to improve quality, enhance outcomes and lower costs.
“What NDEP does so well is taking these evidence-based interventions—whether it be in diabetes education or in behavior change—and putting them in materials, toolkits and one-pagers, and making them widely accessible to patients, providers and families,” Venditti said. As one example, she said the NDEP’s It’s Not Too Late to Prevent Diabetes resource is ideal for older adults (a focus of her current research) in the pre-diabetes phase because it provides a practical program they can follow—and see real results.
“Even if you have a really terrific drug that helps you keep your glucose in control, you really need to mind your lifestyle,” Venditti said. “Depending on how challenged you are—in terms of your work, family, social or economic stress—I think often one’s lifestyle takes a backburner,” she added. “We try to help people find manageable ways to make their lifestyle central.”
NDEP Resource Set to Hit ‘70s Song Helps Novant Health Educate Older Adults about Diabetes
Multiple Grammy winner Paul Simon might be surprised to learn one of his biggest solo hits influenced a diabetes presentation in North Carolina nearly four decades later after he released it.
That’s what happened when Marcy Shipwash, a registered nurse and wellness and disease navigator at Novant Health’s Thomasville (N.C.) Medical Center, used the song “50 Ways to Leave Your Lover” as the backdrop for her diabetes prevention presentation featuring the National Diabetes Education Program’s (NDEP) Choose More Than 50 Ways to Prevent Type 2 Diabetes.
Set to the strains of Simon’s late 1975 hit, Shipwash’s presentation—specifically for older adults—highlighted a range of topics, such as how to learn your risk for type 2 diabetes, ways to stay active, and tips about healthy foods and portion control.
“The participants loved the presentation” Shipwash said, adding that attendees tapped their toes and sung along as she presented. “It was helpful that the tip sheet is based on a song they already know. It made the information easier for them to remember.”
That’s especially important, given that 1 out of every 4 people over the age of 65 in the United States has diabetes. To help this population learn more about the disease, the NDEP’s Diabetes Resources for Older Adults web page offers older Americans—as well as caregivers and health care professionals of older adults—information that can help older adults learn how to manage their diabetes and take steps to prevent type 2 diabetes.
To learn more about the Novant Health Thomasville (N.C) Medical Center, or Shipwash’s presentation, please contact her directly at firstname.lastname@example.org.
NDEP’s Road to Health Toolkit a Valuable Resource for the Community Health Center of Lubbock
Outreach and Promotions
Looking for an effective way to start a conversation about preventing type 2 diabetes? Two community health programs in northwest Texas found the answer in the NDEP’s Road to Health Toolkit, a diabetes-prevention resource for health care providers.
For the Community Health Center of Lubbock (Texas) and the Northern Texas Community Health Worker Resource Coalition, the Road to Health Toolkit is the main resource featured in the continuing education programs that the two groups provide for community health workers, according to Claudia Bustos, an outreach coordinator and community health worker at the Community Health Center of Lubbock. Bustos also serves as a member of the Texas Community Health Worker Advisory Board.
“The toolkit is a wonderful way to introduce and spark conversation regarding the delay and prevention of type 2 diabetes,” said Bustos, a Certified Community Health Worker who teaches the training. In the trainings, participants discuss topics such as how to lose weight, make healthy food choices, and boost physical activity. The toolkit also has a section that highlights ideas and instructions about how to present a “train-the-trainer” workshop so participants can offer training in their own communities.
“The bilingual toolkit is wonderful because it gives the community health workers the ability to teach patients in Spanish,” Bustos said. “Also, the language is designed for the lay person, which makes it easier for patients to understand.”
And the toolkit is also helpful for newly certified community health workers, “I’ve had such great feedback from new health workers,” Bustos explained. “They get overwhelmed by the amount of information out there and say the toolkit is easy to understand and has the best practices in diabetes prevention.”
For more information about the Community Health Center of Lubbock, please contact Claudia Bustos at email@example.com.
Past NDEP Chair Marti Funnell Highlights the Emotional Aspects of Diabetes
As a trained diabetes educator and nurse, Marti Funnell understood the importance of patient-centered care long before it became a catch phrase in the era of health care reform.
Funnell, a national leader in diabetes education, was the first non-physician to serve as National Diabetes Education Program (NDEP) Chair from 2008 until 2011, and she has worked as an associate research scientist at the University of Michigan Medical School’s Department of Learning Health Sciences since 2012. Her range of experience in both research and practice—which includes working as a staff nurse at the Veterans Affairs Medical Center in Ann Arbor, Mich. early in her career—prepared her for what excites her most in her profession today: a greater focus on patient-centered care and the emotional side of diabetes.
As she explained, the NDEP spent many years developing and promoting messages on what patients should do, but that was not enough to help people change their lifestyles and improve their health.
“We gave a lot of messages that you need to exercise and eat better, but everybody kind of knows that,” Funnell said. What the NDEP had not done, she continued, was explain exactly how people can also make those lifestyle changes. “You don’t just change behavior based on knowledge. You have to understand the ‘why,’ and it’s also helping people figure out the ‘how.’”
Enter Diabetes HealthSense, the NDEP’s online library of resources for patients and health care professionals to help people with diabetes live well, meet their goals, and improve their health. According to Funnell, Diabetes HealthSense has been instrumental in the effort to assist patients in managing their diabetes.
“It goes beyond tips. It’s helping people put it all together,” she said of the NDEP’s purpose and mission. “We came to recognition that we needed to focus on helping patients change behavior, and Diabetes HealthSense was a big part of that effort.” Funnell considers this work—and the effects it has had on patients—as one of the NDEP’s important accomplishments to date.
And it is this effort that connects so well with what Funnell calls the “emotional side” of diabetes. That aspect is an additional factor that all patients, as well as their families, must live with and must manage each day.
“There’s this underlying sense that this is a tough disease to live with, so helping people address that component affects their behavior and metabolic outcomes,” Funnell said. The starting point for that conversation, she explained, is to help patients assess the hardest aspect of diabetes is for them, rather than launch into a spiel on diabetes.
Looking ahead, Funnell said she hopes both patients and health care professionals know about the valuable resources the NDEP has to offer.
“We have done a really good job,” she said, “creating materials that fit in the world of diabetes today.”
NDEP Materials Featured in the ADRC of Waukesha County Diabetes Management Workshops
Outreach and Promotions
In Waukesha County, Wisc., the NDEP has proven to be a useful source of content for the Healthy Living with Diabetes workshops that the Aging and Disability Center (ADRC) of Waukesha County offers area residents.
The six-week workshops, written and designed by Stanford University and implemented by the Wisconsin Institute for Healthy Aging, are funded through the Older Americans Act, and pair participants with volunteer trainers who offer instruction on diabetes self-management. NDEP’s content and resources play an essential role in the development process.
“I gather different resources from the NDEP website and love including them in the workshops,” says Lee Clay, Health Education Coordinator at the ADRC of Waukesha County. “Know Your Blood Sugar Numbers fits in perfectly when explaining how people with diabetes should maintain a log of their blood glucose numbers and know the range the numbers should be in,” she added.
Other NDEP resources featured in the workshops include 4 Steps to Manage Your Diabetes for Life, Taking Care of Your Diabetes Means Taking Care of Your Heart, and the Take Care of Your Feet for a Lifetime booklet. The “Managing Diabetes, It’s Not Easy but it’s Worth It” posters also make an appearance at all of the trainings. “It helps reinforce the work the participants are doing to make lifestyle changes to have healthier lives,” Clay says. “They couldn’t be doing more important work.”
For more information about the Aging and Disability Resource Center in Waukesha Wisconsin, please contact Lee Clay at LClay@waukeshacounty.gov.
NDEP Thanks Partners for a Successful 2014!
For nearly two decades, the National Diabetes Education Program (NDEP) has worked to raise awareness about diabetes and reduce the burden of this chronic disease in the United States. The program’s success is due in large part to NDEP’s work with more than 200 partners, which include state and local health departments, professional health care societies, community-based organizations, business leaders and key federal agencies.
2014 was a significant year for the NDEP, as the federally funded program kicked off an ambitious five-year Strategic Plan that applies a three-pronged strategy to help reduce the burden of diabetes nationwide through behavior change, within clinical settings, and throughout the community.
The NDEP appreciates the hard work of its partners, who have helped the program execute the Strategic Plan in several ways in the last year. Fulfilling the Strategic Plan’s first strategy—to promote model practice/community programs that facilitate prevention and self-management of diabetes—the NDEP worked with its partner, the American Association of Diabetes Educators (AADE), to explore how diabetes educators can use NDEP’s Diabetes HealthSense in their practices.
Focused on the Strategic Plan’s second strategy of promoting models for team care in the clinical setting, the NDEP worked with the American College of Physicians to support ACPs use of the NDEP’s Practice Transformation resource in the “ACP Quality Champion: Diabetes” training-for-transformation-leadership symposium. The NDEP’s work with several supporting health care organizations led to the release of Guiding Principles for the Care of People With or at Risk for Diabetes, a set of 10 clinically useful best practices in diabetes management and prevention.
At the community level—where the third strategy of the Strategic Plan calls for an increase in the adoption of NDEP tools and resources—the Diabetes Community Action Coalition of Fulton County used NDEP’s Choose More than 50 Ways to Prevent Type 2 Diabetes to create a workshop about preventing diabetes. Several partners used NDEP resources such as the Road to Health toolkit in their communities and helped build awareness about National Diabetes Prevention Programs in their states. Also during the year, the NDEP relied on its strong partner network to pretest materials that were revised for plain language principles.
Thank you to all of NDEP’s partners for applying NDEP’s resources and serving as strong examples to other organizations that are committed to reducing the burden of diabetes across America!
Please visit NDEP’s Partner Spotlight page to learn about the innovative and effective work of NDEP partners throughout 2014.
Leading Diabetes Educator Linda Siminerio Becomes New NDEP Chair
As a nurse, diabetes educator, and professor, Linda Siminerio has spent more than 40 years advancing diabetes education in the United States. Now she’s excited to continue those efforts on a national scale in her latest role: the leader of the National Diabetes Education Program (NDEP).
Siminerio, R.N., Ph.D, takes the helm of the NDEP this January when she succeeds John Buse, M.D., Ph.D. and begins her two-year term as NDEP Chair. A professor of medicine at the University of Pittsburgh in the Division of Endocrinology and Metabolism, Siminerio also serves as executive director of the University of Pittsburgh Diabetes Institute. Already active in the NDEP through her work with the NDEP’s Diabetes HealthSense Task Group and the NDEP’s Executive Committee, Siminerio recently reflected on the federal program’s core strengths and greatest opportunities.
“It seems like the NDEP and the folks who have been involved in it—including our partners—always seem to be one step ahead of where healthcare is going,” Siminerio said, adding that areas such as medication adherence and practice transformation are just the latest examples of this. “These are relatively new concepts in disease management and here we are in diabetes taking the lead on these programs.”
And it’s that innovation and foresight that makes NDEP stand out as a leading health education program, according to Siminerio.
“I do a lot of global work and I’m always so amazed that our country recognizes diabetes is a problem, and that education for patients, providers and the community is so important that we have a national diabetes education program,” she said.
As she prepares to lead the NDEP, Siminerio said she will focus on making sure people know and understand that NDEP’s resources are valuable tools in chronic-disease management.
“What kinds of strategies do we need to get folks ongoing support: is it through technology, community, peers? Those resources are available through the NDEP,” Siminerio said. For instance, the online library Diabetes HealthSense provides several resources for diabetes educators today, and the work of the NDEP’s Medication Adherence Task Group will provide additional resources in the near future.
To spread the word—and work—of the NDEP, Siminerio says she will focus on a primary goal of the NDEP Strategic Plan that kicked off in 2014: engaging partners.
“If there are partnerships that are working, what’s the secret?” she said. “We have to rely on our partners,” she added, “We all - in our organizations - have something to offer. I don’t care what specialty you go into—you are going to be working with someone with diabetes.”
Outgoing Executive Committee Chair Reflects on NDEP’s Past Achievements, Future Possibilities
As he concludes his term as the National Diabetes Education Program’s (NDEP) Executive Committee Chair, Dr. John Buse says the federal program’s most important recent achievement is one that holds the greatest promise for its future: the NDEP Strategic Plan.
The five-year plan kicked off this year and is the result of work that NDEP’s Strategic Planning Task Group began in September 2012. NDEP’s Executive Committee, which Dr. Buse began chairing earlier that same year, challenged the task group to identify clear areas of focus for the next five years in areas where NDEP’s strengths could help make a significant difference in diabetes outcomes.
The Strategic Plan is most notable for shifting the NDEP’s primary focus from delivering health messages directly to the general public to improving the NDEP’s engagement with partner organizations representing health care professionals, including community health workers and community-based organizations. And Dr. Buse—who earned both his M.D. and Ph.D. at Duke University—says that shift has “turned the NDEP on its head.” Even so, he says the ambitious plan is “doable.” As he explains, NDEP’s budget and personnel are considerably smaller than the budgets and resources of the nation’s pharmaceutical companies and device-makers, and many U.S. health care systems are able to spend more on diabetes education and engagement than the NDEP. That’s why the Strategic Plan’s emphasis on engaging partners—which the Strategic Plan defines in a broad sense as any organization or institution interested in improving diabetes care for their constituents or members—is so important.
“The NDEP in the past developed amazing materials, but my hope is in the future we will really serve much more of a role as a catalyst and curator,” Dr. Buse says. “If there are materials out there, we’ll find them. If there are not, we’ll make sure someone else helps us develop them—if we don’t develop them ourselves.”
In addition to leading the NDEP’s Executive Committee, Dr. Buse is also Chair of NDEP’s Medication Adherence Task Group, which will organize and consolidate information and tools to support health care professionals and community-based organizations in improving medication adherence among people with diabetes. According to Dr. Buse, the success of the Medication Adherence Task Group depends largely on shared decision-making in the patient-provider relationship. One of Dr. Buse’s most memorable examples of the importance of shared decision-making came in the late 1980s, when a patient chastised him after he lectured her on smoking. That made him realize not to tell the patient what to do, but rather to learn what the patient is already doing and then provide options and treatment strategies while developing a shared understanding of what the patient and provider can do together.
“Think coach, not drill sergeant,” Dr. Buse says. “It’s not the algorithms; it’s not the pamphlets; it’s not the drugs. It’s the relationship that’s most important.”
NDEP Materials a Valuable Tool in Alabama’s Schools, Senior Centers & Prisons
Ask anyone in the Alabama public health department’s Diabetes Prevention and Control Program (DPCP) and they’ll tell you the NDEP’s Road to Health toolkit has lived up to its name, serving as a map to help educate Alabamans about diabetes in schools, senior centers, and prisons throughout the state.
Intended especially for African Americans and Hispanics/Latinos at risk for type 2 diabetes, the Road to Heath toolkit provides materials for community health workers to develop an outreach program that emphasizes type 2 diabetes can be delayed or prevented. Debra Griffin, the DPCP’s diabetes nurse educator, says Road to Heath is most effective for its simple, three-pronged message about healthy food choices, exercise and weight loss.
Students in the Diabetes Ambassador Program at Resurrection Catholic School with LaMont Pack (far left) and school principal Sr. Gail Trippett in March 2014
In the last year and a half, DPCP staff members have hosted Road to Health sessions at 15 senior centers, where they educated about 355 residents. And they trained employees at the Alabama Office of Minority Health, who, in turn, led a Road to Health course at four prisons.
LaMont Pack, the DPCP’s community-clinical linkages manager, says he’s also visited “churches that you can’t get to with a GPS” to spread the word about how to prevent and manage diabetes.
“The things you do to prevent diabetes are the same things you do to prevent its complications: nutrition and physical activity,” Pack says.
Meanwhile, Pack and his staff have used other NDEP resources to educate the younger generation about diabetes and its effects. In March, Montgomery, Ala.-based Resurrection Catholic School implemented the Diabetes Ambassador Program, in which seven student ambassadors educated their peers, teachers, school staff members, and parents about diabetes prevention. The students wore Blue Circle pins from the International Diabetes Federation to promote the global symbol for diabetes, and on March 25—Diabetes Alert Day—the school’s principal allowed students to wear the color blue (instead of their required uniforms) to raise awareness about diabetes.
NDEP Resources Help Dentist Dr. Martin Gillis Urge People to Make the Oral Health-Diabetes Connection
As a dentist with type 1 diabetes, Dr. Martin Gillis not only brings first-hand experience of the disease to his role as a healthcare provider, he also understands that the best care for people with diabetes should come from a team of healthcare professionals who provide dental, podiatric, optometric and pharmacy (PPOD) services.
The National Diabetes Education Program’s (NDEP) resources have helped Dr. Gillis educate patients with diabetes and their healthcare providers around the world. Specifically, he has incorporated NDEP PPDOD information in his lectures on diabetes and oral health at the International Diabetes Foundation’s World Diabetes Congress and World Dental Federation’s World Dental Congress. Last year, Dr. Gillis received the Sir Alister McIntyre Distinguished Award for Integrative Medicine at the University Diabetes Outreach Program’s International Diabetes Conference in Jamaica, his achievements were profiled in the American Diabetes Association’s Diabetes Forecast.
“Oral disease needs to be related to the broad NCD (non-communicable disease) agenda by addressing how improvements in oral health will positively affect general well-being for a healthier society,” says Gillis, who serves as the registrar at the Provincial Dental Board of Nova Scotia in Halifax, Nova Scotia. “The connection between diabetes and oral disease does not exclusively reside in the relationship between periodontal disease and glycemic control, but extends to common modifiable risk factors such as poor nutrition, and the need to prevent and control diabetes and oral disease by building positive health behaviours through self-efficacy.”
Dr. Gillis will continue to lend his expertise to NDEP when he presents on team care and oral health and diabetes in the upcoming PPOD webinars, Working Together to Manage Diabetes: Tools and Strategies for Pharmacy, Podiatry, Optometry, and Dentistry. Click here for more information.
“To make positive change, we must foster partnerships among all stakeholders to reduce the social and economic burdens of oral disease and diabetes,” Gillis says. “I’m very thankful to have the opportunity to serve the National Diabetes Education Program in its valuable work to improve the lives of people with diabetes.”
NDEP Resources Help Primary Care Physician Dr. Kevin Peterson Deliver Patient-Centered Care
For primary care physician Dr. Kevin Peterson, the National Diabetes Education Program’s (NDEP) resources serve the dual purpose of helping him educate his patients and meeting health reform’s goal of patient-centered care.
