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New Fotonovela for Hispanic/Latina Women at Risk for Diabetes

New Fotonovela for Hispanic/Latina Women at Risk for Diabetes

 NDEP’s new publication, Fotonovela: Do it for them! But also for yourself, helps Hispanic/Latina women at high risk of developing type 2 diabetes and their families. The visually attractive and engaging story – told in both English and Spanish – uses role models to demonstrate how women can reduce their risk of developing type 2 diabetes through increased physical activity, making healthy food choices, and weight loss. This format is especially effective for people with low literacy. You can use this fotonovela to:

  • Encourage healthy behaviors.
  • Teach steps toward positive choices.
  • Support face-to-face education by lay-health workers.
  • Reinforce clinical recommendations.
  • Initiate discussion among a group or at meetings.
  • Encourage self-identification of risk factors.
  • Raise awareness.
  • Support community education outreach.


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NDEP Welcomes New Leadership

The NDEP is honored to welcome John Buse, M.D., Ph.D., as the Program’s new chair, and Wanda Montalvo, R.N., M.S.N., A.N.P., who will serve as NDEP’s new Operations Committee chair. Dr. Buse and Ms. Montalvo will serve in these roles for two-year terms.

Dr. Buse’s leadership role with the NDEP builds on notable accomplishments spanning more than 25 years. Currently a medical professor at UNC-Chapel Hill, he serves as the director of the Diabetes Care Center, chief of the Division of Endocrinology and executive associate dean for clinical research, and works within the leadership of the North Carolina Translational and Clinical Sciences Institute, home of the UNC NIH Clinical and Translational Science Awards. He has played key roles in numerous multicenter clinical trials, including two major NIH-sponsored trials: ACCORD (Action to Control Cardiovascular Risk in Diabetes), for which he serves as study vice-chair, and STOPP-T2D (Studies to Treat Or Prevent Pediatric Type 2 Diabetes). Buse served as 2008 president, medicine and science, of the American Diabetes Association (ADA), for which he has also chaired many committees and task forces.

Ms. Montalvo is an executive nurse leader with expertise in quality improvement, project implementation, strategic planning, community health collaboration, as well as health policy. Ms. Montalvo has been an active and engaged partner in NDEP activities for many years. Most recently she was the Clinical Director for the New York State Diabetes Campaign sponsored by NYSHealth Foundation where she expanded clinical and community partnerships, leveraged resources to support statewide diabetes training for clinicians and community members using NDEP’s Road to Health Toolkit, and implemented strategies to increase the number of clinicians with NCQA/BTE Diabetes Provider Recognition. Prior to joining NYSHealth, she was the Chief Clinical Program Officer at the Community Health Care Association of New York State. She is a recipient of the Healthy Youth for a Health Future Champion Award from the U.S. Surgeon General, the Quality Center of the Bureau of Primary Health Care Outstanding Achievement Award, and a RWJF Executive Nurse Fellow 2004–2007 as well as a National Advisory Committee member for Partners Investing in Nursing.

Dr. Buse and Ms. Montalvo succeed Martha (Marti) Funnell, M.S., R.N., and Jeffrey Caballero, M.P.H. — whose leadership and dedication has moved NDEP forward to advance its mission and strengthen partner engagement with the NDEP. The NDEP is extremely grateful to Ms. Funnell and Mr. Caballero for their years of support and look forward to their continued involvement with the NDEP in the years to come!


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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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