Embed Size (px)
DESCRIPTION
Healthy Living with Diabetes. Presented by the Wisconsin Institute for Healthy Aging, Wisconsin Department of Health Services and their partners. Why is Healthy Living with Diabetes Needed?. 1 in 12 Americans affected by diabetes - PowerPoint PPT Presentation
Citation preview
Healthy Living with DiabetesPresented by the
Wisconsin Institute for Healthy Aging, Wisconsin Department of Health
Services and their partners
12/2013
Why is Healthy Living with Diabetes Needed?
• 1 in 12 Americans affected by diabetes• By 2050 there will be 40 million Americans
with type 2 diabetes• WI: 475,000 adults with diabetes and 1.45
million adults with pre-diabetes• Even higher incidence in communities of
color• 25% of Wis. Medicare beneficiaries have type 2 diabetes
12/2013
Consequences of Diabetes• Mortality is twice that of people without
diabetes of similar age• Leading cause of blindness, heart disease, and
stroke – and lower extremity amputations• Very expensive to treat - 2009 Wisconsin data– $4.07 billion in direct health costs– $2.7 billion in indirect costs
12/2013
The Healthy Livingwith Diabetes Program
• Community workshop• For individuals with type 2 diabetes, pre-
diabetes or either who live with or care for or about someone who does
• 2.5 hours/week for 6 weeks• Led by 2 trained co-leaders, 1 with diabetes or
has a connection to someone with diabetes (e.g., caregiver, CDE, etc.)
12/2013
The Healthy Living with Diabetes Program
• Evidence-based• Meets AoA’s highest standard• Developed by Stanford University’s Patient Education
Research Center with CDEs• Developed over years of:
– pilot-testing– refinement– evaluative researchhttp://patienteducation.stanford.edu/
12/2013
12/2013
Program’s Underlying Assumptions
• People with diabetes have similar concerns and problems
• They must deal with both physical symptoms and impact on lives/emotions
• Lay people can teach program as effectively, if not more effectively, than health care professionals
• The program process is as important, if not more, than substance
12/2013
Researched and ProvenStudy Results show:
• improved diabetes self-management self-efficacy • decreased symptoms of hypo and hyperglycemia • improved HbA1C• decreased health distress• improved communication with physicians• improved self-rated health• decreased emergency room visits
12/2013
Works well with Existing Diabetes Education Programs and Certified
Diabetes Educators• Group problem-solving compared to expert and
student approach• No individualized medical advice = more
discussion time for daily living with diabetes• Some similar topics; approach very different• Peer-led education very motivating• Health team prescribes “what” needs to be done;
workshop gives peer support to “how”
12/2013
Target Population
• Adults with type 2 diabetes or pre-diabetes• Adults who live with or care for or about
someone who has type 2 diabetes or pre-diabetes
• Regardless of how long the person has been living with diabetes
• Cognitively able to participate in process
12/2013
Topics
• Techniques to deal with physical symptoms of diabetes
• Dealing with difficult emotions• Appropriate exercise • Meal planning for people with diabetes• Appropriate use of medication• Working more effectively with health care
professionals
12/2013
12/2013
Dissemination in Wisconsin
• Began in 2013• Diverse agencies offer the workshop• Diverse sites host the workshops• Diverse professionals or lay individuals
who serve as leaders
12/2013
Leader Qualifications & Characteristics• Health care, aging or disability network
professionals, or lay volunteers• At least one Leader has diabetes or close
connection• Experience with diabetes – personal or
professional• Comfortable leading groups of adults• Comfortable following a script• Past participants encouraged!
12/2013
Leader Expectations• Attend all four* days of Leader trainings• Work with a sponsoring organization• Lead workshops in pairs, both trained• Lead two workshops each year• Follow program script• Use required books and charts• Follow WIHA administrative protocols* There is a separate two-day cross training for current Living Well Leaders
12/2013
Are You Ready?• Identify the local sponsoring organization AND• Identify your co-leader AND• Communicate with local aging unit AND• Together, review the Planning Guide (see next slides)
* One or both Leaders must have diabetes or close connection
12/2013
Healthy Living with DiabetesLeader & Local Partner Organization
Planning Guide
• Identify local sponsoring organization, e.g., county/tribal aging unit or hospital-based coordinator
• Obtain supervisor support from your place of employment (if applicable)
• Connect with a health care provider and any CDE• Identify two Leaders – already trained or need training?• Select dates and times for first workshop• Decide whether workshop will be free or a fee• Select and reserve site, room, room arrangement• Who will submit workshop notification to WIHA?• What agency will receive workshop registrations?
Continued...
12/2013
Healthy Living with DiabetesPlanning Guide, cont’d
• Outreach and Marketing– See WIHA website materials– Presentations – Where? Who will present?– Health Care providers, including CDEs– Individual recommendations – Who?
• Supplies needed– Copies of Living a Healthy Life with Chronic Conditions– Required charts– Easels, blank flipchart pads, tape, and markers– Participant handouts– Refreshments
• Data Collection• Funding Needed?
12/2013
12/2013
Website for Leaders
www.wihealthyaging.org–Click on FOR LEADERS ONLY–Click on Healthy Living with Diabetes– username: [email protected] password: wihaleaders
12/2013
12/2013
12/2013
12/2013
12/2013
Support for Leaders• Listserv• WIHA Leader Newsletter• Regular Leader conference calls or
meeting where available• Technical assistance• Leader Coaching• Healthy Aging Summit
12/2013
Leader Training• Come in pairs, or solo if county already has a
trained Leader• Four* full days – must attend all to learn:– basics on diabetes– curriculum of Healthy Living with Diabetes
program– group facilitation, including practice
• Learn WIHA protocols and support available• During first workshop, may have coaching
session*Two days if cross-training
12/2013
Leader Training – to apply• Leader Application – link on WIHA website• Complete application; pay fee• Commit to requirements• Attend in pairs, unless already a Leader in
county• With Sponsoring Organization, complete
Planning Guide• 20-person limit
12/2013
? ? ? QUESTIONS ? ? ?
• Betsy Abramson 608-243-5691 [email protected]
• Sherri Ohly 414-687-1223 [email protected]
• Anne Hvizdak 715-677-3037 [email protected]
12/2013
THANK YOU!
12/2013