And Peterson—who has worked with diabetes patients since 1991—says that’s an important message for other primary care providers, not just because these clinicians treat so many diabetes patients, but also because this patient population now has better access to information about how to manage their disease. By his estimate, there are about 220,000 primary care providers and only about 4,000 endocrinologists, and diabetes is one of the most common diseases that a primary care provider sees.
“NDEP has always been good at understanding the importance of both the patient and the extended health care team,” Peterson says. “I think that the importance of that extended team is only increasing and getting larger. As that happens, it’s essential for the care to remain patient-centered.”
Through the years, Peterson has used NDEP’s resources to develop a maintenance-of-certification module for the American Academy of Family Physicians. And currently he uses NDEP materials—particularly those translated into multiple languages—for the “After Your Visit” summary that he’s required to submit for the federal government’s electronic health records incentive program. He’s especially excited about the Practice Transformation group, which he sees as an opportunity to help primary care providers keep pace with the rapidly changing U.S. health care environment.
“The speed of transformation just continues to accelerate with the introduction of accountable care and the many different models that are being proposed for reimbursement,” Peterson says, adding that regardless of the political landscape, having health care providers share financial risk and understand who their patients are will serve as a support for diabetes and all chronic diseases. “The transformation of care will continue to happen. We will be focusing more on support of diabetes outside of the practice and providing people with the tools of self-management that we did in the olden days when we waited for them to show up outside our door.”
Diabetes Educator Linda Haas Incorporates NDEP Resources in Outreach Efforts
Linda Haas, Ph.C., R.N., C.D.E. is a former Washington State and National ADA Diabetes Educator of the Year who has written and lectured extensively about diabetes care. Ms. Haas served as an endocrinology clinical nurse specialist at the Seattle division of the VA Puget Sound Health Care System (formerly the Seattle VA when she started), where she helped veterans with diabetes manage their condition and served as a consultant to staff on diabetes management and self-management education. She is also a past president of the American Association of Diabetes Educators (AADE) and past president, Health Care and Education, for the American Diabetes Association (ADA). In 2013 she received AADE’s Living Legend Award.
Q. Where did you start your career in diabetes education and management, and what is the biggest difference you’ve seen in the field since then?
A. “I was a research nurse at the VA in Seattle (and) worked with endocrinologists. Meters had just come into being then, or the ability to test one’s blood sugar, and I really thought that was cool and allowed the person with diabetes to take over their management if they had appropriate education. And then I got more involved and went full time doing diabetes education and became an advanced practice nurse.”
Regarding the biggest changes in the field since then, Ms. Haas cited two:
“One is glucose monitoring, although it hasn’t fulfilled its promise because I don’t think people have been instructed what to do with the information. In fact, I gave a talk in ’86 that monitoring is a means to an end; not an end in and of itself, which is what I think a lot of people looked at it as, which was in error. The other big thing I think has happened is that providers are finally starting to realize that it’s really the patient who does everything and not the provider. And so helping people make changes in their behavior is probably one of the most important things providers can do. Because you can prescribe all you want, but if the patient doesn’t take it, it’s not going to work. I think providers are finally reaching a point to where they’re willing to turn over the management to the patient, but that’s been something educators have been preaching for a long, long time.”
Q. What do you think is the greatest challenge that diabetes educators face today, and what suggestions do you have on how they can address that challenge?
A. “I think the greatest challenge is responding to the changing healthcare system and figuring out where they fit in. My advice to them would be to get involved with primary care—make themselves known to primary care providers; let primary care providers know of their value.”
Follow-up: How could diabetes educators make themselves known to primary care providers?
“What I found very helpful was meeting with the nurses. Because particularly with medical homes, it’s really the nurses who are doing a lot of the work. And I mean RNs, not the Advanced Practice Nurses, although the latter are doing a lot, too. But they’re doing more management, and it’s the RNs who are doing the self-management education. So by working with the nurses and helping them, you can be a valuable resource.
Q. What was the most rewarding aspect of your work at the VA?
A. “Working with the patients. They’re just wonderful. And I truly believe that without them, we would not be here today because they’re the ones who preserved our freedom. They were just delightful to work with.”
From 2008-2012, Ms. Haas served as the Metabolic Syndrome/Diabetes Clinical Nurse Advisor in the Veterans Health Administration’s Office of Nursing Services, which she also cited as a highlight of her career.
“The other thing that I found very rewarding was when I took the position with National Nursing Services and got to help advise on policy that would help staff and people with diabetes.”
Q. Are there certain NDEP resources that you have found most useful in your diabetes-education initiatives?
A. “I like the Diabetes Health Sense web resource that focuses on behavior change. And I use the slides all the time. I download them and incorporate them into my lectures.”
Q. What area of diabetes education and management do you think deserves greater attention?
A. “I really think the role of the patient within the family deserves more attention. I think the patient is the key person because he or she is the person with diabetes and the family is hopefully supportive.”
Follow-Up: Should there be greater attention on what families should be doing, or how the patient needs to educate the family?
“Both. And it’s not so much what they should be doing, but what they can be doing, because you don’t want to turn family members into diabetes police.”
As an example, Ms. Haas suggested discussions patients and families can have around healthy eating. She emphasized that people with diabetes don’t need to have special foods, but rather an understanding about eating well.
“We’re much less compulsive about saying, ‘You can’t have this’ or “You can’t have that,’ because you really can, you just have to work it into your overall meal plan.”
Follow-Up: What is your suggestion for the patient to help the family?
“Learning all they can, and bringing family members to classes and clinic visits to include the family members in everything that is going on.”
Q. As part of its new strategic plan, the NDEP is working to enhance its relationship with partners in clinical and community settings. How can these partner organizations benefit the most from NDEP resources?
A. “The materials are great, and they’re really evidence-based. I’ve worked on a couple, and we really had to follow what the evidence said. I think that is a huge advantage to those. Authors of these materials work very hard at keeping current and making changes when they need to be made, even though sometimes they’re painful.”
Q. Final thoughts?
A “I think NDEP is just an incredible organization and one that I look up to very much.”
The SouthEast Alaska Regional Health Consortium Uses NDEP Resources to Raise Awareness of Diabetes in American Indians and Alaska Natives
The SouthEast Alaska Regional Health Consortium (SEARHC) is a non-profit tribal health consortium of 18 Native communities which serve the health interests of the Tlingit, Haida, Tsimshian, and other Native people of Southeast Alaska. SEARHC’s vision is to improve the health status of Native people in Southeast Alaska and other partners to the highest possible level. SEARHC is also a 2011 ADA John Pipe Voices for Change award recipient for its advocacy work for effective diabetes treatment and prevention services in American Indian and Alaska Native communities.
Outreach and Promotions
SEARHC, incorporates the National Diabetes Education Program’s (NDEP) diabetes education materials – such as Your Game Plan to Prevent Type 2 Diabetes, We Have the Power to Prevent Diabetes, and 4 Steps to Manage Your Diabetes for Life – in its “Know Your Numbers” campaign. The campaign targets health care professionals, people with diabetes, and people at risk for diabetes, with messages about understanding blood glucose, blood pressure and cholesterol levels to prevent and manage diabetes.
Maybelle Filler, Diabetes Grants Department Manager at SEARHC explained, “We look to the NDEP for information because the program provides content that is easy to use and understand and is tailored for our audiences. I don’t have to worry about the credibility of the information because it is up-to-date and research based.”
Campaign outreach involves inserting monthly columns in local newspapers using NDEP messages and content. The columns promote the “Know Your Numbers” tagline, information about target blood pressure, A1C and cholesterol goals, as well as tips for healthy eating and getting active.
Additionally, SEARHC inserts NDEP’s Diabetes Risk Test into local newspapers during key observances such as American Heart Month and National Diabetes Month. SEARHC adapted the Diabetes Risk Test to include an invitation to see a local doctor if readers have questions or concerns, healthy eating tips, and a link to the NDEP website.
Results and Lessons Learned
SEARHC’s diabetes outreach success is due to finding the right motivators that work in the community to get people involved in diabetes prevention and management. Pictures and narratives from local residents receive the biggest impact in the community and are the best motivators for action.
For more information about the SouthEast Alaska Regional Health Consortium contact Maybelle Filler at Maybelle.Filler@searhc.org or (907) 966-8739.
The National Kidney Disease Education Program Showcases NDEP Materials in its Annual Kidney Sundays Event
The National Kidney Disease Education Program (NKDEP) is a federally sponsored program that works to reduce the burden of chronic kidney disease (CKD) among communities most impacted by the disease. Established in 2000 by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), NKDEP aims to raise awareness among people at risk for CKD about the need for testing and educate people with CKD about how to manage their disease.
Outreach and Promotions
NKDEP uses the National Diabetes Education Program’s (NDEP) messages and materials as part of its Kidney Sundays public awareness event, which was developed to educate African Americans about kidney disease and its key risk factors, like diabetes and high blood pressure. African Americans are a critical audience for kidney health messages because they are almost four times as likely as Caucasians to develop kidney failure.
Kidney Sundays leverages the growing tendency for African Americans to turn to places of worship to get accurate, useful information by bringing kidney health messages to the faith community. Because high rates of diabetes among African Americans contributes to their elevated kidney failure risk, messages about diabetes prevention and control are central to the Kidney Sundays program. Undiagnosed or untreated diabetes is a major cause of CKD. However, by managing diabetes, African Americans can lower their risk for CKD and other diabetes complications.
To help raise awareness of these diabetes messages, NKDEP distributes numerous NDEP materials, including 4 Steps to Manage Your Diabetes for Life, Choose More than 50 Ways to Prevent Type 2 Diabetes, Did You Have Gestational Diabetes When You Were Pregnant? What You Need to Know, and more, to more than 85 participating places of worship. Additionally, NKDEP and NDEP collaborate to promote the Kidney Sundays event through a variety of channels. NKDEP posts messages about the event and related partner materials, including NDEP’s, on its Make the Kidney Connection Facebook page, and NDEP shares Kidney Sundays information through its Facebook page, Twitter feed, and News & Notes partner e-newsletter.
On March 2, 2014, in recognition of National Kidney Month, the National Kidney Disease Education program hosted its third annual Kidney Sundays event at more than 85 places of worship across the country.
Results and Lessons Learned
Kidney Sundays events in 2012 and 2013 engaged more than 420 African American faith communities across the country, reaching more than 335,000 congregants, to dedicate a day to talk about kidney health, diabetes, and high blood pressure. Over 6,000 blood pressure screenings were conducted and more than 200 people were referred to local area diabetes prevention and control programs for further evaluation. The Kidney Sundays events have supported the distribution of 130,000 kidney health-related materials from NKDEP and other NIDDK programs, including nearly 25,000 NDEP materials in 2013 alone.
For more information about the National Kidney Disease Education Program’s activities, contact Eileen Newman at firstname.lastname@example.org.
The Texas Diabetes Prevention and Control Program Incorporates NDEP Messages and Materials in its “Get Tested Today” Campaign
The Texas Diabetes Prevention and Control Program (DPCP) at the Texas Department of State Health Services administers grant-funded initiatives and contracted services to address current issues affecting people with diabetes and those at risk of getting diabetes. The Texas DPCP maintains a statewide system of quality education services for all people with diabetes and health care professionals who offer diabetes treatment and education. Programs and activities are made possible through state and federal funding and partnerships with other organizations across the state that share a vision of a Texas free of diabetes and its complications.
Outreach and Promotions
The Texas DPCP used the National Diabetes Education Program’s (NDEP) messages and materials as part of their public awareness campaign, “Get Tested Today,” developed to encourage Hispanic populations to get tested for diabetes.
The first step in developing the campaign was market research, specifically, targeted research on Hispanic and Latino populations in Texas. Research showed that getting tested to prevent the complications of diabetes – such as heart attack or stroke, nerve damage in hands and feet that can lead to amputations, and eye problems that can lead to blindness – was the message that resonated best with the target population. They also learned that Hispanics and Latinos are avid users of technology, including mobile phones, and go online using their mobile devices. This information was used to guide their campaign messages and outreach strategy, which featured television and radio public service announcements in English and Spanish, as well as online and mobile phone advertising. All outreach directed people to the diabetes prevention website, www.preventtype2.org.
The “Get Tested Today” campaign messages and website were based on language from the NDEP’s Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes toolkit and other diabetes prevention resources. For example, the website promoted NDEP’s Diabetes HealthSense online resource and behavior change videos from Diabetes HealthSense such as Managing Type 2 Diabetes: Sorcy’s Story. The site also included links to NDEP’s family health history information and resources.
Results and Lessons Learned
The campaign drove increased visits to www.preventtype2.org, which received more than 30,000 visits in December. Online advertising generated more than 47 million impressions resulting in 54,000 clicks during the month. A focus on online and mobile promotions showed immediate campaign results, so ads could be tailored as needed to drive even more people to the website. Additionally, the NDEP provided access to messages and materials that could be used and adapted for the campaign.
For more information about these activities, contact Richard Kropp at Richard.email@example.com.
The Diabetes Community Action Coalition of Fulton County Uses NDEP Resources to Create & Host a “Take One Step to Stop Diabetes” Workshop
The Diabetes Community Action Coalition (DCAC) of Fulton County was formed in March 2011 to increase the health, wellness, and function of Fulton County, Georgia residents at risk for, or affected by, diabetes. With over 90 local partner organizations, opportunities to educate and empower community members, health care providers, and employees of Fulton County are endless. In addition to promoting wellness through prevention, DCAC ‘s community outreach includes increasing access to health care for the low-income and uninsured, most recently by providing enrollment assistance in the Health Insurance Marketplace.
Outreach and Promotions
DCAC collaborated with a community partner, the Ruby A. Neeson Diabetes Awareness Foundation, Inc., to create and host a “Take One Step to Stop Diabetes” workshop in recognition of World Diabetes Day. The workshop targeted people at risk for type 2 diabetes, especially vulnerable populations, and took place at a local library.
DCAC used NDEP’s Choose More than 50 Ways to Prevent Type 2 Diabetes tip sheet as a guide for designing the workshop. For example, the workshop focused on three key messages highlighted in the tip sheet: “Take Care of Your Mind, Body, and Soul,” “Make Healthy Food Choices,” and “Move More Each Day.” All attendees received a free copy of the tip sheet.
The workshop began with an overview of diabetes, diabetes risk factors, and steps people can take to prevent or delay type 2 diabetes. Next, using the “Take Care of Your Mind, Body, and Soul,” message, DCAC partner and Nurse Diabetes Educator, Aliyah Barry, led attendees through a guided meditation, emphasizing the role stress, anxiety, and depression can play when it comes to good health. The next topic, “Make Healthy Food Choices,” focused on helping people better understand portion control and provided simple tips for healthy eating from NDEP, like “Drink water instead of sugary drinks” and “Keep a healthy snack with you, such as fresh fruit, a handful of nuts, and whole grain crackers.” Finally, DCAC used NDEP’s “Move More Each Day” message to promote the importance of increasing physical activity and tips from NDEP to get started. For example, the workshop’s final topic focused on NDEP’s “Dance it away, Faye” tip, and featured the story of a Native American woman who regained her health by dancing to Zumba. The workshop concluded with a free Zumba class led by a guest Zumba instructor.
Workshop attendees were also introduced to a variety of other helpful resources, such as NDEP’s Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes toolkit, NDEP’s Road to Health Toolkit, in addition to type 2 diabetes prevention books and Zumba DVDs available through the public library. Additionally, a Health Insurance Marketplace Certified Application Counselor was invited to the workshop to provide assistance to library patrons and workshop participants wanting to enroll in health insurance.
“We were thrilled that we could build an entire workshop around NDEP’s diabetes prevention messages and resources. This was DCAC’s first event focused entirely on type 2 diabetes prevention – we engaged people at risk for diabetes, and even formed some new partnerships along the way,” said Vicki Karnes, RN, MA, Diabetes Educator, Co-Chair of DCAC. For more information about DCAC’s activities, contact Ms. Karnes at firstname.lastname@example.org.
The Academy of Nutrition & Dietetics’ Diabetes Care & Education Group Collaborates with NDEP to Offer & Promote Diabetes Webinars
The Diabetes Care and Education Group (DCE), a practice group of the Academy of Nutrition and Dietetics, works to empower DCE members to be leaders in nutrition and diabetes education, management, and prevention. As leaders in the health care community, DCE members make positive contributions for people with diabetes and their families, the DCE membership, healthcare providers, other professional organizations and industry partners.
Outreach and Promotions
The Academy and DCE practice group are long-time partners of the National Diabetes Education Program (NDEP) and support the NDEP through a variety of leadership, strategic planning, and promotions activities. For example, DCE regularly promotes NDEP’s Quarterly Webinar Series to more than 2,000 members via their electronic mailing lists. Many of DCE’s members and NDEP partners are health care professionals who seek out continuing education opportunities to stay abreast of the latest advances in diabetes care and prevention. Similar to NDEP, DCE offers frequent educational webinars to its members.
Last Fall, DCE invited NDEP’s partnership network to attend its webinar, “Exercising on Insulin – Staying in Balance,” featuring exercise physiologist Sheri Colberg, PhD, FACSM. DCE waived the registration fee for NDEP partners and offered continuing education units. This partnership activity helped DCE reach a broader audience and allowed NDEP partners to participate in and earn credits for a webinar that they may not normally have access to. NDEP and DCE plan to continue to work together to host or cross-promote webinar opportunities related to diabetes prevention and management.
Additionally, DCE promotes NDEP’s diabetes patient education materials – such as NDEP’s Your Game Plan to Prevent Type 2 Diabetes and 4 Steps to Manage Diabetes for Life – on their website on an ongoing basis. The materials are co-branded with NDEP’s and DCE’s logos. Since NDEP’s materials are credible, pretested with target audiences, and easy-to-read, DCE can rely on using and promoting NDEP’s resources instead of creating their own.
For more information about DCE’s activities, please contact Ann Constance, MA, RD, CDE, FAADE, at email@example.com or visit www.DCE.org. To learn more about NDEP’s Quarterly Webinar Series, visit http://ndep.nih.gov/resources/webinars/.
