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4/19/2018
1
An Opportunity for
Community Health Workers
April, 2018
Prevalence of diabetes and prediabetes
CDC-recognized Diabetes Prevention
Programs in Missouri
Take It Back campaign
YMCA’s Diabetes Prevention Program
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Group sessions with lifestyle coaches
Learn healthy lifestyle skills
Offered in community locations
Adherence to CDC quality standards
Refer clients to a CDC-recognized
Diabetes Prevention Program (DPP)
Advocate for a DPP at your organization
Become a lifestyle coach
(Your idea here)
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0%
5%
10%
15%
20%
25%
30%
35%
40%
Has prediabetes Knows about prediabetes
Prediabetes can lead to type 2 diabetes within 3
years if no action is taken.
Rates of death/100,000 due to diabetes by race/ethnicity in MO, 2015
Total MO
diabetes
deaths:
1,464 2015.
Source: Chronic Disease MICA, 2015
0
5
10
15
20
25
30
35
White Black Hispanic
Deaths
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45 years of age or older
Overweight
Exercise < three times per week
Family history of type 2 diabetes
History of gestational diabetes
African Americans, Hispanic Americans, American Indians, Native Hawaiians, Pacific Islanders and Asian Americans
Participating in a structured lifestyle change
intervention makes a difference.
Losing 5-7% of body weight reduced risk of type
2 diabetes by 58% in the DPP study
DPP reduced onset by 71% for those over 60
years.
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The Social Welfare Board,
St. Joseph
The YMCA of Greater
Kansas CityGateway Region YMCA
Missouri State University
Springfield
Northeast Missouri Health
Council, Kirksville
Hannibal Regional Hospital
Douglas County
Health Dept., Ava
St. Luke’s Hospital
Missouri Baptist Hospital
Over 100 virtual programs
South County Diabetes &
Obesity Center
The Healthiest You
0
500
1,000
1,500
2,000
2,500
3,000
3,500
4,000
NUMBER OF PARTICIPANTS
Missouri Avg Neighbor Avg US State
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6
%Not covered
Medicare
Anthem BCBS
United Healthcare
BCBS of KC*
Medicaid*
NOT
COVERED
MEDICARE
ANTHEM
*Has been announced but coverage hasn’t started yet.
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• Effort led by Missouri Department of Health and Senior services
• Goal: raise awareness of risk and increase enrollment in NDPPs
• Missourians over 45, African American and Hispanic/Latino
audience.
• Campaign was statewide but concentrated in STL and KC
because higher minority audience and more in-person NDPPs
located there.
• Partnered with Elasticity on creative
• Based on idea that prediabetes can be reversed, unlike
embarrassing moments from our past
TAKE IT BACK
• Materials to raise awareness of prediabetes
and recruit for DPPs (posters, brochures,
videos)
• Materials to advocate for DPP at your
organization (presentation slides, videos)
• Website: ReverseYourRisk.com
TAKE IT BACK
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Phase Channel Impressions Phase Channel Impressions
1 Newspaper 280,400 3 Bus KC 846,886
1 Display 6,235,123 3 Bus STL 1,512,000
1 Pandora 4,034,664 3 Pandora 7,653,951
1 YouTube 7,596,258 3 Display 5,523,565
1 Radio 4,533,100 4 Newspaper 285,400
2 Bus KC 1,693,773 4 Radio 4,533,100
2 Bus STL 4,536,000 4 Programatic Display 7,653,951
2 Dr. office ads 385,560 4 Programatic Video 1,632,804
2 Pandora 10,576,016 4 Programatic Native 3,352,350
2 Display 3,387,329 4 FB & Instagram 9,409,068
3 Newspaper 428,100 4 Pandora 2,244,755
TOTAL IMPRESSIONS 88,334,153
TAKE IT BACK
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TAKE IT BACK
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ReverseYourRisk.com
SUCCESS STORY
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April 2018
MEASURABLE PROGRESSUNLIMITEDSUPPORT
YMCA’S DIABETES PREVENTION PROGRAM SHOW ME DIABETES PREVENTION MEETING
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THE STATISTICS
PREDIABETES86 million Americans (37% of all adults) with progression to diabetes at rate of 10% per year
DIABETES 29.1 million Americans
People who know they have prediabetes
INTRODUCTION TO THE YMCA’SDIABETES PREVENTION PROGRAM
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YMCA’S DIABETES PREVENTION PROGRAM
THE PROGRAM IS:•Led by a trained Lifestyle Coach
•A one-year program: 19 sessions in the first 6 months, then 6 sessions in the second six months
•Open to all community members; YMCA membership is not required
•A Centers for Disease Control and Prevention (CDC)-approved curriculum
PROGRAM QUALIFICATIONS:• At least 18 years old,
• Overweight (BMI ≥25), and
• Prediabetes confirmed via one of 3 blood tests or previous diagnosis of gestational diabetes
• If no blood test, a qualifying score on a risk assessment
PROGRAM GOALS:• Reduce body weight by 5-7%
• Increase physical activity to 150 minutes per week
TRAINED LIFESTYLE COACHES
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• Create a motivating environment that is friendly and non-competitive.
• Facilitate group-based problem solving by utilizing motivational interviewing methods.
• Make learning a shared responsibility for the group rather than serving as the “expert.”
• Support and encourage goal setting on each session.
• Transfer accountability to participant over course of yearlong program.
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Source: Gateway Region YMCA
WENDY’S STORY
RECRUITMENT AND RETENTION STRATEGIES
• Start early – 3 months before first class then ongoing
• Over-recruit - Rule of thumb: 20-25 to end up with at least 5
• Informational session, or “Class 0” for participants – reduces dropouts
• Contact high risk patients or clients
• Present to local health care providers for referrals
• Ask recruited participants to recruit a buddy
• Commitment agreements
• Offer make-up sessions
• Coaches regularly contact participants
• calls, text, social media
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ADDITIONAL ONLINE RESOURCES
National Diabetes Prevention Program (CDC) https://www.cdc.gov/diabetes/prevention/index.html
Diabetes Prevention Recognition Program DPRP (CDC) https://www.cdc.gov/diabetes/prevention/pdf/dprp-standards.pdf
Prevent Diabetes STAT (AMA/CDC) https://preventdiabetesstat.org/
NDPP Coverage Toolkit (NACDD)https://nacdd.host/
Diabetes State Burden Toolkit (CDC) https://nccd.cdc.gov/Toolkit/Diabetesburden
Diabetes Prevention Impact Toolkit (CDC) https://nccd.cdc.gov/Toolkit/Diabetesimpact
Natalie HamptonHealth Communication Research CenterUniversity of Missouri [email protected]
Joyce Hoth, Community Health DirectorGATEWAY REGION YMCA314 421 [email protected]
Becky McCarthyNational Diabetes Prevention Program SpecialistMissouri Department of Health and Senior [email protected]
CONTACTS
