1. Semi-Annual Progress Report December 31, 2007 SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2

2. Overview Semi-Annual Progress Report –Data submitted through December 31, 2007 –Purpose – to measure our progress over time –Important notes: Not all annual data have been submitted – data are preliminary Overall – good progress! SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2

3. HH: Recruitment, Participant Accrual, and Baseline/Annual Assessment Progress (November 1, 2005 – December 31, 2007) ** Data from 30 HH Grant Programs in which the majority of programs have completed ~1.5 years of Intensive Activities as of December 31, 2007

4. Figure 1.01: HH Monthly Actual Participant Accrual vs. Expected Accrual As of December 31, 2007

5. Figure 1.02. HH Monthly Actual Participant Accrual vs. Expected Accrual Adjusted by Date of First Intensive Activity As of December 31, 2007

6. Figure 1.03: HH Percent of BACE/B1 Submissions Goal (100) Achieved As of December 31, 2007

7. Figure 1.04: HH Percent of BACE/B1 Submissions Goal Achieved by Grantee’s User Population Size User Population categories: large > 10,000; medium = 5,000-9,999; small < 5,000 As of December 31, 2007

8. HH: Data Submission and Quality Data Submission –No programs missed more than 10 percent of scheduled data submissions Data Quality –the average percent of B1 forms with missing or invalid data initially for all programs was 62.5% –the average percent of B1 forms with missing or invalid data after ENL response for all programs was 16.9% Timeline Compliance –49.9% of B1 forms did not meet all the timeline requirements Other (based on baseline participant numbers) –Percent of “expected” A1 forms received: 61.2% –Number of participants reported to be inactive: 7.7% As of December 31, 2007

9. HH: Participant Characteristics Similar to last progress report Age –Average age is 54 years Sex –More female participants (68%) than male (32%) Education –57% some college or college graduates or higher; 43% high school graduates or less Employment –53% employed; 26% unemployed; 21% retired or student As of December 31, 2007

10. HH: Comorbidities at Baseline Diabetes + Percent High Blood Pressure66.1 Back Pain45.3 Depression25.8 Osteoarthritis24.5 Heart Disease17.9 Rheumatoid Arthritis11.8 Ulcer/stomach disease10.7 Lung Disease7.5 Anemia or other blood disease6.5 Kidney Disease4.7 Liver Disease2.5 Cancer2.1 As of December 31, 2007

11. HH Baseline and Annual Results Average Systolic, Diastolic Blood Pressure - 0.2% Change0.7% Change As of December 31, 2007 Systolic BPDiastolic BP

12. HH Baseline and Annual Results Average Lipid Levels -1.8% Change 2.7% Change 2.4% Change -3.6% Change As of December 31, 2007 LDLTotal CholesterolTriglyceridesHDL

13. HH Baseline and Annual Results Average HbA1C - 0.3% Change As of December 31, 2007

14. SDPI Healthy Heart Project Outcomes: Average Weight, BMI, Waist/Hip Circumference As of December 31, 2007 OutcomeBaseline1 st Annual Mean change Percent Change Weight (lbs)221.8219.9-1.9%-0.6% BMI37.136.8-0.3%-0.6% Waist (inches)45.545.1-0.4-0.6% Hip (inches)47.747.3-0.4-0.6% Waist to Hip Ratio1.0 -0.00.1%

15. HH Baseline and Annual Results Consumption of Healthy, Unhealthy Foods 3.4% Change - 3.4% Change Healthy Foods ScaleUnhealthy Foods Scale As of December 31, 2007 < Monthly > Daily

16. HH Baseline and Annual Results Physical Activity Goal, Stages of Change 19% Change 12% Change At >= 150 minutes/weekAt maintenance stage for exercise As of December 31, 2007

17. HH Baseline and Annual Results Smoking Status -1% Change 9% Change Current SmokerPreparation Stage for Quitting Smoking As of December 31, 2007

18. HH Baseline and Annual Results Aspirin Use 12% Change As of December 31, 2007

19. HH: Baseline Psychosocial Measures – Factors that may affect participant success No significant changes from last report Diabetes Knowledge Insulin Use Health Literacy Distress Post Traumatic Stress Anger Hostility Perceived Health Competence Coping Ability Scale Everyday Discrimination Positive Family Support Ethnic Identity Ability to Speak Tribal Language Importance of Spirituality Cultural Spirituality Scale As of December 31, 2007

20. HH: Summary Report shows good progress overall! Annual data are promising Grantee-specific reports –Data specific to your program to compare to overall report –Make sure you explain the data and its context to anyone who reads it – careful to interpret if small numbers of participants in some cells –Confidentiality – consider who views the report Next Semi-Annual Progress Report –Data submitted as of 6/30/08 –Report in Fall 2008 SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2

21. Questions? SPECIAL DIABETES PROGRAM FOR INDIANS Healthy Heart Project: Year 4 Meeting 2