The KIPDA Rural Diabetes Coalition Uses NDEP Tools to Support National Diabetes Month and Other Diabetes Outreach Activities
The KIPDA Rural Diabetes Coalition (KRDC) is a group working to improve the health of people with type 2 diabetes in Bullitt, Shelby, and Henry Counties in Kentucky. The Coalition includes concerned citizens, health care professionals, organizations, and other community groups who are building a healthier environment for people with diabetes. KRDC’s goal is to improve access to good medical care, affordable healthy foods, and safe exercise opportunities, as well as increasing personal and public awareness about healthy behaviors. KRDC is funded by a grant from the Centers for Disease Control and Prevention (CDC). Through this grant and with support from community partners, KRDC has classes, events, and resources to share with local communities.
Outreach and Promotions
KRDC regularly uses tools from the National Diabetes Education Program (NDEP) in a variety of outreach activities reaching people living with type 2 diabetes and their supporters. For example, in observance of National Diabetes Month in November, KRDC is joining NDEP to promote NDEP’s theme, “Diabetes is a Family Affair.” The Coalition is using NDEP’s campaign resources to raise awareness of National Diabetes Month and to host Diabetes Educational Days during November. The Diabetes Educational Days will feature day-long sessions designed for people with diabetes, family members of people with diabetes, business partners, faith leaders, and others. The sessions will cover topics such as “Living with Diabetes,” “Diabetes and Family,” and “Diabetes and the Community.” KRDC is using NDEP’s campaign messages and imagery to promote the sessions through the KRDC website, flyers, newsletters, and Facebook.
KRDC also uses NDEP resources to support key Coalition activities throughout the year. For example, NDEP resources are incorporated into the Coalition’s monthly meetings, which bring partners and community members together to discuss how to improve health in local communities. During each meeting, KRDC distributes and discusses NDEP’s diabetes articles and provides attendees with free diabetes publications from NDEP. Additionally, the Coalition hosts continuing education events for its partners with CMEs provided at no cost. For example, KRDC recently held an event featuring NDEP’s new “Practice Transformation for Physicians and Health Care Teams” resource. KRDC also prepares “diabetes packets” for health care professionals to give their patients with diabetes. The packets include materials such as NDEP’s 4 Steps to Manage Your Diabetes for Life and The Power To Control Diabetes Is in Your Hands booklets, as well as other downloadable resources from NDEP’s website, such as Five Facts about Diabetes, that are cobranded with the KRDC and NDEP logos.
By using NDEP’s credible, easy-to-read publications and turn-key promotional resources, KRDC does not have to “recreate the wheel,” allowing them to promote diabetes messages more effectively and reach a larger audience.
For more information about the KRDC’s activities, contact Teresa McGeeney at firstname.lastname@example.org or visit www.krdcoalition.com. To learn how you can get involved with NDEP’s National Diabetes Month 2013 campaign, visit www.YourDiabetesInfo.org/DiabetesMonth2013.
The National Kidney Foundation of Michigan Uses NDEP’s National Diabetes Month Campaign Materials to Support State-wide Outreach Activities
For over a decade, reducing health disparities has been a focus of the National Kidney Foundation of Michigan (NKFM), bringing together key strengths and expertise to address the formidable challenges implementing innovative community-based interventions. The NKFM has received a grant from the Centers for Disease Control to help tackle diabetes disparities. The mission of NKFM is to prevent kidney disease and improve the quality of life for those living with it. The NKFM is widely known for providing more programs and services to more people than any other region or state.
Outreach and Promotions
In November 2012, the NKFM used NDEP’s theme, diabetes materials, and online partner promotional toolkit to promote National Diabetes Month. The NKFM’s first step was to create a National Diabetes Month media plan, which included traditional media tactics as well as outreach through social media, the NKFM website, and community events. The campaign targeted Michigan residents with a focus on the communities of Inkster, Northwest Detroit, and Flint, as well as African American adults living with diabetes.
Using NDEP’s template press release and feature article, the NKFM created and distributed content in recognition of National Diabetes Month in six online and print publications based in Michigan. Additionally, the NKFM used NDEP’s National Diabetes Month messages to develop public service announcements that were used by five radio stations.
The NKFM also used NDEP’s campaign offerings to promote National Diabetes Month on Facebook and Twitter. For example, the NKFM uploaded NDEP’s National Diabetes Month Facebook cover photos to their Facebook page during November. They also regularly posted diabetes messages to Twitter and participated in NDEP’s diabetes conversations by using the hashtag #diabetesmonth. The NKFM’s successes around National Diabetes Month led to the expansion of social media activities later in the year, including creation of an infographic using NDEP content, as well as use of Instagram and Pinterest.
Other activities included promotion of National Diabetes Month through their organization’s website – the NKFM created a National Diabetes Month landing page that prominently displayed NDEP’s campaign resources and a link to NDEP’s website, which received nearly 1,500 unique visitors. Further, the NKFM created its own National Diabetes Month QR code that directed people to their National Diabetes Month page (i.e., a barcode that people can scan with their smartphones for quick access to a website; see the NKFM’s QR code to the right). The NKFM adapted NDEP’s materials to include the QR code and distributed them at events throughout November.
The NKFM shares the following tips to help NDEP partners learn from their National Diabetes Month campaign efforts:
- It may be easier to get content placed in online media outlets versus print publications. Television is also an opportunity for greater outreach.
- Social media messages that include an image receive more engagement than messages that only include text.
- Use your partner networks to help amplify promotions and expand your audience reach.
For more information about the National Kidney Foundation of Michigan’s activities, contact Lindsay White, Communications Coordinator, at email@example.com, or visit www.nkfm.org. To learn how you can get involved with NDEP’s National Diabetes Month 2013 campaign, visit www.YourDiabetesInfo.org/DiabetesMonth2013.
The Kentucky Diabetes Network, Inc. Uses NDEP Promotional Tools to Create and Implement Outreach Activities on Their Website
Formed in 1999 as a non-profit organization, the Kentucky Diabetes Network, Inc. (KDN) is a volunteer network of public and private entities and individuals dedicated to improving the treatment and outcomes of Kentuckians with diabetes, promoting early diagnosis, and ultimately preventing the onset of diabetes among those at risk. KDN advocates for the prevention, care, control, and cure of diabetes; educates both patients and professionals; prevents diabetes at the primary level; and works to increase diabetes awareness to lower diabetes rates and related complications throughout Kentucky.
Outreach and Promotions
KDN regularly takes advantage of available NDEP promotional tools and messages to implement outreach activities on the Network’s website throughout the year. For example, in time for the back-to-school season in August, KDN updated its homepage to promote NDEP’s Helping the Student with Diabetes Succeed: A Guide for School Personnel (School Guide) resource and NDEP’s new “Diabetes Resources for Schools and Youth” page to encourage a safe learning environment for children and adolescents with diabetes. By using NDEP’s School Guide web button and copy-right free messaging, KDN was able to easily update the website in a timely manner.
Additionally, to promote the launch of NDEP’s new Practice Transformation for Physicians and Health Care Teams online tool, KDN added the Practice Transformation web button to its “Resources for Health Care Professionals” landing page. The page features resources than can be used in multiple sectors of the health field including clinical settings, workplaces/businesses, and schools, and includes links to other NDEP offerings such as NDEP’s Diabetes At Work and Transitions from Pediatric to Adult Care online resources.
Further, on an ongoing basis, KDN cleverly makes use of NDEP’s various Diabetes HealthSense “Make a plan to live well” images to promote healthy lifestyle tips on their homepage. KDN uses these images as part of an eye-catching rotating box, which provides visitors with easy access to NDEP’s Make a Plan tool and encourages them set goals and make small changes to live healthier lives.
For more information about Kentucky Diabetes Network, Inc., visit http://www.kentuckydiabetes.net/ or contact Jared Zirkle, Member at Large for the KDN Board of Directors and Chair Person for the KDN Website Committee, at firstname.lastname@example.org.
The Michigan Diabetes Partners in Action Coalition Uses NDEP Resources to Create the “Make a Move” Initiative
The Michigan Diabetes Partners in Action Coalition (DPAC) is a partnership of approximately 100 individuals and representatives of organizations who work to reduce the impact of diabetes in Michigan. Members of DPAC are individuals with diabetes, those with an interest in diabetes, or representatives from organizations who work closely with diabetes or a related health issue. DPAC’s mission is to provide statewide leadership to prevent and control diabetes and reduce its impact in Michigan.
Outreach and Promotions
Using NDEP resources, DPAC launched a statewide “Make a Move” diabetes awareness initiative to encourage Michigan residents to make healthy lifestyle changes to better manage or prevent diabetes. The initiative consists of four taglines that are released throughout the year: 1) Make a Move: Know Your Diabetes ABCs; 2) Make a Move: Learn More about Diabetes; 3) Make a Move: Small Steps Can Prevent Diabetes; and 4) Make a Move: Just Walk More Today! Each of the taglines is supported with messages and materials from NDEP’s diabetes campaigns.
For example, to develop its “Make a Move: Small Steps Can Prevent Type 2 Diabetes” tagline, DPAC used NDEP’s “Small Steps, Big Rewards. Prevent Type 2 Diabetes.” campaign resources to craft clear, captivating messages and materials about diabetes prevention. Additionally, DPAC offered NDEP’s diabetes prevention publications – such as the Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes booklet and food and activity tracker – as supporting educational information for the initiative.
DPAC engaged its statewide membership network to promote and implement the initiative in local communities. In addition to providing NDEP resources, DPAC created a media toolkit including public service announcements, press releases, and sample social media messages. DPAC also developed promotional items that could be distributed to local communities such as pens, bags, bookmarks, and note pads. Members were encouraged to tailor media items to promote local events and participation in diabetes education activities, such as National Diabetes Prevention Program offerings across the state. DPAC also promotes the initiative through its website as well as other online activities, including an infographic, e-newsletters, e-mail blasts, and Facebook.
DPAC evaluates the initiative and use of its “Make a Move” materials through quarterly surveys to its membership network. Members consistently report that the materials are critical to reaching people in their communities affected by diabetes. DPAC and its members also report that, in particular, the “Make a Move” promotional products and the Facebook posts are very useful channels for connecting with people beyond DPAC’s network, raising awareness of DPAC and the “Make a Move” initiative, and sharing NDEP messages and activities.
The Lake Cumberland District Health Department Promotes NDEP Diabetes Management Messages in the Community
The Lake Cumberland District Health Department (LCDHD) was formed in 1972 and became the first district health department in Kentucky. The Diabetes Education Program at LCDHD provides diabetes education in each of the 10 counties within the district serving approximately 200,000 people. LCDHD strives to teach individuals how control their diabetes and to live healthier lives.
Outreach and Promotions
As a long-standing partner of the National Diabetes Education Program (NDEP), LCDHD regularly adapts and distributes NDEP’s diabetes articles to raise awareness of diabetes management messages across the community. Each year, LCDHD develops a calendar for submitting monthly NDEP articles to several local newspapers which in turn print the articles for free. The health department tailors each article by adding a “catchy” introduction to appeal to its target audiences and their organization’s contact information.
Articles are selected as they relate to specific topics or observances for each month. For example, as children in the area began summer vacation in May, LCDHD distributed NDEP’s “Ten Smart Snacks for Teens” article to encourage families to provide healthy snacks at home. During June, LCDHD distributed NDEP’s “Attention Men! Take Steps to Manage Your Diabetes for Life” article in observance of National Men’s Health Week (June 10-16) and Father’s Day (June 16). During July, LCDHD plans to submit NDEP’s “Heading Back to School with Diabetes” article to help children and their families prepare for a safe, healthy school year.
In addition to printing the articles in local newspapers, LCDHD promotes NDEP content through its website and social media channels. To learn more about LCDHD’s activities, contact Jamie Lee, RN, CDE, at email@example.com.
Click here to access NDEP’s library of articles on a variety of diabetes management and prevention topics. You can also check out the “What is NDEP Promoting This Quarter?” webpage to view NDEP’s promotions calendar and for free resources – including diabetes articles – that you can use to support your diabetes outreach activities.
The Alabama Department of Public Health’s Diabetes Program Uses NDEP Resources to Raise Awareness of Family Health History as a Risk Factor for Type 2 Diabetes
The Alabama Department of Public Health’s (ADPH) Diabetes Program collaborates with partners within and outside of the Department to help people delay or prevent type 2 diabetes and to reduce complications related to the disease. The program promotes a variety of topics, including nutrition, physical activity, weight loss, smoking cessation, recommended influenza and pneumococcal vaccines, foot exams, and eye exams. The ADPH Diabetes Program regularly uses resources from the National Diabetes Education Program (NDEP) to reach its target audiences with information about these important diabetes topics.
Outreach and Promotions
In support of American Diabetes Association Alert Day® in March, the ADPH Diabetes Program used NDEP resources to raise awareness of family health history as a risk factor for type 2 diabetes. NDEP materials were used to support the ADPH Diabetes Program’s objective to make department employees aware of their risk for type 2 diabetes, and to encourage employees at risk to talk with their doctor about steps they can take to delay or prevent the disease. NDEP messages and materials were also used in their outreach to families in Alabama.
To kick off the promotion with employees, the ADPH Diabetes Program used NDEP messaging in an email broadcast to nearly 3,800 employees statewide. The email included links to NDEP resources such as the Diabetes Risk Test, NDEP’s 4 Questions You Should Ask Your Family About Diabetes & Family Health History, and NDEP’s Family Health History Quiz. As a result, many employees contacted the ADPH Diabetes Program for more diabetes information, including one employee who requested additional NDEP diabetes prevention publications to share with family members at an upcoming family gathering.
The ADPH Diabetes Program also conducted media outreach as part of its Diabetes Alert Day efforts. Mr. Lamont Pack, Director of the Diabetes Prevention and Control Unit, participated in a television interview with WAKA TV – CBS 8 Morning News about Diabetes Alert Day where he shared important diabetes risk messages and encouraged viewers to take the Diabetes Risk Test. Mr. Pack also provided NDEP’s phone number and website (www.YourDiabetesInfo.org). The interview reached approximately 12,240 households in Alabama.
Visit www.YourDiabetesInfo.org/FamilyHistory for free diabetes prevention information and resources from the NDEP. To learn more about the ADPH Diabetes Program’s activities, visit http://www.adph.org/diabetes/Default.asp?id=861 or contact Mr. Pack at Lamont.Pack@adph.state.al.us.
The National Healthy Mothers, Healthy Babies Coalition Uses NDEP Resources to Promote Health after Gestational Diabetes
The National Healthy Mothers, Healthy Babies Coalition (HMHB) is a recognized leader and resource in maternal and child health, reaching an estimated 10 million health care professionals, parents, and policymakers through its membership of over 100 local, state, and national organizations. Enhanced by a network of Healthy Mothers, Healthy Babies state and local coalitions, HMHB creates partnerships among community groups, nonprofits, professional associations, businesses, and government agencies. HMHB’s mission is to improve the health and safety of mothers, babies, and families through educational materials and collaborative partnerships.
Outreach and Promotions
A long time partner of the National Diabetes Education Program (NDEP), HMHB regularly uses NDEP’s messages and materials to reach its audiences with diabetes information. For example, in observance of Mother’s Day and National Women’s Health Week 2012, HMHB joined NDEP to raise awareness of the lasting impact of gestational diabetes on women and their children and steps they can take to lower their risk for developing type 2 diabetes in the future. To kick off the promotion, HMHB featured NDEP’s history of gestational diabetes (hGDM) messages and a link to the hGDM section of NDEP’s website in its “Monday Morning Memo” e-newsletter, which is distributed to more than 3,000 readers. HMHB also used NDEP’s hGDM messages to create social media messages for Facebook and Twitter, raising awareness with its fans and followers throughout the month of May.
HMHB has also promoted NDEP’s hGDM messages by hosting a webinar entitled, “It's Never Too Early...To Prevent Diabetes: The Lasting Impact of Gestational Diabetes on Mothers and Children.” The webinar focused on the lifelong health risks for women with hGDM, risks to the child of the pregnancy complicated by gestational diabetes, and steps mothers can take to help lower these risks for both themselves and their children. Joanne Gallivan, M.S., R.D., Director of the NDEP at the National Institutes of Health, also presented NDEP resources for supporting women with hGDM, such as www.YourDiabetesInfo.org/GDM, Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes, and promotional tools that people could use to raise awareness in their communities.
“We value the work that NDEP does to provide free, evidence-based resources that we can use to reach our broader audiences with information about diabetes,” said Janice Frey-Angel, CEO of the National Healthy Mothers, Healthy Babies Coalition. “We look forward to continuing our partnership with NDEP on this important effort in the years to come.”
Visit www.YourDiabetesInfo.org/GDM for more information about hGDM and for free resources from NDEP, such as NDEP’s newly revised tip sheet, Did You Have Gestational Diabetes When You Were Pregnant? What You Need to Know. To learn more about the National Healthy Mothers, Healthy Babies Coalition’s activities, contact Jennifer Sharp at firstname.lastname@example.org.
The Minnesota Diabetes and Heart Health Collaborative Uses NDEP Resources to Promote Diabetes Management and the Link between Diabetes and Heart Health
The Minnesota Diabetes & Heart Health Collaborative Initiatives (MN-DC) was convened in 2000 with a mission to promote diabetes messages and spread best practices for diabetes care statewide. The MN-DC is chaired jointly by the Minnesota Department of Health and Stratis Health – a Medicare Quality Improvement Organization – and includes 18 nonprofit members representing health plans, advocacy, and quality improvement and public health organizations.
Outreach and Promotions
The MN-DC provides a variety of diabetes educational tools to meet needs of adults with diabetes and underserved populations in Minnesota. Using information from NDEP’s 4 Steps to Control Your Diabetes. For Life., Know Your Diabetes ABCs, and Diabetes HealthSense, the MN-DC developed a low literacy patient education toolset used by health educators, community health workers, local public health practitioners, and others. A key element of the toolset is a set of health literacy instructional sheets – designed for use with non-English-speaking people, recent immigrants, the deaf and hard of hearing, the elderly, and others struggling to manage their diabetes due to low health literacy – which uses pictures and a low literacy script for educators with tips for managing diabetes and making healthy behavior changes. The 24 instructional sheets explain various diabetes self-care topics and behavior change tips. Each has a goal setting worksheet to help patients record their readiness for making a change for better health, their goals, questions for their health care team, and their plans for taking the first step.
Additionally, the MN-DC used NDEP’s Take Care of Your Heart. Manage Your Diabetes and Know Your Diabetes ABCs resources to develop patient education handouts and fact sheets for health care professionals, all using simple messaging, resource links, and colorful graphics to help people “Make the Link” between diabetes and heart disease. To promote the “Make the Link” messaging, the MN-DC also developed and published print advertisements and news releases for local media outlets.
