Making Diabetes Connections: Expand the Conversation on Diabetes

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Britton Booth
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1 Making Diabetes Connections: Using Concept Mapping to Expand the Conversation on Diabetes Antonia S. Mead, Frank Parker, Cheryl Emanuel, Domonique Brown, & Francene Greene Mecklenburg County Charlotte, North Carolina

2 Goal of the Project The goal of Diabetes Connections is to reduce the prevalence and morbidity of type 2 diabetes among individuals in high morbidity zip codes.

Centers for Disease Control and Prevention (CDC) and REACH

3 Partners This project was funded by subcontract from Grant/Cooperative ti Agreement 1U58DP from the Centers for Disease Control and Prevention (CDC) and REACH U.S. SEA-CEED, Medical University of South Carolina College of Nursing.

4 Participants Five churches were selected from the Community Health Leadership Academy (CHLA). The purpose of the CHLA is to engage faith-based organizations in educating and training i community health ambassadors. Four lead health ambassadors participated from each church health ministry. Churches selected for this project must have completed the Black Women s Health Imperative Health-Wise Woman Diabetes Prevention Education Project training.

5 Activities Developed standardized screening protocol for type 2 diabetes risk factors in church congregations. Conducted intensive screening training for health ambassadors. Conducted concept mapping activity to understand how members of the community conceptualized diabetes.

7 Our Concept Mapping Process Brainstormed with group during comprehensive screening training resulting in 68 different statements in response to the focus prompt. In a special session, sixteen (16) selected project members, including health ambassadors and project health professionals, sorted and rated these statements as to their importance in relationship to the focus prompt. Using multi-dimensional scaling and cluster analysis, maps of the underlying community perspectives were developed.

8 Concept Mapping Focus Prompt A specific thing that can cause minority group members to get sicker or die earlier from the effects of diabetes is

9 The Point Map of the 68 Brainstormed Statements Conceptually similar ideas are in close proximity

10 10 Cluster Solution Map: The Conceptual Pieces Conceptually similar clusters are in close proximity

11 Clusters with Labels Financial 19 Impact Medical Treatment Support Systems Diet Clusters can be thematically labeled Disease Management Education Denial of Disease Negative Attitudes

12 Cluster Ratings of Importance Financial 10 Impact Medical Treatment Diet Disease 64Management Support Systems Layers indicate level of importance Negative Attitudes Education Denial of Disease

13 Pattern Match Comparison Health Ambassadors Health Professionals Education Diet Medical Treatment Disease Management Financial Impact Disease Management Medical Treatment Education Negative Attitudes Financial Impact Diet Denial of Disease Negative Attitudes Denial of Disease Support Systems 3.2 r = Support Systems Comparing differences in ratings of Importance of Clusters

14 Using the Results Maps can be used to develop components of the curriculum for the Community Health Leadership Academy. Maps can be used to identify differences to improve the collaboration between Health Ambassadors and the Health Professionals Team. Specific c cluster components identified ed can help frame the concept of health disparities for a specific community. Broad-based and specific health ministry recommendations can be provided to support the health improvement efforts of participants and their community. Final participant analysis will provide a context for developing a consensus for Next Steps.

15 Team Contact Information Cheryl Emanuel, MS, CSAPC (Administrative Contact) Frank Parker, MS (Evaluator) Antonia Mead, PhD, CHES (Project Manager) Domonique Brown, BS (Health Coach) Francene Greene, RN, MSN (Screening Coordinator),, ( g ) Francene.Greene@carolinashealthcare.org

Logic Model. When do you create a Logic Model? Create your LM at the beginning of an evaluation and review and update it periodically.

Logic Model. When do you create a Logic Model? Create your LM at the beginning of an evaluation and review and update it periodically. RRC Evaluation Tool Basket: Logic Model 1 Logic Model What is a Logic Model? A logic model is a series of if-then statements that outlines what you expect to happen in your program. For example, If these