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January Partner Spotlight

Nevada Diabetes Prevention and Control Program (NDPCP) Uses NDEP’s Road to Health Toolkit to Improve Self-care for Latino/Hispanic Communities

BackgroundNevada

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 PromotionsGroup of people line dancing

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.

Evaluation

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 maweiss@health.nv.gov.


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NIDDK Director Encourages People to Talk about Health History at Family Gatherings

In an interview with NIH Radio, Dr. Griffin Rodgers, director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), stressed the importance of knowing family health history and noted that holiday gatherings are a great time to find out yours. Many diseases — including diabetes — run in families. If you have a mother, father, sister, or brother with type 2 diabetes, you are at risk for developing the disease. Dr. Rodgers also shared helpful ways to stay healthy despite all the stress and travel during the holiday season

During the interview, Dr. Rodgers provided the following advice:

  • Take advantage of holiday gatherings to find out your family health history.
  • Family history can’t be changed; but you can lower your risk for diabetes and other diseases by making a plan with your health care team to lose weight and be more active.
  • During the holidays, carve out time to eat healthy and be active.
  • At holiday events, focus on friends and family instead of the food.
  • Saving up for a big meal may actually cause more harm than good.
  • Watch your alcohol intake for hidden calories.

Listen to the interview


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December Partner Spotlight

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

BackgroundRedesigning the Health Care Team publication cover

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.


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NDEP Partnership Network Meeting

NDEP’s 2011 Partnership Network Meeting held on October 2-3 in Atlanta, Georgia—with over 155 participants—was a great success.

The agenda underscored the meeting theme, Celebrating NDEP Success: Past, Present and Future, starting with an inspiring panel discussion featuring past and present NDEP leaders. Plenary presentations by Griffin P. Rodgers, M.D., M.A.C.P. and Ann Albright, Ph.D., R.D. highlighted current diabetes research and implications for NDEP. Five breakout sessions, including Supporting Behavior Change in Preventing and Managing Diabetes, Using Traditional and Non-Traditional Communication Tools, Addressing Health Disparities, Adapting NDEP Tools to Reach Your Audiences, and Promoting NDEP Resources in Worksite Programs, provided informative presentations on using NDEP resources to address diabetes challenges in communities. The meeting concluded with partner Stakeholder Group meetings that set the stage for NDEP’s work moving forward.

Meeting materials including plenary, breakout, and product discussion PowerPoint presentations and summaries are now available.  


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November Partner Spotlight

Texas-based Día de la Mujer Latina Adapts NDEP’s Road to Health Toolkit for Bilingual Health Fiesta Training Program

DML LogoDía 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.

People doing ZumbaThe 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

Woman using Road to Health Toolkit to teach group.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.

Man checking a woman’s blood pressure.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 diadelamujerlatina@gmail.com.


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