The MN-DC also implemented a “Is Diabetes or Heart Disease in Your Family Tree?” campaign to raise awareness about family health history as a risk factor for type 2 diabetes and diabetes-related health problems like heart disease. Campaign materials – based on content from the “Am I at Risk?” section of the NDEP website – include: family history fact sheets, news releases, radio PSAs in five languages, print advertisements, patient handouts, and even a hand-held fan with simple steps to help people reduce their risk for type 2 diabetes.
Through these activities, the MN-DC learned many lessons that can be applied to other NDEP partners’ outreach and promotions efforts:
- Content expertise is not needed by group if using information and resources from NDEP.
- To reach audiences at a low cost, leverage existing communication vehicles through partnerships.
- People prefer simple, plain language materials with photos (especially photos that are culturally appropriate).
- People with diabetes and/or heart disease are effective advocates of prevention messages with their families and communities.
For more information about the Minnesota Diabetes and Heart Health Collaborative’s activities, contact Laurel Reger, MBA, at email@example.com.
The Kentucky Department for Public Health’s Diabetes Prevention and Control Program (KDPCP) Uses NDEP Resources to Promote Diabetes Alert Day
The Kentucky Department for Public Health’s Diabetes Prevention and Control Program (KDPCP) is a public health initiative consisting of a network of state, regional and local health professionals whose mission is to reduce new cases of diabetes as well as the sickness, disability and death associated with diabetes and its complications.
Outreach and Promotions
In observance of American Diabetes Association® Diabetes Alert Day 2012, the KDPCP used NDEP’s Diabetes Alert Day campaign resources to raise awareness of diabetes, diabetes risk factors, and behavior change messages to its network of more than 600 partners, including employers, health plans, health care professionals, hospitals and health centers, faith communities, professional associations, universities, and state and local diabetes coalitions. As a result of the KDPCP’s Diabetes Alert Day outreach and partner collaborations, many partners also promoted Diabetes Alert Day to their own networks – reaching an even larger audience.
To kick off Diabetes Alert Day outreach efforts, the KDPCP promoted NDEP’s Diabetes Alert Day resources by distributing the March issue of NDEP’s News & Notes, encouraging readers to add NDEP’s Diabetes Alert Day e-signatures to their email, use NDEP’s prewritten Facebook and Twitter messages, and post NDEP’s Diabetes Alert Day web buttons to their websites. Many of the KDPCP’s partners reported using these easy, budget-friendly ways to raise awareness of diabetes risk factors and resources – such as NDEP’s Just One Step tool – to help people make lifestyle changes to prevent type 2 diabetes.
The KDPCP and its partners also distributed NDEP’s Diabetes Alert Day press release through a variety of outlets across Kentucky. For example, the KDPCP submitted the press release to state media outlets including 149 newspapers, 126 radio stations, and 29 television stations. Additionally, the KDPCP encouraged partners to adapt and localize the release for their own communities. Partners reported that they submitted the release to their local newspapers, published it in their member/employee/consumer newsletters, shared it on their organizations’ websites, and distributed it to clients including pharmacies, senior centers, and hospitals.
Other promotions included sharing NDEP’s Diabetes Alert Day messages through presentations, bulletin and electronic marquee boards, screening events, and church bulletin inserts. The KDPCP also distributed Diabetes Alert Day messages in a payroll stuffer distributed to 35,000 state employees (see example to the left).
To evaluate Diabetes Alert Day outreach efforts, the KDPCP used a web-based reporting system to collect and monitor information about activities and potential exposure to Diabetes Alert Day messages. In March 2012, there were 174 total activities implemented, reaching an audience of more than 1,314,255 people.
For more information about the Kentucky Department for Public Health’s Diabetes Prevention and Control Program, visit http://chfs.ky.gov/dph/info/dpqi/cd/diabetes.htm or contact Reita Jones at Reita.Jones@ky.gov. Also be sure to visit www.YourDiabetesInfo.org/AlertDay2013 for resources you can use to promote Diabetes Alert Day 2013 in your community.
Migrant Health Promotion Uses NDEP Tools to Implement a “Promotora Community Program” to Improve the Health of Farmworkers and Rural Communities Affected by Diabetes
Migrant Health Promotion (MHP) builds on community strengths to improve health in farmworker and border communities. MHP’s programs provide peer health education, increase access to health resources, and bring community members together with health providers, employers, and policymakers to create positive health changes. MHP’s great work demonstrates how community leaders, called Promotores and Promotoras, can provide inspiration, direction, and vision necessary to build stronger, healthier communities.
Outreach and Promotions
With support from the Texas Department of State Health Services’ Diabetes Program and resources from the NDEP, Migrant Health Promotion implemented a “Promotora Community Program” (PCP) in Hidalgo County, Florida. The goal of the PCP is to promote healthy lifestyle changes by educating community members about their risk for type 2 diabetes and ways to prevent or manage the disease through healthy eating and physical activity.
As part of the PCP, Migrant Health Promotion used NDEP tools to coordinate activities that are culturally and linguistically appropriate to the population served by MHP. For example, the program organized cooking and nutrition classes using recipes from NDEP’s Más que comida, es vida. (It's more than food. It's Life.) bilingual (English and Spanish) recipe book, teaching people how to how make traditional Mexican food with healthier, diabetes-friendly ingredients. The program also used NDEP’s bilingual The Road to Health Toolkit and Movimiento por su vida music CD to host diabetes health education sessions and exercise groups focused on encouraging people to make healthy behavior changes like eating more fruits and vegetables, reading food labels when grocery shopping, drinking water instead of sugary drinks, and tips for making physical activity a part of their daily lives.
As of August 2012, MHP conducted more than 100 sessions with a total of more than 1,500 program participants. Participants reported that their knowledge of diabetes and the importance of healthy eating and physical activity increased, noting that they have started making better food choices and being more active. One participant added, "If it wasn't for the PCP, I would have never made the time to exercise. Since I have joined the exercise group, I feel more motivated, more energetic, and agile."
Newton Medical Center Uses NDEP Resources to Promote the Theme, “Give Thanks! I Can Help Prevent Diabetes in Myself” in Support of National Diabetes Month
Newton Medical Center (NMC) is a not-for-profit facility dedicated to providing health care services to residents of Harvey, Kansas and surrounding counties, regardless of race, color, sex, age, religion or ability to pay. In support of National Diabetes Month 2012, NMC partnered with community organizations and the NDEP to raise awareness of diabetes and the importance of making lifestyle changes to prevent type 2 diabetes or manage the disease to prevent complications.
Outreach and Promotions
Newton Medical Center and supporting partners sponsored several events during November to promote the theme, “Give Thanks! I Can Help Prevent Diabetes in Myself.”
To kick off the month, NMC hosted Dinner with the Doctor, a diabetes prevention panel discussion open to the general public that featured presentations by a family practice physician, obstetrician/gynecologist, and Certified Diabetes Educator (CDE). In addition to enjoying a diabetes-friendly dinner, attendees were able to ask questions about type 2 diabetes prevention and receive educational materials. During the event, NMC distributed NDEP’s Prevent Type 2 Diabetes. Step by Step., More than 50 Ways to Prevent Diabetes, and It’s Never Too Early to Prevent Diabetes tip sheets.
Newton Medical Center Primary Care Clinic employees led two “walkabouts” throughout the month to encourage regular exercise. Clinic employees invited the area’s Chambers of Commerce, as well as city leaders, community members, and the local elementary school to join the walks at a local park. A number of hospital employees also led walkabouts along hospital walking paths. Participants received the NDEP’s Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes booklet as a prize. Children also received NDEP’s How to Help Your Children Stay Healthy: Tips to Lower Their Chances of Getting Type 2 Diabetes.
To follow up on this effort, NMC arranged to have CDEs give a presentation to the Chambers of Commerce titled, “Fifteen Minutes to Effective Carb Counting – Help Prevent the Onset of Diabetes” and distributed NDEP’s More than 50 Ways to Prevent Diabetes tip sheet.
Newton Medical Center also coordinated roundtable discussions with doctors and CDEs targeting patients at risk for type 2 diabetes. Doctors mailed their at-risk patients personal letters inviting them to join the roundtable discussions to talk about steps they can take to prevent type 2 diabetes or manage it to prevent complications. To guide the discussions, doctors used NDEP’s Prevent Type 2 Diabetes. Step by Step. tip sheet and The Road to Health Toolkit.
Additional activities during the month included healthy cooking classes hosted by dietitians, and collaborations with other health care facilities, ministries, and community organizations to distribute NDEP materials to at-risk audiences.
Newton Medical Center promoted National Diabetes Month events via the NMC website, electronic signs at the hospital and along the highway, posters in the hospital lobbies, and local media using resources from NDEP’s National Diabetes Month promotional toolkit.
For more information, contact Vallerie Gleason at firstname.lastname@example.org.
2012 NDEP Frankie Award Winners
NDEP is pleased to announce the winners of the 2012 Frankie Awards. The Frankie Awards recognize the innovative and effective use and promotion of NDEP materials and resources as the cornerstone of diabetes prevention and control programs and initiatives. They are named in honor of Frank Vinicor, M.D., former director of the Center for Disease Control and Prevention’s (CDC’s) Division of Diabetes Translation (DDT) and a founder of the National Diabetes Education Program (NDEP). All state Diabetes Prevention and Control Programs, organizations, and public or private partners who used NDEP resources to develop prevention and/or control initiatives or incorporated NDEP materials into existing activities between January 2011 and December 2011 were eligible to apply. The Frank Vinicor Award of Excellence recognizes exemplary use or adaptation of NDEP resources in a comprehensive, multifaceted campaign to address behavior change. It is selected from among the winners in the four categories.
Frank Vinicor Award of Excellence
Minnesota Department of Health
Minnesota Diabetes & Heart Health Collaborative Health Literacy Flip Chart
Minnesota has seen explosive growth in the number of residents whose primary language is not English, fuelling already high health disparities. The Minnesota Diabetes and Heart Health Collaborative (MN-DC), a partnership between 17 leading health care organizations, responded to these trends by developing a low literacy patient handout using pictures and a few words (in English, Spanish and Somali) to describe 13 essential self-care activities based on NDEP’s “4 Steps to Control Your Diabetes. For Life.” The flip chart was designed for use with non-English-speaking people, recent immigrants, the deaf and hard of hearing, the elderly, and anyone else struggling to manage their pre-existing diabetes due to low health literacy.
The MN-DC expanded the handout into a scripted flip chart for use by health professionals and lay health educators. The purpose of the flip chart, entitled “Control Your Diabetes for Life!,” was to help people with poor health literacy better understand how to control their diabetes, why it is so important, and where to get help. Our diverse pool of users continue to ask for more – more flip charts, more topics covered in a similar fashion, more translations to the scripted portions, and more goal-setting aids. In 2011, the MN-DC moved to an online version of the flip chart in order to greatly expand the content. The new online materials, introduced in late 2011 and covering 24 topics, additionally drew on content from NDEP’s “Learn About Diabetes,” “Take Care of Your Heart. Manage Your Diabetes” and “Know Your Diabetes ABCs.” More topics are being planned, and NDEP will remain a key source. Flip chart users also asked for, and got, a goal-setting handout that the educator could help the patient complete. We added behavior change tips for the educator, based in part on information in NEDP’s “Diabetes HealthSense.”
Nearly 1,000 flip charts were distributed to health professionals, lay educators, CHWs and nursing instructors, community centers and others. Ten clinics initially piloted the flip chart with over 50 patients. All users found the tool to be effective and all patients said it was helpful.
More information about the flip chart, as well as the complete tool set can be found at http://www.mn-dc.org/literacy.html
Collaborative Partnership Using NDEP Resources
U.S. Preventive Medicine
Macaw Mobile Manager for Diabetes
The purpose of the program was to collaborate on the development of an innovative mobile smartphone application to support diabetes self-management and well-being. The program goal was to develop a smartphone application to support diabetes self-management using NDEP content and resources in conjunction with guidance from NDEP content experts. We started by convening a multidisciplinary panel of experts in diabetes care to direct the content and structure of the mobile application. These experts directed the use of online resources to develop the notifications, schedule of screenings, self-care tasks and assessment questions so that we could create a Diabetes Well-being Score. As a user interacts with the mobile application and completes various tasks, their score increases. Users will be provided daily reminders in the form of a diabetes diary that compiles all the various activities due that day. For instance, the user may have to complete an appointment with their podiatrist, track their glucose and nutrition for the day and indicate that they have taken their medications to complete their activities and thereby increasing their Diabetes Well-being Score.
The team utilized many different publications from the NDEP website in the creation of the program content, trackers, score and self-care tasks. Each publication was referenced and linked to the NDEP site within the application so that the user can read more about that particular topic. Examples of materials used to create the application include: Women and Diabetes, When Your Blood Glucose Is Too High or Too Low, Tips to Help You Stay Healthy, Diabetes Numbers at a Glance, For A Healthy Heart, Control the ABC’s of Diabetes and Be Sweet to Your Feet.
The mobile manager for diabetes has not yet been deployed in a population so that efficacy and impact on hemoglobin A1C or fasting glucose can be measured. However, U.S. Preventive Medicine will conduct several pilot studies to evaluate the effectiveness of the USPM Macaw Mobile Manager for Diabetes.
Promotion of NDEP Resources to Address Disparities
Lake County Tribal Health - Diabetes Prevention Program
Learning to Live in Balance Diabetes Prevention Program
The goal of our “Learning to Live in Balance” 16-week Diabetes prevention classes is to help our low socio-economic population lose 7% of their body weight through healthy eating and exercise. The “Learning to Live in Balance” program has demonstrated the ability to assist participants with preventing or delaying type 2 Diabetes in our rural Native American communities of Lake County. The health behaviors addressed by our program include poor diet and nutrition learned behaviors, lack of physical activity due to little or no motivation, and declining health indicative of prediabetes. Through our program, patients are encouraged to lose and maintain weight loss by making healthy food choices and increasing physical activity. Patients are taught through a variety of means that include food demos, low-fat recipes that promote intake of vegetables, fruits, whole grains, and legumes in their diet (the three sister combo). Patients are also encouraged to engage in moderate physical activity for at least 150 minutes per week.
An essential resource tool we have incorporated into our program is the National Diabetes Education Program’s “The Road to Health Toolkit.” Our Diabetes Prevention Support Team has studied the training guide and frequently uses the material in their presentations to program participants. The most popular tool used is the GAME PLAN Food and Activity Tracker that we have adapted to assist our participants with recording food, drink and physical activity. The adapted food and activity tracker is user friendly and has helped even our most reluctant participants feel comfortable with beginning to track. What we appreciate about “The Road to Health Toolkit” material most is that it was developed with health literacy in mind. The materials are not too cumbersome and gradually guide participants through learning to change their lifestyle.
Patients have demonstrated significant improvements in weight loss, decrease in blood pressure, healthier ranges of lipid levels and an increase in regular physical activity. More significantly, participants have considerably reduced their HgbA1C which has decreased the incidences of newly diagnosed diabetics among Native prediabetics in Lake County. Our participants leave our “Learning to Live in Balance” Diabetes Prevention Program with an increased knowledge of how to live a healthier lifestyle, feel better, and more importantly, leave empowered to take control of their own health.
Implementation of an NDEP Program or Activity in the Community
San Juan Basin Health Department
Promoviendo la Salud
Promoviendo la Salud (PLS) was designed to screen for chronic disease presence and to educate clients if diabetes was a potential risk or already present. If risk factors were ascertained via lab results, clients were educated along with their friends and families (often in their own homes) by a trained bilingual, bicultural community health worker (promotora). Promoviendo offered Latino adults in two Southwest Colorado counties affordable, culturally sensitive opportunities to engage in preventive healthcare activities and access to health information. The educational sessions (“platicas”) promoted healthy lifestyles, including diet, exercise, and preventive health maintenance (pap smears, self breast exams, etc.). Via the health screenings, clients increased awareness regarding their health status, and received counseling and support to prevent the long-term health problems associated with elevated blood glucose, cholesterol, BMI and blood pressure.
Two promotoras, one in La Plata County and one in Archuleta County completed the NDEP online course intended to teach diabetes educators how to use the “Road to Health Toolkit.” The toolkit which promotes diabetes prevention through lifestyle changes provided excellent companion pieces to the promotoras’ education outreach campaign for Latinos. The toolkit was put to use right away with the promotora’s group platicas and in individual counseling sessions with high-risk clients to discuss lab results. The toolkit materials helped explain key education pieces about diabetes and were excellent resources to help motivate clients toward increased health by fostering healthier eating habits such as choosing appropriate foods at the market, managing portion control and carb counting. The visual aids lent an important experiential component to address adult learning styles. The toolkit was particularly effective for the Latino community including the music CD a promotora utilized for Zumba exercise demonstrations.
In reviewing the overarching goals of the program, the identified disparate populations of Latinos had improved their health status as evidenced the results of client surveys and interviews. The second goal of increasing capacity among providers to serve disparate populations was partially realized in that numerous partners in both counties served on an Advisory Board and became well educated as to the barriers that needed to be addressed. The hospital in La Plata County now has a bilingual patient advocate/navigator and a community clinic is set to open this fall. Archuleta County also has bilingual staff at their community clinic and offers a sliding scale fee. Some of these outcomes also speak to the third goal of increasing community support for policies that improve access to primary and preventive care, and a strengthened safety net for underserved Latino adults in Southwest Colorado.
Use of Media
National Kidney Foundation of Michigan
Communities Against Diabetes
There is a high burden of unmet economic, social, and health support needs in the predominantly African American populations of Flint, NW Detroit, and Inkster, MI. The National Kidney Foundation of Michigan (NKFM), with support from the Centers for Disease Control and Prevention (CDC), aims to reduce morbidity and premature mortality and eliminate health disparities associated with diabetes in these three communities. One of the project’s key objectives is to raise awareness of diabetes and its related complications. By using the National Diabetes Education Program (NDEP) materials and messages in local community centers, health clinics, and housing complexes, as well as in print, radio, and social media outlets, we hope to infuse the community with information and resources to better manage diabetes.
