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Objectives . Describe the project how diabetes coalitions are set up in rural Appalachian counties.Present data on their sustainabilityDescribe the Diabetes Today for Community Leaders curriculum and how it contributes to sustainability. . Appalachian Region. 420 counties in thirteen states Appalachian Regional Commission (ARC) formed in 1960's from mandate by Congress to address poverty ARC developed socio-economic formula
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1. DIABETES TODAY FOR COMMUNITY LEADERS Its Contribution to Sustaining Diabetes Coalitions
2. Objectives Describe the project how diabetes coalitions are set up in rural Appalachian counties.
Present data on their sustainability
Describe the Diabetes Today for Community Leaders curriculum and how it contributes to sustainability
3. Appalachian Region 420 counties in thirteen states
Appalachian Regional Commission (ARC) formed in 1960’s from mandate by Congress to address poverty
ARC developed socio-economic formula –distressed counties on lowest end
All of coalitions in this project are in distressed counties
4. County Economic Levels
5. Background: Appalachian Diabetes Control and Translation Project
6. Diabetes Coalitions
7. Historical Progression
8. Application Process RFP’s once a year
Purpose
organizing or strengthening existing coalitions in distressed counties
address diabetes and its related chronic diseases
Eligible Applicants
Community groups and non-profit organizations
9. Application process (cont.) Criteria for awarding grants
diversity of the coalitions’ membership
history
a public health approach to diabetes prevention and control
10. Funding Grant Amount: $10,000
Full amount of the grant given after plans are written and approved by the whole coalition
No end date
11. What the Coalitions Receive Diabetes Today training
On-going technical assistance
Training in chronic disease self-management programs
Assistance in evaluation
12. Use of Funds Programs that engage people in healthy eating, physical activity, chronic disease self-management and awareness building
13. Reporting and Sustainability
14. Participation in Trainings
15. Community Health Encounters
16. In-kind Contributions & Social Marketing
Social Marketing (estimated number of people reached)
3,420,700
17. Sustainability Over Time
18. Training: Diabetes Today for community leaders
19. Non-Traditional Characteristics No objectives or plans in the application
Applications assessed based on strength and diversity of the coalition
Planning occurs after the application is accepted
20. Training
21. Look for membership of five or more people and organizations
22. Training Basics Two day workshop
2 to 4 coalitions participate
Makes it a dynamic process and the coalitions learn from each other
The grant pays for their lodging if needed
Use a lot of group dynamic techniques
It becomes a bonding experience for the coalitions
23. Curriculum Outline Review of diabetes – everyone with the same understanding
Analyze ways to strengthen their coalition
Analyze needs based on people’s lifestyle needs and limiting social conditions (social determinants)
Identify population groups with high prevalence or at risk for diabetes
Make goals based on population groups
24. Outline – Con’t Write objectives
Write measurable indicators
Write work plans based on their objectives
Learn about program and training resources that can help in their planning.
25. Curriculum -- Objectives The process of writing objectives is broken down into discrete steps
26. Curriculum -- Measurement Measurement a separate task.
27. Participatory Process Coalitions work as a team to write their goals, measurable objectives and work plan
It takes about 2 ½ hours to write their first objective
Part of the learning process is to critique the objectives together
They then can write 2-3 objectives, along with work plans, in another 2 hours
28. Contribution to Sustainability Coalitions identify ways to strengthen and market their coalitions
Coalitions have concrete, measurable objectives that direct their plan
The timelines for measuring their objectives gives them a program timeline
Because they worked as a group, there is accountability to each other
29. Marshall’s On-going Relationships Technical assistance
Site visits
Training programs
Stanford Chronic Disease Self Management Program
Gentle Yoga
Diabetes Self-Management Program
Annual conference
30. CONTACT: Richard Crespo, PhD
crespo@marshall.edu
Shelia Plogger
splogger@marshall.edu
Molly Shrewsberry, MPH, MS, CHES
mshrewsberry@marshall.edu
Center for Rural Health
Marshall University