1. Implementing DPP Lessons we are learning from The Diabetes Prevention Program

2. Presented by NIDDK DPP/DPPOS staff: Mary Hoskin Shandiin Begay Julie Nelson

3. Two Main Topics Key to Lifestyle Success Coaching Model

4. Keys to Lifestyle Success

5. 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

6. 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

7. Case Management Consistent relationships Work with the participant as a team Hang in there- reinforcement Be supportive Utilize multidisciplinary approach

8. Frequent Contact Weekly Monthly Campaigns/Maintenance Most chose to come in more often

9. Relationships Consistency Supportive Honest Believe in you Family

10. Intensive, Ongoing Intervention Continued self-monitoring and other behavioral strategiesContinued self-monitoring and other behavioral strategies Frequent contactFrequent contact Group classes and motivational campaignsGroup classes and motivational campaigns Tool box strategiesTool box strategies

11. 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

12. 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

13. Tools Curriculum Keeping Track

14. Keeping Track Book

15. Coaching Model

16. 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.

17. 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

18. 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

19. 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

20. 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

21. THANK YOU www.bsc.gwu.edu/dpp/