With the help of multiple partner organizations, we used creative strategies to deliver NDEP materials and messages to meet the unique needs of the communities. For example, NDEP’s managing diabetes posters were adapted to connect with the hard-to-reach community members with a photo of a local resident along with their story and message about managing diabetes. These posters were displayed at community locations, and on Facebook pages. Also, NDEP’s Tasty Recipes cookbook, recipe cards, and posters were distributed at cooking classes, restaurant events, grocery store tours, and farmers markets to provide tools to eating a healthy, diabetes friendly diet. Dozens of NDEP campaigns, messages, and materials were implemented over the course of this project. To maintain consistency, we implemented a targeted campaign using the phrase “Control Your ABCs” to raise awareness across the 3 at-risk communities. The ABCs message was tagged onto all messages, tweets, Facebook posts, and press releases. Multiple community organizations and businesses have embraced the NDEP posters and materials and have committed to making them prominently visible to their patrons and guests.
Over 40 partner organizations regularly distribute printed NDEP materials through their organization - to patients at free clinics, at local grocery stores, fitness organizations, restaurants, and local businesses. Social media has been another very successful way to distribute NDEP messages to community members and organizations. Each coalition has a Facebook page to share information and NDEP messages. Combined, the coalition Facebook pages have nearly 200 fans and over 14,000 view posts in the last year. The NKFM Twitter page has 485 followers, which has nearly quadrupled in the last year. It is estimated that NDEP messages have reached up to 55,000 Twitter users. Several diabetes-related messages were re-tweeted 108 times by other Twitter users, reaching 155,000 people. In addition, over 55 newspaper articles were printed in the last year, reaching an estimated 386,300 readers. As part of the Diabetes ABCs Campaign, a radio commercial as well as public service announcements and digital advertisements were aired in the communities (with a reach of 648,000 adults on air, plus 78,729 monthly streaming and mobile visitors). There were also three television interviews on metro-Detroit outlets. Two interviews that appeared on the local CBS station discussed fighting diabetes in Southeast Michigan, and an interview on another local station talked about fitness and diabetes management. Television interviews aired in the community to raise awareness of the importance of managing diabetes.
NDEP would like to acknowledge this year’s judges: Pamela Geis, Carol Mallette, and Brenda Ralls. The work of the judges was instrumental in selecting programs to recognize from among the many high quality submissions received this year. NDEP is grateful for the support and dedication of all its partners in promoting and using NDEP resources.
Health Education on Wheels Collaborates with Community Organizations to Share NDEP’s Diabetes Information Where People Live, Work, Play, and Worship
Founded in 2007, Health Education on Wheels (HEOW) is a community-based nonprofit organization based in New York with a mission to provide free, accessible health information, education and diagnostic services to individuals with preventable diseases. Recognizing the health effects of diabetes and the increased risk among immigrant populations living in New York, Health Education on Wheels partners with various community health organizations to coordinate outreach events at local churches, parks, hospitals, health fairs, and other community venues.
Outreach and Promotions
To raise awareness and help educate members of a local church in Brooklyn, HEOW partnered with the Brooklyn Hospital Center, Bayer HealthCare, Chase Bank, family counseling services, and many other community organizations to host a health fair in front of the church. During the health fair themed “Spring to Good Health and Drive Away Diabetes,” HEOW used NDEP’s Road to Health toolkit to talk with people about prevention of type 2 diabetes and shared NDEP’s diabetes prevention tip sheets – including Tips for Teens and Did You Have Gestational Diabetes When You Were Pregnant? What You Need to Know.. – to help people make changes to delay or prevent the disease.
In addition, HEOW partnered with three community health organizations to host a seminar focused on type 2 diabetes. During the seminar, participants discussed the importance of lifestyle changes – losing 5-7 percent of their body weight, eating healthy foods, and exercise – to prevent type 2 diabetes or manage the disease. HEOW used and shared a variety of NDEP messages and resources to help participants learn about diabetes and healthy habits, including Small Steps. Big Rewards. Your Game Plan to Prevent Type 2 Diabetes, the Fat and Calorie Counter, and Two Reasons I Find Time to Prevent Diabetes.
HEOW also organized monthly, hour-long presentations using the 12 sessions from NDEP’s Power to Prevent program. During the sessions, HEOW presented on information from Power to Prevent curriculum to help participants learn about diabetes, diabetes risk factors, steps people can take to delay or prevent type 2 diabetes, and other helpful resources from the NDEP such as the Diabetes Risk Test and type 2 diabetes prevention resources available on the NDEP website.
To promote these outreach events and offerings from the NDEP, HEOW developed a diabetes page on its website, distributes weekly advertisements in the health section of the local newspaper, and distributes information at local parks and hospitals.
For more information, contact Mr. William Addo at email@example.com.
The Texas Diabetes Institute/University Health System/Diabetes Education Department Promotes NDEP’s Resources to Help People Make Changes to Live Well
The mission of the Texas Diabetes Institute/University Health System/Diabetes Education Department is to prevent diabetes and its complications through health promotion, patient education, professional training, treatment, and research. Through a comprehensive team of diabetes specialists – family physicians, endocrinologists, renal specialists, orthopedists, ophthalmologists, dermatologists, podiatrists, and wound care specialists – the Institute works to promote healthy lifestyles and teach people the skills needed to live with diabetes and avoid serious complications.
Outreach and Promotions
As part of their National Diabetes Month 2011 promotions, the Texas Diabetes Institute used NDEP’s resources to reach minority populations with diabetes – and health care professionals working with patients who have diabetes – with tools and messages to help people make behavior changes to live well.
The Institute hosted a two-day “Diabetes Educator Review Course” for health care professionals. During the course, NDEP’s behavior change videos were played and highlighted as resources for health care professionals to use with their patients. The Institute also held workshops and healthy cooking classes where they distributed NDEP’s Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes in English and Spanish. In addition, NDEP posters with messages about managing and preventing diabetes in English and Spanish were displayed on bulletin boards throughout the facility.
Through these activities, the Texas Diabetes Institute was able to reach more than 500 patients with diabetes and their family members, and more than 75 health care professionals who work with patients with diabetes. According to the Institute, one of the greatest successes was exposing so many health care professionals to NDEP’s behavior change resources so that they could use them in their own settings in the future.
For more information, contact Elda Balle at Elda.Balle@uhs-sa.com. Visit www.YourDiabetesInfo.org/DiabetesMonth to explore NDEP’s behavior change tools and promotional resources that you can use to promote National Diabetes Month in your community.
The National Association of School Nurses Promotes NDEP’s School Guide and Other Resources via Workshops and Online Outreach
The mission of the National Association of School Nurses (NASN) is to advance the specialty practice of school nursing to improve the health and academic success of all students. As a program partner, NASN regularly promotes NDEP offerings to its network of more than 15,000 members, reaching school nurses, parents, and members of the school community across the country with important diabetes information. This year, NASN continued to support NDEP by highlighting program offerings through a variety of communication channels, including conferences and workshops, the NASN website, and the NASN Weekly Digest.
Outreach and Promotions
NASN was a critical partner in helping NDEP update and revise the Helping the Student with Diabetes Succeed: A Guide for School Personnel (School Guide) released in 2010 and has found multiple ways to promote this resource to school health professionals year round. Recently, NASN invited Joanne Gallivan, NDEP Director, and Martha Funnell, Former NDEP Chair, to present at the NASN 44th Annual Conference on “Self-Directed Behavior Change: Resources to Improve Diabetes Outcomes at School” to help students who have or are at risk for diabetes make changes in behavior. NASN also distributed more than 50 School Guide binders to nurses at a pre-conference program.
Additionally, NASN distributed 108 copies of NDEP’s School Guide and Teen Tip Sheets at two “Helping Administer to the Needs of the Student with Diabetes in School” (H.A.N.D.S.℠) workshops, a continuing education program developed by the association to educate school nurses about effective diabetes management for students. NASN also highlights the School Guide as a resource on the www.NASN.org website using the promotional web button.
In addition to promoting the School Guide, NASN frequently includes information about NDEP’s resources in their e-newsletter, the NASN Weekly Digest, which reaches more than 30,000 readers. Using content from NDEP’s News & Notes e-newsletter, NASN is able to quickly adapt relevant NDEP messages to share with readers. For example, NASN highlighted NDEP’s behavior change resources, such as the New Year’s Resolution Maker, Make a Plan, Just One Step, and Diabetes HealthSense resources for teachers and school health professionals.
For more information about these activities, contact Sarah Butler at firstname.lastname@example.org, or click here to learn how you can promote NDEP’s School Guide and other resources to engage youth to prevent and manage their diabetes.
The Washington Association of Community & Migrant Health Centers Uses NDEP Resources to Host a Workshop in Support of National Minority Health Month
Outreach and Promotions
In observance of National Minority Health Month in April, the Washington Association of Community & Migrant Health Centers, through the Washington Community Health Workers/Promotores Network (WCHWN), coordinated and co-sponsored a “7th Annual Spring Intensive Training for Health Promoters and Community Health Workers.”
The 2 1/2 day event – which included various workshops, presentations, and activities – provided training on core competencies and skills promotoras need to effectively do their job, including organization, documentation, evaluation, and coordination skills. There was also training to address emergency preparedness, labor rights and health insurance options in Washington State, and diabetes prevention. During these trainings, attendees learned basic but core information about how to communicate what they learned to the communities, and where to get additional information and assistance.
This year, Betsy J. Rodríguez conducted a live webinar presenting NDEP’s new Do it for them! But for you too. (¡Hazlo por ellos! Pero por ti también) fotonovela and strategies that NDEP has created to reach and educate the Latino community. The fotonovela was created to educate Hispanic/Latina women who are at high risk of developing type 2 diabetes themselves and whose family members are at high risk.
Additionally, Francisco Arias-Reyes, a Health Services Consultant at the Washington State Department of Health Heart, Stroke, and Diabetes Program, conducted an interactive workshop using NDEP’s The Road to Health Toolkit, which addresses prevention of type 2 diabetes.
Evaluation & Lessons Learned
The event attracted a diverse group of 68 community leaders from seven community health centers, one hospital, three government agencies, and 10 non-profit organizations. Participants included health workers, health promoters, coordinators, agricultural workers, outreach workers, and health educators.
Following the webinar featuring NDEP’s Do it for them! But for you too. fotonovela, attendees read the story and shared their comments about the resource and how they plan to use it in the future. Many people commented that the resource is easy to understand, teaches people how to care for their community, family, friends, and provides ideas for how to teach. Attendees also responded positively to The Road to Health Toolkit workshop. Many people expressed that the toolkit was very useful and that they would share with friends, family and the community.
Some lessons learned from this event include:
- Ensure that participants can apply what they have learned. A balance between theory and practice can be very effective.
- Educational technology training webinars can be very effective; however, it is better in person.
- To ensure success, these workshops must be planned and designed very carefully. It was worth the effort planning The Road to Health workshop and the webinar-premier of the new NDEP fotonovela.
- A successful implementation begins and ends with a successful partnership!
For more information, contact Lilia Gomez at LGomez@wacmhc.org.
Maureen Sullivan-Tevault Promotes NDEP Messages and Resources on Her Online Radio Program
Maureen Sullivan-Tevault, R.N., C.E.N., C.D.E., is a long-time partner of the National Diabetes Education Program (NDEP) and regularly participates in the Program’s promotional activities. In addition to her health-related credentials, Maureen is also a stand up comic. She marries her interest and expertise in the two fields in the online radio show she co-hosts with her husband, Mike Tevault, R.N., called, The Health and Humor Hour. The program uses light-hearted humor to raise awareness of important health issues and to share critical health information. Maureen recently promoted the NDEP on the program and actively engaged NDEP via social media as well.
Outreach and Promotions
In March, Maureen focused her program on Diabetes Alert Day. During the hour-long show, Maureen engaged her audience with key NDEP messages to raise awareness and educate viewers about diabetes, diabetes risk factors, steps people can take to delay or prevent type 2 diabetes, and local and national diabetes resources. In supporting NDEP, Maureen promoted the Diabetes Risk Test, NDEP website, and NDEP Facebook page. NDEP’s public service announcements (PSAs) were also displayed on the radio set for online viewers to see. In addition to promoting NDEP resources, Maureen broadcasted an audio clip featuring an interview with NDEP Chair, Dr. John Buse, speaking about Diabetes Alert Day and the importance of knowing your risk for type 2 diabetes.
Maureen used social media to promote the NDEP and the diabetes-focused program on her Twitter page. To date, there have been more than 600 views to Maureen’s show focusing on Diabetes Alert Day. To learn more about using online and social media tools to promote your work with the NDEP, check out the Program’s social media web page.
For more information about Maureen’s activities, email her at Maureen@MaureenSullivanRN.com.
The International Council on Active Aging Joins NDEP in Promoting Healthy Living for Older Adults Managing or Preventing Diabetes
Founded in October 2001, the International Council on Active Aging (ICAA) is dedicated to changing the way we age by uniting professionals in the retirement, assisted living, fitness, rehabilitation and wellness fields to dispel society''s myths about aging. The ICAA works with NDEP to provide professionals who work with older adults resources for promoting diabetes prevention and management. The ICAA regularly shares NDEP messages and resources through a variety of print and online channels with its network of individual professionals and 9,200 organizations focused on active aging.
Outreach and Promotions
To help its members raise awareness and educate older adults about diabetes prevention and management, the ICAA created a National Diabetes Education Program Information Center page on its website. The page highlights NDEP’s offerings for older adults, such as the Power to Control Diabetes is in Your Hands, It’s Not Too Late To Prevent Diabetes, and The Road to Health Toolkit.
Additionally, the ICAA regularly includes information about NDEP in weekly newsletters and promotes NDEP public service announcements in its member publication, The Journal on Active Aging. Reaching more than 9,000 readers, the journal provides relevant research and ideas for wellness programs – a great channel for raising awareness of diabetes prevention and management.
For example, the journal featured an article written by NDEP subject matter experts focused on prevention of type 2 diabetes. The goal of the article was to educate active aging professionals about type 2 diabetes and the results of the Diabetes Prevention Program study, which showed that modest lifestyle changes such as weight loss, healthy eating, and physical activity could help prevent or delay the onset of diabetes in older adults. The article promoted NDEP tools and publications including the At-Risk Weight Charts, the Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes booklet, and the NDEP website.
The Diabetes Community Action Coalition of Fulton County Rallies against Diabetes
The Diabetes Community Action Coalition of Fulton County in Atlanta, Georgia hit the streets to promote and distribute NDEP’s messages to high-risk minority populations at worksites, free clinics, health fairs, senior centers, the YMCA, various meetings, and neighborhood events throughout the city of Atlanta. Formed in March 2011, the Coalition collaborates with over 90 member organizations in an effort to reduce the health and financial burden that diabetes is placing on the county.
Outreach and Promotions
The Coalition developed a diabetes awareness campaign using and adapting NDEP materials, including NDEP’s 4 Steps to Control Your Diabetes. For Life., Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes, and “Know Your Diabetes ABCs, Just Like You Know Your Other Numbers” print PSA, which was modified to include a smoke-free message.
Additionally, the Coalition collaborated with the United Methodist Men to bring the “Know Your Diabetes ABCs” message to African American residents of the Pittsburgh neighborhood at a Community Forum and Rally. The Pittsburgh community is the oldest and one of the poorest African American neighborhoods in Atlanta. Compared to the city of Atlanta where 24% of the households live below the poverty level, 40% of the households in this historic neighborhood live in poverty. During the rally, the Coalition engaged residents and distributed 100 bags filled with NDEP’s diabetes management materials and 25 bags filled with NDEP’s prevention materials. In addition to NDEP materials, the Atlanta Regional Health Guide: Resources for the Uninsured was shared to address the health disparities related to access to health care.
The Coalition continues to serve the Pittsburgh community through a partnership with the Center for Black Women’s Wellness through its Safety Net Clinic and Healthy Start program.
For more information, contact Vicki Karnes at email@example.com.
The National Kidney Foundation of Michigan Uses NDEP Resources to Promote Monthly Diabetes Themes
The National Kidney Foundation of Michigan (NKFM) has been innovative in promoting NDEP offerings through traditional media, such as print media and radio, and nontraditional media such as Facebook and Twitter. Each month, the NKFM supports creative “themes” using resources and tools from NDEP to help raise awareness about diabetes management and prevention.
Outreach and Promotions
In October 2011, the NKFM focused its promotions on Family Health Month with family-oriented media outreach efforts. For example, the organization developed and distributed a press release that incorporated NDEP information to promote getting healthy as a family by eating healthy and exercising together. The theme was also promoted in NKFM’s monthly staff newsletter.
In November 2011, the NKFM used NDEP’s resources developed in support of National Diabetes Month. The organization distributed two press releases and several 10-, 15-, and 30-second public service announcements to communities with a high prevalence of diabetes. In addition, the NKFM promoted NDEP’s 4 Questions You Should Ask and Choose More than 50 Ways to Prevent Type 2 Diabetes resources on Facebook and Twitter. Toward the end November, the organization continued to promote National Diabetes Month via social media with the theme “Eating Healthy at Thanksgiving Dinner” using NDEP’s resources on eating healthy at family gatherings and special events.
In January, the NKFM promoted the theme “Get Healthy and Control Your Diabetes in 2012.” The organization encouraged people with and at risk for type 2 diabetes to make a New Year’s resolution to get healthy. The NKFM also adapted NDEP messages to create a press release promoting diabetes-related programs, classes, and activities throughout Michigan. Social media outreach included sharing NDEP’s New Year’s Resolution Maker on Facebook and motivating people to use the tool to set a goal for the New Year.
Throughout February, the NKFM promoted African American History Month utilizing NDEP offerings targeted to African Americans. Press releases and social media outreach supported the message that African Americans are at higher risk for diabetes and offered links to the NDEP Facebook page and website.
Through evaluating outreach around these monthly promotional activities, the NKFM learned that the best way to communicate NDEP offerings is to distribute a wide variety of materials in a variety of media formats. The organization has been able to reach a large audience by using social media, print media, and word of mouth.
To learn more, contact Lindsay Bacon at firstname.lastname@example.org.
VSP Vision Care Adapts NDEP Resources to Meet the Needs of Eye Care Professionals, Patients, and the Community
With a doctor network of approximately 28,000 eye care professionals and 56 million members, VSP Vision Care (VSP) is in a position to make a significant and far reaching impact on a large number of Americans. As a not for profit company, VSP is committed to giving back to the community and believes in improving health and quality of life of millions of people. Making a positive impact on the diabetes epidemic is a top company priority.
