Implementing DPP

Lessons we are learning from The Diabetes Prevention

Program

Presented byNIDDK DPP/DPPOS staff:

Mary HoskinShandiin Begay

Julie Nelson

Two Main Topics

• Key to Lifestyle Success• Coaching Model

Keys to Lifestyle Success

Keys to success• Clearly defined and achievable goals and

expectations• Case management approach• Frequent contact• Relationships- staff and family• Intensive, ongoing intervention• Individualization• Materials and strategies that addressed the

needs of an ethnically diverse population• Keeping track• Provide tools to achieve goals

Defined and Achievable Goals

• Individualized fat and calorie goals for weight loss

• Individual weight loss goal (7%)• Physical Activity goal of 150 min per

wk• Time frame to meet stated goals• Participant contracts

Case Management

• Consistent relationships• Work with the participant as a

team• Hang in there- reinforcement• Be supportive• Utilize multidisciplinary approach

Frequent Contact

• Weekly• Monthly• Campaigns/Maintenance• Most chose to come in more often

Relationships

• Consistency • Supportive• Honest• Believe in you• Family

Intensive, Ongoing Intervention

• Continued self-monitoring and other Continued self-monitoring and other behavioral strategiesbehavioral strategies

• Frequent contactFrequent contact

• Group classes and motivational Group classes and motivational

campaignscampaigns

• Tool box strategiesTool box strategies

Individualization

• Goals individualized to starting weight and what makes them successfully lose weight

• Recipes and menus• Interpersonal and individual needs

like jobs, literacy and language• Team approach they choose how to

Targeting for population

• Use local examples to reinforce points– 3 ways to eat less fat

• Recipes and Foods• Designed for use in many different

ethnic groups• Physical Activity

Tools

• Curriculum• Keeping Track

Keeping Track Book

Coaching Model

Health Coaching Model

The health coaching model uses a team of health professionals to assist patients in making behavior changes to improve their health.

An assigned health coach works with the patient and multi-disciplinary team to work collaboratively with the patient to create a health plan by helping them to identify barriers and establish goals to change health related behaviors.

Characteristics of a Health Coach and Participant

Relationship Building Trust Facilitating Change Valuing Diversity Communication Gaining Commitment Problem Solving Revisiting and Adjusting Building on Success

Who can be a coach?

Professionals were used in the DPP Paraprofessional helped support Implementation in American Indian

communities have used both The coach needs to be supported by

a team

What to look for in a Coach

professional or paraprofessional

Be friendly and accepting Be optimistic Model healthy behaviors Follow through with what you say you’ll do Hold accountable in a non-threatening way Be able to work with a team Be willing to persevere and endure Believe people can lose weight Believe that those you work with can

change

Planning your time

One-on-One contact with coach DPP Research generally a 1:20

ratio Groups: estimate 8-10 hours per

class Travel time not included

THANK YOUwww.bsc.gwu.edu/dpp/