Families Preventing Diabetes Familias Preveniendo la Diabetes A Community-Based Intervention of the San Antonio Metropolitan Health District San Antonio.

Slides:



Advertisements
Similar presentations
Johnson County, Indiana thru Partnership for a Healthier Johnson County Esperanza Ministries Windrose Health Care introducing the new Health Care Team.
Advertisements

LAKESIDE WELLNESS PROGRAM - PBHCI LEARNING COMMUNITY REGION #3 ORLANDO, FLORIDA, RUTH CRUZ- DIAZ, BSN EXT
Community Health Assessment San Joaquin County.
Greater Lexington Park Health Enterprise Zone (HEZ) Project Joan Gelrud, RN, MSN, CPHQ, FACHE Vice President.
The Better Living for Texans Program Educational programs of the Texas AgriLife Extension Service are open to all people without regard to race, color,
Project Embrace: From Recommendations to Actions to Outcomes by Liane Montelius and Kelly Sanders.
Promotores de Salud as New approach to the African American in the County of San Bernardino A partnership between two Community Based Organizations in.
FROM THE CLINIC TO THE COMMUNITY: THE ROLE OF PUBLIC HEALTH INSTITUTES IN MODELING THE EXPANSION OF THE COMMUNITY HEALTH WORKFORCE.
Texas Diabetes Education & Care Management Project Funded by Bristol-Myers Squibb Foundation Bureau of Primary Health, HRSA CDC Diabetes Prevention (in-kind.
Community Level Interventions
The Sparrow Project Presented by: the Robeson County Health Department, a Member of the South Central Public Health Partnership Niakeya Jones, Health Education.
A Diverse & Aging California Health Issues Steven P. Wallace, Ph.D. Professor, UCLA School of Public Health Assoc. Dir., UCLA Center for Health Policy.
Collaborating Partners –Edward R. Roybal Comprehensive Health Center (East Los Angeles) –Hubert H. Humphrey Comprehensive Health Center (South Los Angeles)
California Senior Fall Prevention Coalitions Terri Restelli-Deits, MSW Area Agency on Aging Serving Napa and Solano CA Fall Prevention Summit / December.
I CAN Prevent Diabetes! Individuals and Communities Acting Now to Prevent Diabetes Recruitment Discussion 2012.
+ Interventions for Ethnically Diverse Populations Chapter 7.
Noreen M. Clark, Ph.D. Myron E. Wegman Distinguished University Professor Director, Center for Managing Chronic Disease University of Michigan DETROIT.
Be a Public Health Nurse
Adults 20 years of age or older 69% overweight or obese College Students 30% overweight or obese Children and Adolescents 17% obese Ogden et al., 2012;
Foundation for Healthy Generations 2014 Community Health Workers: Making it Real Kathy Burgoyne, Ph.D.
Minority Health Summit Third Annual September 23, 2006 Minority Health Task Force.
Bay Area Region Nutrition Network. The Network The Bay Area Region Nutrition Network is one of 11 Regional Nutrition Networks that together provide services.
Commmunity-based Advocacy Training – Strategies and Tools for Preparing Pediatricians to Meet the Future Marsha Griffin, MD; Judith Livingston, MEd, MCHES;
CalWORKs Housing support program
DELAWARE HEALTH AND SOCIAL SERVICES Division of Public Health Public Health and PCMH Karyl Rattay, MD, MS Director Delaware Division of Public Health.
Triennial Community Needs Assessment A Project of the Valley Care Community Consortium.
The Oxford Health Alliance The Oxford Health Alliance Community Interventions for Health: Methodology Confronting the Epidemic.
Highlights from an Albany County Needs Assessment By Jeff Gibberman Dietetic Intern, The Sage Colleges.
Community Themes & Strengths Assessment Jason Porter San Antonio Metropolitan Health District.
Cayucos and Oceano COMMUNITY HEALTH PLANS Health Commission Presentation June 9, 2014.
1 Mental Health as a Public Health Issue Daniel Reimer, MPH, Principal Investigator Sherwin Daryani, MPH, Project Director.
Health Care Reform Through the Cancer Lens State and Private Sector Reforms for Hispanic Healthcare Edward E. Partridge, MD National Board President American.
1 Promotoras, Peer Participant Providers and Community Outreach as Preconception in the Continuum of Perinatal HIV Transmission Armida Ayala, M.H.A., Ph.D.
Approach and Key Components. The Goal of Cities for Life: To help community groups and primary care providers create an environment that facilitates and.