Projects and Promotions
The VSP Eye on Diabetes campaign was designed to increase consumer awareness around the importance of comprehensive eye care in detecting and managing diabetes as well as support VSP network doctors with continuing education in providing this essential care. The campaign was launched in 2010 and has reached eight states throughout the country.
In partnership with the VSP Mobile Eyes Program, the National Diabetes Education Program (NDEP), State Optometric Associations, and local VSP network doctors, nearly 2,900 low-income, uninsured and underinsured people had access to free comprehensive eye exams, eyewear, and diabetes screenings. Of those, nearly 200 people were referred to their primary care physician for additional treatment. VSP also offers optometrists COPE-approved continuing education with two nationally recognized speakers who cover the PPOD disciplines along with other diabetes care guidelines.
VSP printed 4,200 copies of NDEP’s 4 Steps to Control Your Diabetes. For Life. booklet in English and Spanish to distribute at events in Lansing, Michigan; Atlanta, Georgia; and Los Angeles, California. The 4 Steps booklet is also available on the VSP website for doctors to print and give to patients and the organization will be making it available to members and benefit managers in the near future.
Additionally, VSP worked closely with NDEP to develop a single page patient educational flyer that includes an authorization for services for our members who have previously been identified as having diabetes, diabetic retinopathy, hypertension, or high cholesterol. Developed as an easy-to-use, ready-to-print handout, the flyer is a simple way for doctors to provide patients information about their disease and how to get additional materials and resources through NDEP.
In partnership with NDEP, a positive impact has been made on the diabetes epidemic through outreach programs, education, and marketing tools.
To learn more, contact Jessica Hein, Outreach Coordinator, at email@example.com.
Dr. Philip Rodgers, Clinical Pharmacist at Duke University Hospital, for Promoting NDEP Resources and a Team Approach to Diabetes Care in Clinical and Classroom Settings
Dr. Philip Rodgers, a clinical pharmacist at Duke University Hospital, has been promoting a health care team approach for diabetes management—which includes pharmacists—for a number of years. As an NDEP partner, he has promoted the use of NDEP’s web site and products within his clinic, with his students, and with colleagues across the country. Dr. Rodgers was a member of the NDEP’s Pharmacy, Podiatry, Optometry, and Dentistry (PPOD) Work Group, which developed the booklet, Working Together to Manage Diabetes, a guide for pharmacists, podiatrists, optometrists, and dental professionals. Dr. Rodgers is currently working with the American Pharmacists Association (APhA) to develop a Diabetes Training Certificate Program for pharmacists which will incorporate NDEP’s materials. He is a professional speaker on the diabetes management team approach and speaks to health care professionals across the country.
Projects and Promotions
At the clinic, Dr. Rodgers runs a Diabetes Management Program where he provides diabetes control counseling, uses NDEP resources to help patients gain a better understanding of their disease, and optimizes the use of diabetes medications with physicians.
Due to access to patients, pharmacists often play a vital role in catching foot, eye, or oral complications that may develop and can recommend patients seek out a specialist, like a podiatrist, optometrist, or dentist. Dr. Rodgers is among a growing number of pharmacists who are using a collaborative approach with physicians and other health care providers to score the best outcomes for their patients.
As an NDEP partner, Dr. Rodgers is an advocate of the diabetes team care approach and frequently refers other health care professionals to NDEP’s website. Dr. Rodgers also promotes NDEP’s materials and website in the classroom. A clinical associate professor at the Eshelman School of Pharmacy, University of North Carolina, he directs his students to the materials located on the site, including the publication Diabetes Medications Supplement. This handy NDEP reference is a real hit among medical students and practitioners alike because it provides a table of the many medications used to manage blood glucose, blood pressure, and cholesterol and highlights the side effects and precautions of each.
Finally, Dr. Rodgers uses his professional affiliations to stress the importance of including pharmacists in diabetes management. He is often asked to speak at organizations across the country on the subject. Hoping to see more pharmacists become involved in diabetes management and education, he joined an APhA committee tasked with revising its Diabetes Certificate Training. The program, scheduled to be available next year, will incorporate NDEP materials into the training.
For more information, contact Dr. Rodgers at Philip.Rodgers@duke.edu.
Texas-based Día de la Mujer Latina Adapts NDEP’s Road to Health Toolkit for Bilingual Health Fiesta Training Program
Día de la Mujer Latina (Day of the Latin American Woman) (DML) is a nonprofit, community-based grassroots organization approved by the state of Texas as a sponsored certification training program for promotores (community health workers). DML’s mission is to address the health disparities in the Latino population through its innovative, culturally specific “health fiesta” model. The organization’s strength lies in its coalition and partnership building efforts with community-based organizations, local businesses, regional and national government entities, health care providers, and key stakeholders.
The DML Health Fiesta is designed to bring preventive health care services directly to the community. The bilingual training program consists of eight core competencies. As part of its knowledge-based skills portion, the DML Health Fiesta incorporates chronic disease prevention, using NDEP’s The Road to Health Toolkit as a roadmap.
The goals of the training include teaching participants how to:
- Educate communities about the relationship between cancer, diet, nutrition, fitness, and obesity
- Promote cultural understanding in addressing diet, nutrition, and fitness
- Learn creative methods of communication to help clients to understand risk factors
- Develop and incorporate a culturally relevant nutrition and fitness plan into patients’ lives
During the health fiestas held across Texas in 2011, DML’s promotores were trained by Yajaira Lara, a certified diabetes instructor who also has diabetes. Participants took turns conducting diabetes and hypertension screening using their monitors. Many promotores participated in the educational workshops, while others facilitated the screenings and motivated folks to do a Zumba workout.
As a result of the 2011 health fiestas, 161 promotores were trained using the curriculum in The Road to Health Toolkit, and 52 have gone on to address obesity and conduct screenings (using blood pressure and glucose monitors) in their churches.
For more information, contact Venus Ginés at firstname.lastname@example.org.
National Latina Health Network Uses Web Channels to Promote NDEP’s National Diabetes Month
The National Latina Health Network (NLHN) promoted NDEP’s messages and materials across a variety of web platforms during National Diabetes Month in November 2010. NLHN worked with popular blogger SoLatina to promote awareness of gestational diabetes (GDM). Working together, NLHN and SoLatina developed an article entitled New Moms Can Prevent Diabetes by Keeping up Healthy Habits. The article encouraged Latina women with a history of GDM to get screened for diabetes and to reach and maintain a healthy weight by being active and making healthy food choices. SoLatina helped spread the word by posting the article on its Facebook page and engaged followers by encouraging them to post comments on the article and share their own experiences with gestational diabetes. By partnering with SoLatina, NLHN was able to spread the word about gestational diabetes to more than 33,000 Latina mothers.
This year, to help partners follow in NLHN’s footsteps and shine a spotlight on diabetes during National Diabetes Month, NDEP has three easy ways for you to get involved:
- Link to the NDEP website: Post NDEP web buttons to your organization’s website and encourage your partners to do the same. Just like NLHN, you can help spread NDEP’s messages simply by linking back to the NDEP website!
- Share our articles: Post one of NDEP’s many ready-to-use articles on your website or in your organization’s newsletter. Follow NLHN’s example and work with a blogger or local media to reach your target audience.
- Engage using social media: Like and comment on Facebook posts, retweet NDEP messages, and share NDEP videos. Engage your social media followers as NLHN and SoLatina did by encouraging them to comment on your National Diabetes Month posts.
To learn more about the National Latina Health Network, visit www.nlhn.net.
Nevada Diabetes Prevention and Control Program (NDPCP) Uses NDEP's Road to Health Toolkit to Improve Self-care for Latino/Hispanic Communities
When the Nevada State Health Division's Diabetes Prevention and Control Program (NDPCP) set out to decrease the burden of diabetes in the Latino/Hispanic communities in the state's southern region, the program focused on strategies to reduce the onset of diabetes and ways to improve self-care. In response to Behavioral Risk Factor Surveillance System (BRFSS) data, which showed that the Latino population had the region's lowest rates of self-care, NDPCP began to develop a program to provide free diabetes self-management education classes for Spanish-speaking residents who had diabetes, were at high risk for developing diabetes, or cared for someone with diabetes. Encouraging peer-to-peer education and inspiring behavior change in the community were key goals.
Outreach and Promotions
NDPCP examined a range of evidence-based tools and chose the U.S. Diabetes Conversation Map® program sponsored by Merck to begin building a program that teaches self-management skills to patient groups. However, the Conversation Map program only featured four sessions and focused primarily on the emotional aspects of diabetes control. The NDEP Road to Health Toolkit, available in English and Spanish, provided the perfect complement to the Conversation Map program. NDPCP incorporated components of the Road to Health Toolkit—including two 2-hour sessions on nutrition and physical activity—to create Road to a Healthier You, a comprehensive 6-week classroom-based prevention program for Spanish-speaking communities. NDPCP's Road to a Healthier You program earned the Centers for Disease Control and Prevention's 2011 Frankie Award for promotion of NDEP resources to address disparities.
Nearly 1 year into the project, Marjorie Franzen-Weiss, DPCP coordinator at the Nevada State Health Division, said, "The two programs are a natural fit…they complement each other very well."
Evaluation is being conducted at pre- and post-course and at 3- and 6-month intervals to determine changes in self-efficacy and health behavior. As of April 2011, preliminary findings indicated that:
- The majority of class participants (91%) were willing and able to start making changes in their daily lives to better manage their diabetes health.
- All of the participants who took both a pre- and post-test reported having set a goal or made a plan to start changing their daily lives to better manage their diabetes (health).
"This was our first year. We're in the building phase, so we don't have a lot of data yet." Franzen-Weiss added. "We are still trying to evaluate if the program is making a difference."
NDPCP praises the NDEP Road to Health Toolkit as "a wonderfully, culturally adapted piece" that has helped to magnify the reach and impact of the division's limited budget. As the program has unfolded, the key lesson learned, according to Franzen-Weiss, is that "you don't know what is going to work until you get started."
For more information about the Nevada State Health Division DPCP, contact Marjorie Franzen-Weiss, M.P.H., CHES, at email@example.com.
Texas DPCP Develops Media Campaigns to Promote, Adapt NDEP Resources
From August 23 through September 12, 2010, the Texas Diabetes Prevention and Control Program (DPCP) adapted NDEP’s “Paso a Paso” diabetes prevention radio public service announcements (PSAs), which aired in Corpus Christi, Houston, Laredo, and the Lower Rio Grande Valley, Texas. The target audience—Hispanics/Latinos ages 25 to 54—heard the spots an average of nearly 12 times in Corpus Christi, more than seven times in Laredo and in the Lower Rio Grande Valley, and nearly 9 times in Houston, reaching an estimated 750,000 listeners.
In addition to radio, the Texas DPCP also utilized print media to extend the reach of NDEP’s campaigns, messages, and resources. A print PSA was placed in the diabetes issue of SmartSource magazine. Also, a coupon insert was placed in Sunday newspapers in Corpus Christi, Laredo, Brownsville/Lower Rio Grande Valley, and Galveston, with an estimated audience reach of nearly 5 million throughout the state. In addition, the Texas DPCP utilized NDEP’s diabetes prevention messages and print PSA artwork for a billboard in Laredo. The billboard directed viewers to a diabetes education program being held at Mercy Clinic.
For more information about these promotions, contact Richard Kropp at Richard.Kropp@dshs.state.tx.us.
New York State Health Foundation (NYSHealth) Diabetes Campaign Hosts Road to Health Trainings
The New York State Health Foundation (NYSHealth) is halfway through a five-year campaign that was developed to address the diabetes epidemic in New York state. One goal of the NYSHealth Diabetes Campaign is to build on existing community resources and strengthen their capacity to provide education, screening, and self-management support related to diabetes prevention and care. NYSHealth believes that while there is an abundance of educational information related to diabetes prevention and management, there are not enough qualified educators in the communities that are most affected by diabetes to deliver these messages.
In an effort to promote diabetes education to community health educators, NYSHealth utilized NDEP’s The Road to Health Toolkit to host two one-day Road to Health trainings (one in English and one in Spanish). NYSHealth invited community health workers, nurses, health educators, and dietitians. Criteria for attending the trainings included a basic working knowledge of diabetes, strong leadership skills, and a demonstrated ability to:
- access hard-to-reach populations
- develop trusting relationships with clients
- reflect the linguistic and cultural diversity of the population they serve
- address specific needs, such as adapting health regimens to family and community dynamics
Betsy Rodriguez, R.N, B.S.N., M.S.N., C.D.E., and Alexis Williams, M.P.H., C.H.E.S., from the Centers for Disease Control and Prevention (CDC) led the trainings. Participants—35 at each session—also signed up to receive invitations to participate in free monthly NYSHealth Diabetes Campaign webinars on topics, such as diabetes and depression in the Hispanic/Latino community, diet and exercise in diabetes management, diabetes group visits in primary care, foot care, and diabetes care. Participants also received a packet of NYSHealth Diabetes Campaign materials.
As part of the CDC’s and NYSHealth’s efforts to evaluate the training, each participant completed an evaluation form at the conclusion of the training. A sample of the evaluation data showed:
- 90 percent of participants reported being “very satisfied” with the training
- 100 percent of participants reported that the purpose, goals, and objectives of The Road to Health Toolkit were met through the presentation
- 75 percent of participants felt prepared to deliver the messages to people in their community or at their practice site
Due to the overwhelming demand for The Road to Health training, NYSHealth has organized two additional trainings, which will be conducted in Long Island, N.Y., where there is an increased need for diabetes self-management support and education among Hispanic/Latino and American Indian and Alaska Native communities.
For more information about how NYSHealth utilized NDEP’s The Road to Health Toolkit to design training sessions, contact Wanda Montalvo, R.N., M.S.N., A.N.P. at Montalvo@nyshealth.org. To learn more about NYSHealth, visit www.nysdiabetescampaign.org.
New Hampshire Diabetes Education Program Collaborates with 16 Partners to Support NDEP’s National Diabetes Month Messages and Materials
The New Hampshire Diabetes Education Program (NHDEP) collaborated with partners and agencies throughout the state to spread NDEP’s National Diabetes Month 2010 campaign messages, which focused on family health history as a risk factor for diabetes.
NHDEP encouraged community health centers, programs within the Division of Public Health Services (DPHS), and agencies throughout the state to get involved. Participants included agency Wellness Coordinators (WC), the NH Tobacco Prevention Control Program (TPCP), the Public Information Office, the Legislative Branch, the Department of Agriculture, and the Department of Transportation.
NHDEP assisted the following partners in promoting NDEP’s National Diabetes Month campaign messages and materials:
- Agency WCs encouraged state employees and their families to engage in diabetes prevention and/ or management behaviors.
- The NH TPCP distributed pledge cards and NDEP’s Small Steps. Big Rewards. Your GAME PLAN to Prevent Type 2 Diabetes: Information for Patients “Fat and Calorie Counter” to coordinate with the November Great American Smokeout campaign.
- NH’s October newsletter for state employees, State of New Hampshire Wellness Program News, and NHDEP’s partner newsletter, New Hampshire Diabetes Digest, included articles promoting NDEP’s campaign initiatives.
- NHDEP, NH TPCP, and DPHS coordinated a campaign kick-off event, which included a training session for WCs focused on the relationship between obesity and diabetes. During the event, the organizations distributed NDEP materials, including, Your GAME PLAN to Prevent Type 2 Diabetes: Information for Patients, Did You Have Gestational Diabetes When You Were Pregnant? What You Need to Know., 4 Steps to Control Your Diabetes. For Life., and Help a Loved One with Diabetes.
- NHDEP worked with the Public Information Office to issue a press release based on a template release developed by NDEP. The release featured quotes by the Commissioner of Health and Human Services and the Director of Public Health Services.
- The Legislative Branch hosted a “Healthy Snack Day.”
- The Department of Agriculture hosted a “Healthy Potluck Contest.”
- The NH Hospital coordinated a wellness fair.
- The Department of Transportation coordinated a Great American Smokeout run/ walk and provided participants with diabetes information.
NHDEP motivated 16 out of 43 state agencies to participate in its overall efforts. This resulted in 185 pledges in honor of National Diabetes Month, 11 displays including NDEP materials in agency buildings, and email updates to state employees.
For additional information about NHDEP’s collaboration efforts, contact Marisa Lara at Marisa.Lara@dhhs.state.nh.us.
The Lexington-Fayette County Health Department Adapts NDEP’s Movimiento DVD for Local Support Group
The Lexington-Fayette County Diabetes Coalition offered to sponsor the new walking DVD project in order to offer a more structured program along with Latin movements to increase physical activity. The purpose of this project was to meet the needs of Spanish-speaking support group members who were struggling to find a tool to help expand their physical activity options. A local Zumba instructor choreographed the Latin steps using six songs from NDEP’s Movimiento por su vida soundtrack, as well as several purchased music tracks. A local film group was contracted to produce and edit the DVD. Support group members practiced several times a week for three months before the DVD was produced. A local dance company donated their space for the video shoot. A total of 500 DVDs were produced for a total expense of $6,500. This low cost reflected the multiple cooperative partners that invested in this project, including: Bluegrass Community Health Center, Kentucky Dance Sport, and the Keeneland Association.
In terms of evaluation, the program continues to track individuals who are using the DVD. Plans are underway to follow up in six months to evaluate how effective the DVD is in promoting daily physical activity.
For more information about this project, please contact Janey Wendschlag, R.N., B.S.N. at Janeyl.Wendschlag@ky.gov.
Deerghayu Foundation Utilizes NDEP’s Road to Health Toolkit in Rural Communities in India
The Deerghayu Foundation is a registered nonprofit organization with locations in Udaipur, Rajasthan, India and Atlanta, Ga. The organization strives to make a difference in India by focusing on helping people make behavior changes to prevent chronic noncommunicable diseases. The foundation strongly believes in its motto, “Outreach, Innovate, and Prevent Lifestyle Diseases,” and reaches communities in inner cities and villages with innovative training methods where health care and knowledge about lifestyle diseases are often scarce. Since its inception in the spring of 2010, the foundation has reached more than 2,000 people in south eastern Rajasthan. To learn more about the foundation or to see videos and photos of the training sessions, click here.
