2012 NDEP Frankie Award Winners
Nov 29, 2012
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 Pre-Diabetes. 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.