Understanding Health Disparities in Texas Maureen Rubin, Ph.D., MSW Assistant Professor Department of Social Work University of Texas at San Antonio Nazrul.
The Livability of Rural Places for Aging Adults Aging in Rural Colorado A Naturally Occurring Retirement Region (NORR)
An Innovative Approach to Managing Diabetes in a Large Public Health System Donna J. Calvin, PhD, FNP-BC, CNN Post Doctoral Research Associate University.
Clinica Family Health Services Health Care for the Community Health Care for the Community.
Planning for A Single Point of Access For Families One Stop Family Support and Resource Center Baltimore, Maryland.
Health Disparities Affecting Minorities African Americans.
Use of Community Based Participatory Research (CBPR) to Develop Nutrition Programs for Chronic Disease Prevention Elena Carbone, Dr.P.H., R.D., L.D.N.
San Joaquin County’s Health Profile: Useful Data to Improve Our Future Sponsored by the San Joaquin County Community Health Assessment Collaborative
Napa Valley Fall Prevention Coalition StopFalls Napa Valley Coordinated Fall Prevention Outreach and Services.
Asthma Disparities – A Focused Examination of Race and Ethnicity on the Health of Massachusetts Residents Jean Zotter, JD Director, Asthma Prevention and.
WIC Women, Infants and Children WIC Helps You Help Your Family Nutritious food, and so much more… The USDA Special Supplemental Nutrition Program for Women,
1 Reducing Health Disparities Among Hispanic Elders: Lessons from a Learning Network TEAM CHICAGO AHRQ Annual Meeting 2008 September 10, 2008 Washington,
Diabetes Empowerment Education Program (DEEP) Presenter: William Carter & Danny CroxsonDate: August 20, 2015.
ABSTRACT Diabetes is a public health issue of growing magnitude. It currently ranks among the top ten leading causes of death in the United States. To.
Alcohol Consumption and Diabetes Preventive Practices: Preliminary Findings from the U.S.-Mexico Border Patrice A.C. Vaeth, Dr.P.H. Raul Caetano, M.D.,
Nashville’s CPPW Corner Store Initiative: Methods and Measurement Celia Larson, PhD Director of Evaluation Alisa Haushalter, DNP, RN Project Director Bill.
Population Assessment Presentation Inadequate Healthcare in Rural Communities for African Americans with Type II Diabetes Amy Douglas July 24, 2013 NURS.
1 Reducing Health Disparities Among Hispanic Elders: Lessons from a Learning Network Team San Antonio AHRQ Annual Meeting 2008 September 10, 2008 Washington,
BEST PRACTICES AND PROGRAM EVALUATION Making Connections – Panel II.
Prevention of type two diabetes Among East African Immigrants By Zahra Abdalla MPH 515 -SPRING 2015 Professor. Hartigan.
Community Health Worker Model by Linda Stone, CEO.
Resource Review for Teaching Resource Review for Teaching Victoria M. Rizzo, LCSW-R, PhD Jessica Seidman, LMSW Columbia University School of Social Work.
Leveraging Resources Partnering with Non-Profit Organizations Vivian B. Flores, M.A. Immunization Program Manager San Antonio Metropolitan Health District.
Access to Quality Diabetes Education Act By Olga Ajpacaja.
Community Paramedic Primary Care Project.
Allene Mares, RN, MPH Assistant Secretary – Community & Family Health Helping People Live Longer & Healthier.
SEFA Food Guardians Presentation to the Oakland Food Policy Council July 21, 2011.
Public Health for Dummies Kristin McCartney, MPH, RD, LD Extension Specialist-Public Health Family Nutrition Program.
Physical Activity and Nutrition. Who We Are Comunidades Unidas / Communities United it is a community center with more than 16 years of experience empowering.
Sharkey Presentation Perspectives from CHWs as researchers in a nutrition participatory observation project in South Texas colonias Julie St. John, MA,
Estephanie Olivares, HHSD Program Coordinator
WIC Dental Days A collaborative Early Childhood Caries prevention program Presented by Theresa Anselmo, Linda McClure, and Suzanne Russell San Luis Obispo.
CULTURALLY COMPETENT PATIENT NAVIGATION IN THE PREVENTION OF CANCER IN UNDERSERVED HISPANIC WOMEN: THE SAN ANTONIO EXPERIENCE Donald J. Dudley, M.D.,
Promoviendo Bienestar para Familias y Comunidad con Conocimiento, Confianza, y Poder Promoting Family and Community Well-Being through Knowledge, Trust,
Chicago Department of Public Health
Hispanic Community Members
Presentation transcript:

Families Preventing Diabetes Familias Preveniendo la Diabetes A Community-Based Intervention of the San Antonio Metropolitan Health District San Antonio Metropolitan Health District - Linda Hook, Marivel Davila, Lucille Romero Emerging Issues in MCH Conference Call Thursday, December 16, 2004

Background - Bexar County Bexar County Texas, home to San Antonio, nation’s eighth largest city. Slightly over a million residents (1.4 million) of which 56% are Hispanic. In 2003, Bexar County had a diabetes prevalence rate of 10.4%. Diabetes was the fifth leading cause of death.

2002 Diabetes Deaths by Age by Race/Ethnicity for Bexar County 3 Age Deaths

Program Overview - Families Preventing Diabetes A community-based collaborative intervention of the San Antonio Metropolitan Health District, the Texas Diabetes Institute and the House of Neighborly Service. Project is a one-year pilot intervention funded by the Centers for Disease Control.

Purpose – Families Preventing Diabetes To identify families with one or more family members diagnosed with diabetes and assist them with attainment of healthier behaviors to prevent further complications; and To teach families who are at high-risk for developing diabetes prevention strategies for preventing the onset of the disease.

Project Goals – Families Preventing Diabetes To develop and foster a model of diabetes prevention for the community surrounding the House of Neighborly Service that is culturally appropriate and meets the needs of the residents.

Project Area – Families Preventing Diabetes The House of Neighborly Service is a service agency located in the West Side of San Antonio – a predominantly low-income, minority populated area of the city. – 99% of population is Hispanic; – 33% had household income below poverty level in 1999; – Roughly 500 households in two block-group area. Source: 2000 U.S. Census

Project Goals – Families Preventing Diabetes Provide linkage with providers for self- management classes; Provide on-site diabetes prevention classes at HNS; Develop Promotora program for sustainability.

Accomplishments – Families Preventing Diabetes 3 focus groups conducted; 2 promotoras recruited; Staff attended weeklong diabetes class at TDI; 52 pre-assessments completed among participants.

Lessons Learned – Focus Groups Families Preventing Diabetes Three focus groups held among 21 participants August Among those interviewed: – 90% had diabetes, of those who did not, the majority had a near relative living with diabetes; – 90% did not own measuring utensils; – Virtually all of the respondents reported not reading food labels; – Roughly a third of the respondents reported not having funds to purchase test strips for glucometer; – Half of the participants preferred a hands-on approach to learning.

Lessons Learned – Pre-Assessments Families Preventing Diabetes 52 assessments completed, almost all conducted in Spanish. 30% of participants reported being told they were diabetic. Average weight was 164 pounds. Two participants’ glucose levels were greater than 400.

Lessons Learned – Pre-Assessments Families Preventing Diabetes Case 1: Participant had non-fasted glucose of 238 mg/dl. Reported being without diabetes and blood pressure medication for two months. Had been given generic medication, which participant had not recognized and had been afraid to have prescriptions filled.

Lessons Learned – Pre-Assessments Families Preventing Diabetes Case 2: Participant reported being diagnosed with Type 2 diabetes in Since then, had not had any medical follow- up nor had glucose meter and supplies. Her fasting glucose was 332 mg/dl. Had problems receiving medical care due to lack of documentation.

Lessons Learned – Pre-Assessments Families Preventing Diabetes Case 3: Participant diagnosed with diabetes nearly 10 years ago; since then had not had a follow-up or annual exam. Fasting glucose was 349 mg/dl, cholesterol was 264 and triglycerides were over 650 mg/dl. Participant does not own a glucose meter and had been borrowing a family member’s insulin.

Lessons Learned – Families Preventing Diabetes Barriers: – Other issues in participants’ lives besides diabetes. – Fatalistic beliefs when it comes to diabetes. – Foods considered healthy are not staples of participants’ diets. – Lack of safe locations for exercise. – Lack of healthy products available at local grocery stores. – System changes would help community.

Future Plans – Families Preventing Diabetes Self-management and diabetes prevention classes to begin in January, Evaluation to take place once classes end. Promotoras to assist in delivering diabetes prevention class. Develop support/exercise group for HNS participants. Pilot project ends March of 2005.

Future Plans – Families Preventing Diabetes Move from individual, to community to systems. Involve community residents, businesses, schools, churches and social service agencies. Prepare participants to become advocates.

Families Preventing Diabetes Social Marketing Health Teaching Individual Community Systems Collaboration Advocacy Support Outreach Coalition building Policy Resources/Follow-up Screening Community Organizing STEPS MAPP Healthy Start Neighborhood Action Project WORTH Adapted from: Public Health Nursing Practice for the 21 st Century: Competency Development in Population-Based Practice; Minnesota Department of Health, Section of Public Health Nursing Families Preventing Diabetes: A Systems Approach to Better Health

Future Plans – Families Preventing Diabetes Continuation of Year One activities. Development of community-based advocacy group. Encourage group of natural leaders to become “Block Captains”. Work with Block Captains to become advocates for diabetes and community change. Introduce Block Captains to city-wide collaboratives.

Future Plans – Families Preventing Diabetes Work at different levels to address diabetes by: – Encouraging participants to learn and maintain healthy behaviors; – Establishing a community-based advocacy group for their neighborhood; – Promoting moving residents from neighborhood roles to city-wide advocacy activities.