The foundation conducted a door-to-door survey in six districts of south eastern Rajasthan to identify health needs in the community. Survey questions focused on hypertension and diabetes prevalence, family health history, awareness of diseases, frequency of medical care, and use of alternative medicine. The survey results guided the development and design of a comprehensive pilot program for diabetes awareness and behavior change—a challenge in a large country area with very few doctors and no system of diabetes educators. A comprehensive review of existing diabetes tools guided the foundation to NDEP’s resources that address the needs of communities, particularly those targeting non-health care professionals. The goal of the pilot program is to evaluate the process of adapting NDEP’s Road to Health Toolkit to the needs of diabetes and hypertension detection camps at inner-city areas, remote villages, workplaces, residential complexes, and community centers.
The foundation has developed and utilized several educational tools including the Road to Health Toolkit. The foundation utilized the toolkit through a special camp that was organized for professors of the Meera Girls College. Classes were implemented in rural communities to provide tips for healthy eating and disease prevention. Plans are underway to adapt and customize the toolkit in Hindi and Gujarati languages and to the appropriate skill level of rural health care workers.
Results & Lessons Learned
Despite many health care system challenges for diabetes education and care that India is facing, participants at the clinic appreciate the “Traffic Light Method” and the way a human story is conveyed by a brother and sister pair. The key message of this toolkit—prevention—is very positive and is appreciated by the participants in the Indian culture. To date, more than 300 people in India have been educated using this toolkit.
For more information about this effort, contact Anand Chaturvedi at firstname.lastname@example.org.
2011 Frankie Awards
CDC’s annual Division of Diabetes Translation (DDT) Frankie Awards, named in honor of Frank Vinicor, M.D., former director of CDC’s DDT and a founder of NDEP, recognize exemplary promotion and use of NDEP materials and messages in the past calendar year (2010). Awardees were honored during a ceremony on April 11 as part of the DDT meeting in Minneapolis, Minn. The Frankies are competitively judged and awarded in five categories: Use of Media to Promote NDEP, Implementation of an NDEP Program or Activity in the Community, Promotion of NDEP Resources to Address Disparities, Collaborative Partnership Using NDEP Resources, and the Frank Vinicor Award of Excellence.
Kentucky Diabetes Prevention and Control Program
“Know the ABCs of Diabetes”
Use of Media to Promote NDEP – Use of traditional and nontraditional, broadcast, print, electronic, social, or other media to promote diabetes prevention and/or control using NDEP resources
The purpose of this activity was to raise awareness of the ABCs of diabetes (as measured by A1C, blood pressure, and cholesterol) and the importance of managing them for people with diabetes. The target audience was people with diabetes, with emphasis on the high-risk Appalachian and African-American populations. Raising awareness of the ABCs of diabetes through multiple channels encouraged those with diabetes to learn what their ABCs are and to make the necessary behavior changes (i.e., diet/physical activity modifications) to manage their diabetes and reduce the risks for diabetes complications. The Kentucky Diabetes Prevention and Control Program (KDPCP) and partners conducted a variety of activities to promote NDEP’s diabetes control (ABC) campaign messages and materials. Many media venues were used throughout the state including: billboards, television and radio programs, marquee/wall boards, newsletter and newspaper articles, material distribution, and websites. NDEP feature articles were distributed monthly by the KDPCP and Kentucky Diabetes Network Patient Education Work Group to all partners to be placed in local newsletters, newspapers, and magazines. Many NDEP materials, such as 4 Steps to Control Your Diabetes. For Life.; If You Have Diabetes, Know Your Blood Sugar Numbers; Tips to Help You Stay Healthy and Take Care of Your Heart. Manage Your Diabetes., were distributed at health fairs and through displays, and diabetes classes. In addition, NDEP’s Know Your Diabetes ABCs Just Like You Know Your Other Numbers and You Don’t Need to Be a Superhero to Manage Your Diabetes. You Need to Control Your ABCs. messages were used on billboards. Also, “Managing diabetes is not easy, but it’s worth it to prevent or delay complications!” and other ABCs of diabetes messages were placed on payroll stubs or used as payroll stuffers. Several television and radio programs on the importance of knowing one’s ABCs and managing them were presented by diabetes staff from local health departments across the state. Many were broadcast in conjunction with and promoted local community diabetes activities. The KDPCP and partners report activities through the web-based CATALYST Diabetes. As of December 31, 2010, total exposure to diabetes control messages was reported as 27,809,604.
Utah Diabetes Prevention and Control Program, Alliance Community Services, National
Tongan American Society, Utah Nutrition Council, Tooele County Local Health Department,
and Utah County Local Health Department
“Go Local with NDEP!”
Implementation of an NDEP Program or Activity in the Community – Use of NDEP resources to provide heath education one-on-one or in a group, such as in a health care, worksite, school, faith-based, or other community setting
The purpose of this activity was to market NDEP materials and conduct activities using NDEP resources, while allowing community leaders to use their creativity. The Utah Diabetes Prevention and Control Program (DPCP) subscribes to the idea that messages heard from someone who is an actual member of the community will have a greater impact than messages that come from agencies that are less connected to the community. The target audiences included Hispanic/Latino, Pacific Islander, and American Indian communities; uninsured residents; and Utah county residents. This multi-community project was developed to encourage healthier lifestyles and self-management behaviors for people with and at risk for diabetes. The Utah DPCP funded the Utah county and Tooele county local health departments to develop diabetes coalitions and pilot test NDEP campaigns. The coalitions were comprised of diabetes professionals, community leaders, and people with diabetes. The coalitions were charged with adapting and disseminating NDEP messages and materials that suited the characteristics of their unique populations. To further encourage diabetes awareness through the use of NDEP materials, the Utah DPCP solicited applications from community organizations that worked with at risk Utahans. The Utah DPCP encouraged creativity and provided seed funding to assist successful applicants in their efforts. Each organization carefully tracks the number and types of NDEP materials distributed, and the estimated number of people reached. The Utah DPCP will publish the adapted NDEP materials on its website and announce their availability through its listserv. To date, this campaign has reached approximately 9,390 individuals directly. Among those, about 1,215 were diabetes professionals or community leaders who work with racial/ethnic minorities or other underserved populations at risk for diabetes. Therefore, the indirect reach is much greater.
Nevada Diabetes Prevention and Control Program
“Road to a Healthier You” in English and Spanish
Promotion of NDEP Resources to Address Disparities – Use of NDEP resources to address populations disproportionately burdened by diabetes (e.g., racial/ethnic minorities, people of low socioeconomic status, rural populations, women, and people in some regions of the country)
The purpose of this activity was to decrease the risk of developing diabetes and its complications in the Hispanic/Latino population through a six-week, community-based diabetes education program. The program was developed to empower self-management, increase physical activity, and promote healthy weight and appropriate preventive medical care. The focus was to create an environmental change in Hispanic/Latino communities in Nevada. Clark County, located in Las Vegas, is the lead program with expansion to northern and rural Nevada. A six-week diabetes self-management and prevention course using NDEP’s Road to Health Toolkit in English and Spanish and the U.S. Conversation Maps, also available in English and Spanish, was developed. Evaluation is being conducted at pre- and post-course and three-month and six-month intervals to determine changes in self-efficacy and health behavior change.
California Diabetes Program
World Diabetes Day California State Capitol lighting event
Collaborative Partnership Using NDEP Resources – Partnership between work groups, non-profit, private, and/or government organizations to disseminate materials or implement public health initiatives using NDEP resources
This activity was a diabetes prevention and control public awareness and education event. The target audiences were people with and at risk for diabetes, health care decision makers, policy makers, and the media. This activity addressed risk reduction for diabetes and diabetes complications through healthy eating and physical activity. As a part of the World Diabetes Day campaign, the collaboration of partners recognized the need for diabetes awareness and education within the state of California. Information provided by the California Diabetes Program helped assess the need to plan and implement the event, and the World Diabetes Day campaign guided the collaboration to develop the event activities. NDEP messages, curricula, and materials helped to structure the event’s promotional materials, resources and public relations information. Through a partnership of the American Diabetes Association’s regional office in Sacramento, the California Diabetes Program, Juvenile Diabetes Research Foundation International, Sutter Health Foundation, private industry, and several Sacramento community-based organizations, public awareness outreach was planned and implemented. For instance, these organizations developed and obtained a state Governor’s Proclamation for diabetes awareness and hosted an event on the steps of the capitol. The event included more than 300 attendees, health fair exhibits, healthy food sampling, Jazzercise, soul line dancing, and inspiring speakers. This event was the perfect opportunity to feature NDEP’s messages, materials, and information, including the Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention curriculum, the Power to Control Diabetes Is in Your Hands brochure, Small Steps, Big Rewards. Prevent Type 2 Diabetes and Control Your Diabetes. For Life. campaign materials, It’s Not Too Late to Prevent Diabetes, Choose More than 50 Ways to Prevent Type 2 Diabetes, Prevengamos la diabetes tipo 2. Paso a paso, and the Tips for Kids and Tips for Teens tip sheet series. More than 300 people attended the event. In addition, the event was featured on the evening news of six local news stations. The Governor’s Proclamation was featured on the state of California’s website and the event was promoted through the World Diabetes Day and California Diabetes Program’s websites.
Utah Diabetes Prevention and Control Program, Alliance Community Services, National
Tongan American Society, Utah Nutrition Council, Tooele County Local Health Department,
and Utah County Local Health Department
“Go Local with NDEP!”
Frank Vinicor Award of Excellence - This is the highest award given by NDEP and is for exemplary use or adaptation of NDEP resources in a comprehensive, multifaceted initiative to address behavior change
For program details, see “Implementation of an NDEP Program or Activity in the Community” description above.
Use of Media to Promote NDEP:
- Diabetes and Prediabetes Media Campaigns
U.S. Virgin Islands Diabetes Prevention and Control Program
- Reaching People Where They Are… For Good Health
Alabama Diabetes Prevention and Control Program
Debra Griffin, LaMont Pack, Sally Palmer, Karl Bryant, Kathy Blaze , Pam Craig, Demetra Peoples, Representative Mary Sue McClerkin, Mayor Omar Neal, Lillie Hall, Benjamin Moreira, Carolyn Bern, Arrol Sheehan, Takenya Taylor, Farmers Convention staff, Alabama Department of Environmental Management staff, Montgomery Therapeutic Center staff, and Maxwell Air Force Base
Implementation of an NDEP Program or Activity in the Community:
- Taking Ownership of Your Diabetes
University of Kentucky
Margaret E. Cook-Newell, Ph.D., R.D., L.D., C.D.E.; Hazel Forsythe, Ph.D., R.D., L.D., C.F.C.S.; Irene Hong-McAtee, M.D., M.C.R.; Laura Hieronymus, M.S. Ed., A.P.R.N., B.C.-A.D.M., C.D.E.; Stephen D. Perry, M.S., R.D., L.D.; Pam Sigler, M.S.; Lynn Blankenship, M.S.; Cheryl Case, M.S.; Ann Hollon; Theresa Scott, M.S.; Tamara Thomas M.S.; and Adrienne Glodt
Promotion of NDEP Resources to Address Disparities:
- Cenando con Diabetes en Pennsylvania
Penn State Cooperative Extension
- Healthy Communities Start with You
National Kidney Foundation of Michigan
Jodi Burke, Art Franke, Laurie Gustafson, Ruth Kaleniecki, Kristie King, Wendy Lombard,
Jerry Yee, M.D., Michigan Department of Community Health, CHASS-REACH Detroit, Henry Ford Health Systems, Arab Community Center for Economic and Social Services, Detroit Area Agency on Aging, Health Alliance Plan, Omnicare Health Plan, Greater Detroit Area Health Council, Detroit Department of Health and Wellness Promotion, Wayne County Department of Public Health, federally-qualified health centers, area primary care providers, hospital and physician associations, senior centers, faith-based and other community groups that refer participants to the programs
- The Links to Chronic Kidney Disease: Diabetes, High Blood Pressure,
and Family History community program
Wisconsin Diabetes Prevention and Control Program
Collaborative Partnership Using NDEP Resources:
- La Familia Diabetes Prevention Awareness and Screening Exhibit in St.
Minnesota Diabetes Prevention and Control Program
Marsha Hughes, HealthEast Diabetes Care System and St. Paul Lion’s Club; Sheryl Grover, Minneapolis-St. Paul YMCA Diabetes Prevention Program; Rita Mays, Minnesota Diabetes Program; and Minnesota Department of Health
- The Ohio Gestational Diabetes Mellitus (GDM) Collaboration
Division of Family and Community Health Services, the Office of Healthy Ohio Diabetes Prevention and Control Program, and the State Epidemiology Office
- The Massachusetts Diabetes Education Program Coalition: Working Together
to Manage Diabetes
Massachusetts Diabetes Education Program
Alabama Department of Public Health Partners with NDEP for Diabetes Campaigns
The Alabama Department of Public Health’s Nutrition and Physical Activity Wellness Program promoted its Walk at Work campaign during National Diabetes Month in November 2010. The campaign was endorsed by the state health officer and supervisors from each of the bureaus and divisions at the health department, located at the RSA Tower in Montgomery, Ala. Throughout the month, during 9:00 a.m. and 2 p.m. breaks, a supervisor was scheduled to walk with employees who were interested in walking during the break. The walks consisted of approximately 800 employees separated into groups of three to five. Employees walked for 15 minutes, at least three times a week. The program provided 900 copies of NDEP’s Choose More than 50 Ways to Prevent Type 2 Diabetes tip sheet and 650 copies of NDEP’s It’s Not too Late to Prevent Diabetes tip sheet to participants. These materials were shared with 11 public health area sites in the state of Alabama Worksite Wellness Program.
Through a collaboration with its Social Marketing department, Walmart, and Murphy Gas stations, the Alabama Department of Public Health developed another campaign, Gas Pump Toppers, which raised awareness of the signs and symptoms of diabetes as well as the complications. As part of the campaign, the Alabama Diabetes Program developed and marketed gas pump topper billboards. The ads also were included in the Alabama Pharmacy Association’s APA Journal and the Alabama health newsletter. From September through November 2010, Gas Pump Topper billboards were displayed at 120 gas stations across the state of Alabama, reaching more than 25 million people. During the month of December, Diabetes Program staff was interviewed on WFSA-TV NBC Channel 12 to discuss family health history as an important risk factor for developing diabetes.
Finally, on March 16, 2011, the Diabetes and Cardiovascular Health programs co-sponsored a satellite conference targeting the mental health community with a focus on preventing metabolic syndrome.
For more information about these promotions, contact Debra Griffin at Debra.email@example.com or (334) 206-2066.
Nebraska Department of Health & Human Services Promotes NDEP’s School Guide During Telehealth Workshop
The Nebraska Department of Health and Human Services conducted a Diabetes Telehealth Workshop promoting the NDEP’s Helping the Student with Diabetes Succeed: A Guide for School Personnel utilizing the Nebraska School Nurse Telehealth Network. The Telehealth Network is a valuable resource that provides education and information to multiple sites throughout the state. Partners included: nurse managers, the Nebraska School Health Program, the School Nurse Telehealth Network, diabetes educators, and the St. Elizabeth Regional Medical Center.
At the conclusion of the workshop, participants were able to describe effective nursing diabetes management principles and the nurse’s role in the school setting. A certified diabetes educator from St. Elizabeth Regional Medical Center conducted the workshop, which focused on:
- encouraging use of NDEP’s School Guide
- raising awareness of the guide among school personnel
- accessing the guide from the NDEP website, www.YourDiabetesInfo.org/SchoolGuide
In addition, a resource sheet with information on the guide was provided to participants. To increase access to school personnel, a link to the guide was posted to the Nebraska School Health Program’s website.
An evaluation of the workshop showed that the majority of participants had positive feedback. The workshop reached a total of 21 sites throughout Nebraska, with 60 certificates of participation issued. Since Nebraska is a rural state, a larger number of school health nurses were reached via the Telehealth workshop.
To learn more about this promotion, contact Kathy Goddard at firstname.lastname@example.org or (402) 471-0194.
Frederick County Health Department Receives Model Practice Award for its Diabetes Prevention Program, Power to Prevent
The Frederick County Health Department was recently highlighted in NDEP’s March Partner Spotlight for launching Power to Prevent, a lifestyle diabetes prevention program that utilizes NDEP’s Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention curriculum. As a follow-up, NDEP is pleased to announce that the Frederick County Health Department has received a Model Practice Award from the National Association of County and City Health Officials’ Model Practice Program for its Power to Prevent program. The overall goal of this program is to reduce the burden of chronic disease by preventing or delaying the onset of type 2 diabetes and preventing or delaying health complications associated with type 2 diabetes.
For more information about this program, contact Angela Blair at ablair@FrederickCountyMD.gov or (301) 600-1861.
The Massachusetts Diabetes Education Program Partners with NDEP to Emphasize the Importance of PPOD Professionals in Diabetes Care
The Massachusetts Diabetes Education Program (MDEP) Coalition is a statewide coalition based on the National Diabetes Education Program (NDEP) model. This unique MDEP Coalition has a working group of member health providers that is developing a communications program aimed at educating the public and its members regarding the important role that the coalition’s providers play in diabetes management, education, and prevention.
Coalition member pharmacist, podiatrist, optometrist, and dental care (PPOD) professionals are often a primary point of care for people with type 2 diabetes. Working with primary care providers, these professionals play an important role in ensuring that diabetes care is continuous and patient-centered. PPOD professionals educate people with diabetes about the disease, encourage them to practice self-management, provide appropriate treatment, and refer those who require the care of other health professionals.
The goals of the MDEP Coalition are to:
- Reinforce consistent diabetes prevention and management messages to patients
- Promote a team approach to comprehensive diabetes care
- Encourage collaboration among PPOD care providers to provide enhanced patient care and increase referrals to one another
- Promote diabetes prevention and provide diabetes management education to the public.
The core message of the MDEP is, “If you have diabetes, it’s important to know your blood sugar level, blood pressure, and cholesterol, and to review your medications with your pharmacist each year. It’s also important to bring all your medicines and visit your optometrist and podiatrist at least once a year and your dentist every six months to avoid serious, diabetes-related health problems such as blindness, foot amputations, drug interactions, and heart disease.”
