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DIABETES TODAY FOR COMMUNITY LEADERS

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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DIABETES TODAY FOR COMMUNITY LEADERS

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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

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