An Opportunity for Community Health Workers April, 2018

Transcription

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 1

2 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) 2

3 40% 35% 30% 25% 20% 15% 10% 5% 0% 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, Deaths Total MO diabetes deaths: 1, White Black Hispanic Source: Chronic Disease MICA,

4 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. 4

5 The Social Welfare Board, St. Joseph The YMCA of Greater Kansas City The Healthiest You Northeast Missouri Health Council, Kirksville Hannibal Regional Hospital Missouri Baptist Hospital Gateway Region YMCA St. Luke s Hospital South County Diabetes & Obesity Center Missouri State University Springfield Douglas County Health Dept., Ava Over 100 virtual programs 4,000 NUMBER OF PARTICIPANTS 3,500 3,000 2,500 2,000 1,500 1, Missouri Avg Neighbor Avg US State 5

6 Not covered Medicare Anthem BCBS United Healthcare BCBS of KC* Medicaid* % NOT COVERED ANTHEM MEDICARE *Has been announced but coverage hasn t started yet. 6

7 TAKE IT BACK 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 7

8 TAKE IT BACK 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 8

9 TAKE IT BACK 9

10 ReverseYourRisk.com SUCCESS STORY 10

11 MEASURABLE PROGRESS UNLIMITED SUPPORT YMCA S DIABETES PREVENTION PROGRAM SHOW ME DIABETES PREVENTION MEETING April

12 THE STATISTICS DIABETES 29.1 million Americans People who know they have prediabetes PREDIABETES 86 million Americans (37% of all adults) with progression to diabetes at rate of 10% per year INTRODUCTION TO THE YMCA S DIABETES PREVENTION PROGRAM 12

13 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 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

14 WENDY S STORY Source: Gateway Region YMCA RECRUITMENT AND RETENTION STRATEGIES Start early 3 months before first class then ongoing Over-recruit - Rule of thumb: 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 14

15 ADDITIONAL ONLINE RESOURCES National Diabetes Prevention Program (CDC) Diabetes Prevention Recognition Program DPRP (CDC) Prevent Diabetes STAT (AMA/CDC) NDPP Coverage Toolkit (NACDD) Diabetes State Burden Toolkit (CDC) Diabetes Prevention Impact Toolkit (CDC) CONTACTS Joyce Hoth, Community Health Director GATEWAY REGION YMCA Natalie Hampton Health Communication Research Center University of Missouri Becky McCarthy National Diabetes Prevention Program Specialist Missouri Department of Health and Senior Services 15