Promotion and Outreach
The MDEP has conducted three education programs, including Yankee Dental Congress 2010 and 2011 and the American Podiatric Medical Association’s Region One conference. More than 650 Massachusetts PPOD providers have seen the PPOD panel presentation, and all materials developed were based on NDEP’s Working Together to Manage Diabetes: A Guide for Pharmacists, Podiatrists, Optometrists, and Dental Professionals, 2007. From late January to late February 2011, the MDEP ran a pilot media campaign that consisted of print, online, and radio public service announcements (PSAs) developed to reach African American and Hispanic/Latino communities. The timing of the campaign coincided with the Yankee Dental Congress MDEP panel presentation and breakout session. The PSAs urged people with diabetes to know their blood glucose, blood pressure, and cholesterol levels and to visit their PPOD medical management team at least annually and twice a year for dentists. Specifically, the PSAs were featured:
- In print publications such as El Planeta, Bay State Banner, and World Journal
- On radio stations such as WORC 1310 AM, WLLH 1400 AM, WACM 1490 AM, and WJFD 97.3 FM
- On local TV channels 4, 5, 6 and 7 and Telemundo
The MDEP also has developed a bilingual website, www.mdepcoalition.org, which is available in English and Spanish and links to the NDEP website. Lastly, the MDEP has developed an informational video featuring various PPOD professionals providing tips to help people with diabetes learn how to lower their risk for serious, diabetes-related health problems.
“It is paramount that the leadership of organizations be on board with the message. Without the leadership support of the Massachusetts Pharmacists Association, Massachusetts Podiatric Medical Society, Massachusetts Society of Optometrists, and Massachusetts Dental Society committing staff time and money, this coalition would not have been possible. The staff of the organizations were key in this program’s success. We had a great team of talented professionals with which to work, said Lee Ball O.D., F.A.A.O., an NDEP volunteer.
For more information about this program, contact Dr. Ball at email@example.com or (978) 646-9093.
AADE Webinar Highlights NDEP’s School Guide
In March, the American Association of Diabetes Educators (AADE) coordinated a webinar entitled, “Kids and Diabetes: An Assessment of Needs and Resources.” Moderated by Francine Kaufman, M.D., past NDEP chair, the webinar covered:
- What kids and families need to manage diabetes and the resources available to them
- The neuropsychological effect of type 1 and type 2 diabetes on children
- The insulin pump and its role in the child's life
- How kids can manage diabetes at school
As part of the discussion, Dr. Kaufman referenced NDEP’s recently updated Helping the Student with Diabetes Succeed: A Guide for School Personnel as a resource for parents, students, and school personnel. To view upcoming 2011 AADE webinars, click here. To view or download the NDEP School Guide or promotional toolkit, click here.
Frederick County Health Department Utilizes NDEP’s Power to Prevent Curriculum in Diabetes Prevention Program
In November 2009, the Frederick County Health Department launched Power to Prevent, a lifestyle diabetes prevention program that utilizes NDEP’s Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention curriculum. The overall goal of this program is to reduce the burden of chronic disease by preventing or delaying the onset of type 2 diabetes and preventing or delaying health complications associated with type 2 diabetes. People with and at risk for type 2 diabetes are eligible to join the program. Funding for this initiative was made possible by a three-year grant received from the Office of Chronic Disease Prevention of the Maryland Department of Health and Mental Hygiene. To achieve the overall goal, the Power to Prevent program has two primary objectives:
- Overweight participants lose 5 to 7 percent of their weight. Normal weight participants maintain their weight.
- Participants are moderately physically active for at least 30 minutes a day, five days a week.
The program’s third and less central objective is to get participants to see their health care providers for follow-ups and for those who are without a medical home to get them connected with a health care provider.
Participants attend one two-hour class per week for 12 weeks. Thirty minutes of class are dedicated to doing low-impact physical activity. Groups are co-led by a community lay educator and registered dietician (RD). Each participant also receives two individual sessions with the RD and is contacted by the department’s health access coordinator to ensure all participants have seen their health care provider in the past year or are connected with a provider if they do not have one.
The Frederick County Diabetes Coalition serves as the Advisory Committee for this project. Support and in-kind services are provided by at least 10 different community organizations/groups:
- New Dimension Worship Center
- Frederick County Extension Office
- Frederick Memorial Hospital Stroke Program
- Frederick Memorial Hospital Diabetes Program
- The Y
- If the Shoe Fits
- Mission of Mercy
- Hillcrest School Based Health Center
- Menocal Family Practice
- Centro Hispano
Some of the lessons learned and modifications made to NDEP’s Power to Prevent curriculum include:
- Use of a co-leader model for the entire 12-week program. A RD and community lay educator share responsibility for teaching each class lesson. More technical and complicated subjects are assigned to the RD.
- In addition to the 12 weeks of classes, participants are eligible for two individual nutrition counseling sessions with the RD.
- Class lessons are augmented with additional handouts. All handouts are also available in Spanish and information on certain subjects of interest, such as whole grains and healthy fish choices, have been added.
- Thirty minutes of each two-hour class are dedicated to doing a low-impact physical activity.
- Based upon participant feedback concerning tracking physical activity and foods eaten, participants are now routinely provided with websites where they can track this information online. Program leaders are also in the process of developing a more user-friendly hard copy tracker. In their experience, participants have a more difficult time recording foods eaten verses physical activity, so they continue to offer encouragement, support, and improved tools and resources. They also offer incentives based on how well participants track these activities and complete their weekly pledge.
- Participants have consistently given high marks for the grocery store tour, which they do for each 12-week cycle, the expert guest speakers, and the simple message of the program “Small steps lead to big rewards.”
- Additionally, participants have stated how important it is that the program is offered for free. Many have stated they simply would not have taken the class if there was a fee. Participants have also reported that the group support and accountability (discussion of food and physical activity trackers) influenced their behavior in positive ways.
One of the program’s primary objectives is that overweight participants lose 5 to 7 percent of their weight, and normal weight participants maintain their weight. The RD measures change in participants’ weight based on data collected pre-program, post-program and three months post program.
Based upon results from the 57 graduates who have completed pre/post program weight measurements, 18 percent of graduates lost 5 percent or more of their weight or maintained a normal weight. Among those who lost weight, the average weight loss was 3.2 percent. The number of graduates who lost any amount of weight was 82 percent. Using their pre-session weight as a benchmark, 79 percent of the 33 graduates who completed the three-month follow-up, have maintained their weight loss.
A second primary objective is that participants are moderately physically active for at least 30 minutes a day, five days a week. Participants complete a pre/post survey, which measures time and level of physical activity. Participants use food and activity trackers to record what they eat and their daily level of activity.
Based upon results from the 68 graduates who completed pre/post surveys, participants who engaged in 30 minutes or more of moderate physical activity or 20 minutes or more of vigorous physical activity per day, at least five days per week improved from 35 percent pre-program to 57 percent post-program.
For more information about this program, contact Angela Blair at ablair@FrederickCountyMD.gov.
Howard University Diabetes Treatment Center Utilizes NDEP Materials to Screen, Treat, Educate Local Residents
The Diabetes Treatment Center at Howard University Hospital, through a grant from the District of Columbia Department of Health, used a medical mobile unit to screen for diabetes and treat and educate people living with diabetes in Washington, D.C. The medical mobile unit is equipped with an electronic medical record that allows nurses, dietitians, and physicians to evaluate and treat patients in the community. The population served is largely African Americans living in the metropolitan area. As part of their education efforts, NDEP’s Power to Prevent: A Family Lifestyle Approach to Diabetes Prevention curriculum was utilized to plan and present their Prediabetes Education Workshop. In addition, NDEP’s It’s Not Too Late to Prevent Diabetes and Choose More than 50 Ways to Prevent Type 2 Diabetes handouts were regularly utilized in their community outreach efforts.
With the establishment of group medical visits, the center has found that NDEP’s Choose More than 50 Ways to Prevent Type 2 Diabetes tip sheet and Small Steps. Big Rewards. Your GAME PLAN to Prevent Diabetes Food and Activity Tracker were great tools to help encourage entire families to participate in the prevention and care of diabetes. In addition to hard copy resources, the center is using a web-based educational portal that allows patients to access other NDEP resources such as the If You Have Diabetes, Know Your Blood Sugar Numbers tip sheet and the “Five Facts About Diabetes” feature article, which includes a byline from Griffin P. Rodgers, M.D., M.A.C.P., Director, National Institute of Diabetes and Digestive and Kidney Diseases.
All of these activities have improved patients’ diabetes care knowledge. This has resulted in an average A1C reduction of 1.33 from a baseline of 9.68 percent to 8.35 percent in the 141 patients reviewed from January to December 2010 who have participated in the diabetes education program using many of the NDEP materials.
For more information about this activity, contact Gail Nunlee-Bland, M.D. at firstname.lastname@example.org or (202) 865-3350.
CareFirst BlueCross BlueShield Expands Its Promotion of NDEP Materials
CareFirst BlueCross BlueShield (CareFirst), the largest health care insurer in the mid-Atlantic region, serving nearly 3.4 million members in Maryland, D.C. and northern Virginia, recently expanded its promotion of NDEP resources. Headquartered in Owings Mills, Maryland, CareFirst offers disease management programs for members with diabetes and other chronic diseases. My Care First website provides members with a range of health tools and other online educational resources. At www.carefirst.com/diabetes, users can find a series of diabetes topics and links to additional resources, including the NDEP, NIDDK, National Diabetes Information Clearinghouse, and CDC.
Earlier this year, CareFirst expanded its online resources for members by adding new NIDDK and NDEP links to its website, which draws more than 1,000 visitors daily. Among these links visitors can find:
“Tengo Diabetes,” NDEP’s Spanish-language website for people with diabetes (see carefirst.staywellsolutionsonline.com/spanish/Resources/)
NIDDK as a source of online resources for members (carefirst.staywellsolutionsonline.com/Conditions/Diabetes/Resources/)
NDEP’s tip sheet for women with a history of gestational diabetes also is featured cfpregnancy.staywellsolutionsonline.com/MoreResources/
For several years, CareFirst has been featuring its co-branded version of the NDEP Spanish-language prevention tip sheet, Paso a Paso, at local events such as community and faith-based health fairs.
Joanne Drummond of the CareFirst health communications office said colleagues also promote NDEP resources in webinars for employers on workplace wellness. “What we really love about NDEP said is we can reproduce your material, and we know it’s reliable,” said Drummond.
For additional information, please contact Drummond at 410-998-5612, or email@example.com.
CareFirst BlueCross BlueShield is an independent licensee of the Blue Cross and Blue Shield Association. ® Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc.
Southern Jersey Family Medical Centers Adopts NDEP Materials for 2010 National Diabetes Month
In recognition of National Diabetes Month, in November 2010, Carol Mallette, M.A. of the Southern Jersey Family Medical Centers partnered with the New Jersey Maternal and Child Health Consortium, the New Jersey Chronic Disease Advisory Council, and the NJ Department of Health and Senior Services to organize Vital Links, a statewide Chronic Disease Summit. Ann Albright, Ph.D., R.D., Director, Division of Diabetes Translation, Centers for Disease Control and Prevention, served as keynote speaker for the event, which had more than 300 attendees. This event included a table with NDEP materials such as the 4 Steps to Control Your Diabetes. For Life. Asian-language adaptations, prevention tip sheets for African Americans and Hispanic/Latinos, and materials for youth. A large-scale, retractable banner adapted from NDEP’s More Than 50 Ways to Prevent Diabetes tip sheet was developed to attract visitors to the table. In terms of evaluation, nearly 90 percent of the materials were distributed to people who were – for the most part – unaware of NDEP. Overall, they received positive feedback regarding NDEP’s materials.
In addition, Ms. Mallette coordinated the 10th Annual Diabetes Day Fair in her state, which had more than 200 attendees. This event included giving 125 flu shots, 28 pneumonia immunizations, 102 screenings, and blood pressure checks. Also, 35 people participated in the healthy cooking demonstration offered by the Atlantic Cape Community College’s School of Culinary Arts.
During this event, she staffed another table with NDEP materials. Also, the Mayor attended this event and issued an official proclamation.
Ms. Mallette also tailored NDEP’s family history article for her organization’s needs. The feature article “What Is Your Family Health History?” included information about preventing diabetes and quotes from local doctors. The article was distributed to local newspapers and was featured in publications such as the Hammonton Gazette. In addition to the article, she ran an ad “You Have the Power to Prevent Diabetes” co-branded with the Southern Jersey Family Medical Centers’ and NDEP’s logos and distributed it to women’s magazines.
Finally, on November 13, 2010, Ms. Mallette coordinated a “Diabetes Talk” at a senior housing complex for approximately 36 attendees. During the presentation, older adults were encouraged to use NDEP’s free resources to manage or prevent diabetes.
To learn more about these activities, contact Carol Mallette at cmallette@SJFMC.org.
MOMS Orange County Conducts Diabetes Trainings Using NDEP’s Road to Health Toolkit
- Martha Londono, M.P.H., Ph.D., Diabetes Coordinator
- Yvette Bojorquez, B.A., R.N., Director of Client Services
The MOMS Orange County utilized NDEP’s Road to Health Toolkit (RTH) to train maternal child health coordinators and clinicians for its Pregnancy and Diabetes Prevention Program in Orange County, California. Staff was introduced to the RTH curriculum through engaging activities, personal self-assessments and group discussions. In addition, they were encouraged to apply strategies learned to home visits.
MOMS Orange County is a uniquely-qualified, community-based organization that provides access to prenatal care, health screenings, infant development screenings, health education and referral services through monthly home visits and group classes. Its mission is to help mothers and their families have healthy babies by providing health coordination, education and access to community services.
The MOMS Orange County’s model utilizes in-home health coordination and education to raise awareness of diabetes and to promote healthy habits through lifestyle change. Through screenings of pregnant women, those identified as having diabetes or at risk and in need of specialized coordination are automatically enrolled in the program. Each case is reviewed by registered nurse case managers and a diabetes care plan is developed with a focus on nutrition, exercise and maintaining blood glucose. For high-risk cases, a registered dietician supports the case managers. Program participants are encouraged to maintain blood glucose in their target range through proper nutrition and exercise, access appropriate medical care to promote healthy birth outcomes, and breastfeed their baby. The objectives of the program are to:
- Reduce the risk of developing gestational diabetes in women who are identified as high risk
- Improve birth and maternal outcomes for women with gestational diabetes and their babies
- Reduce the risk of women developing type 2 diabetes after pregnancy
- Lower the infant’s risk of developing diabetes, obesity and serious health problems later in life
Currently, MOMS Orange County is enhancing the program to include access to prenatal and postpartum classes and support groups focused on prevention, self-management and lifestyle change facilitated by a bilingual diabetes coordinator.
“I really liked the aspect of the training in which we were challenged to think of ways to help our clients incorporate exercise into their daily routine. It is often very hard for a mother to take time away from her children or responsibilities to leave the house for a walk outside. For example, clients often share that they will relax at the end of their busy day for an hour watching novelas (Spanish-language soap operas). We can suggest that perhaps they can do stretching exercises or some activity during commercial breaks. This helped me to think of ways to make fitness and nutrition reasonable and relevant to clients.” –Maria
“The training really reminded me of how crucially important diet and exercise is for the health of everyone—even if you’re not diabetic. I really reflected on this truth, for both myself and clients.” –Monique
“I really took away that even if you are at risk for diabetes, there are a lot of things you CAN do to prevent the onset of diabetes. Just because it is in your genes does not mean you are doomed. It was really helpful to come to that understanding and know that we can help clients to pass on that information not only for themselves but for their families as well.” –Miriam
“The training really emphasized for me that even if you’re not obese or grossly overweight, you can still be at risk for developing diabetes. But you are able to make changes in your activity and eating habits. It was helpful to learn about portion sizes so now I am more conscious of what I eat (more fiber, less sugar). Also, I can share what I’ve learned and how I learned it through the training with clients.” –Martha
The U.S.-Mexico Border DPCP Project Gets Inspired by NDEP’s Road to Health Photo Journal
The U.S.-Mexico Border Diabetes Prevention and Control (DPCP) project strongly believes that community health workers or promotores de salud are an important part of the diabetes health care team. From 2009 to 2010, the project delivered nine strategic diabetes trainings across the border among this group and promotores showed not only their enthusiasm for the trainings, but also, true commitment and loyalty to NDEP products.
These unique trainings integrated the Diabetes Education Modules developed by the International Diabetes Federation and NDEP’s Road to Health Toolkit. On the first day of training, health care professionals and community health workers received the information side by side. Later, they were split up and trained with similar information, but tailored to their specific needs. On the last day of the training, they came together to develop an action plan for their markets or regions.
The trainings were very successful. Evaluation and follow up were outstanding. Inspired by the toolkit’s Photo Journal, the project developed its own Binational Photo Journal including the history of the U.S.-Mexico Border DPCP project, NDEP, and the community health workers. As homage to the work of community health workers, the Photo Journal captures promotores’ experiences in the trainings and in the field. The Photo Journal can be found on the Pan American Health Organization’s website at www.paho.org/fep/diabetes.
Ohio DPCP Tailors NDEP’s November GDM Posters Using Real Employees and Their Children
The Ohio Diabetes Prevention and Control Program (DPCP) is participating in a national gestational diabetes project sponsored by the Association of Maternal and Child Health Programs (AMCHP), the National Association of Chronic Disease Directors’ (NACDD) Women’s Health Council and the Centers for Disease Control and Prevention. The goals of the project are to:
- Foster collaboration between AMCHP and NACDD
- Utilize traditional social marketing techniques to increase public awareness of gestational diabetes and identify the link concerning healthy lifestyles and development of type 2 diabetes
During the 2010 National Diabetes Month, the Ohio DPCP partnered with NDEP to tailor and co-brand the “Family Health History: Gestational Diabetes” poster. An African American and Hispanic/Latina employee of the Ohio DPCP, along with their children, were photographed to reach populations disproportionately affected by diabetes in Ohio. In addition, the Ohio DPCP worked with the Ohio Hispanic Coalition to translate one of the posters into Spanish. Plans are underway to develop and disseminate a similar poster with a Caucasian employee to reach the Appalachian region.
Promotion and Dissemination:
In November 2010, the posters were distributed with the Ohio DPCP’s quarterly newsletter to more than 1,500 diabetes care partners including, hospitals; Federally Qualified Health Centers; local health departments; Women, Infants and Children clinics; endocrinologists; primary care physicians; certified diabetes educators; registered dietitians; and selected OB/GYN practices. Information was also posted on the Healthy Ohio website and Facebook page.
To learn more about this promotion, contact Nancy D. Schaefer at Nancy.Schaefer@odh.ohio.gov or call (614) 728-3775.
Designed for African Americans and Hispanics/Latinos at risk for type 2 diabetes, this tool kit provides materials to start a community outreach program reinforcing the message that type 2 diabetes can be delayed or prevented.