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Diabetes Tele-Education Programs . Virginia Center for Diabetes Professional Education University of Virginia Health System 2008 - 2013. J. Terry Saunders, Ph.D. Joyce Green Pastors, M.S., R.D., C.D.E .
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Diabetes Tele-Education Programs Virginia Center for Diabetes Professional Education University of Virginia Health System 2008 - 2013 J. Terry Saunders, Ph.D. Joyce Green Pastors, M.S., R.D., C.D.E.
Virginia - Percentage of Adults (aged 18 years or older) with Diagnosed Diabetes, 1994 – 2010
2009 Age-Adjusted Estimates of the Percentage of Adults† with Diagnosed Diabetes in Virginia
Virginia - Percentage of Adults(aged 18 years or older) with Diabetes Ever Attending a Diabetes Self-Management Class, 2000 – 2010
Rationale for Diabetes Tele-Education • Epidemic of diabetes statewide • It is estimated that only 60% of those who have diabetes in Virginia have had ANY education (BRFSS data) • Shortage of diabetes educators and ADA recognized education programs in rural and underserved areas of the state • Lack of adequate reimbursement for diabetes patient education • Difficulty and expense of providing face-to-face professional education • Efficiency of using existing telemedicine equipment for education
Diabetes Tele-education Partners, 2012 • University of Virginia Diabetes Education and Management Program • University of Virginia Office of Telemedicine • Virginia Department of Health, Office of Minority Health and Health Equity • Virginia Information Technology Agency (VITA) • Harry L. Coomes Recreation Center, Abingdon, VA
Comparison of Participation by Type of Site, 2008-2012Total Number of Sites: 43
Number of Program Participants, 2008-2012Total Number of Participants = 1610
Sites Participating in 2012Health Districts and Number of Patients Per Site Frederick Clarke Loudoun Blue Ridge Medical Center (65) Warren Fairfax Shenandoah Fauquier Rappa- hannock Prince William Highland Medical Center (1) Page Central Shenandoah Rockingham Culpeper Three Rivers Madison Stafford Highland King George Greene Bath Community Hospital (1) Richmond & Tappahannock Free Clinic (36) Orange Westmoreland Augusta Spotsylvania Caroline Albemarle Northumberland (8) Thomas Jefferson Louisa Essex Northumberland Rockbridge Alleghany Fluvanna Hanover Onley (140) King William King And Queen Goochland Lancaster Eastern Shore Henrico Buckingham Amherst Middlesex Powhatan Botetourt Cumber- land New Kent Craig Mathews Charles City Appomattox Chesterfield Northampton Amelia Wise (32) James City Giles Bedford Roanoke Gloucester (7) Prince George Buchanan Campbell York Health Wagon (4) Montgomery Nottoway Bland Dickenson Tazewell Surry Dinwiddie Hampton Charlotte Pulaski Franklin Russell Lunenburg Sussex Wythe Floyd Smyth Pittsylvania Virginia Beach Halifax Brunswick Carroll Scott Washington Southampton Suffolk Mecklenburg Grayson Chesapeake Patrick Greensville Nottoway Public Library (40) Lee (4) Tri-Area CHC (55) Henry/Martinsville (20) Petersburg (7) Prince Edward (33) Lenowisco Mount Rogers West Piedmont Piedmont Crater
Summary Attendance Statistics for 2012 • 444 program participants • 238 individual participants • Average age: 66.7 y.o. • 169 females, 69 males • 1.87 average classes per participant • 117 participants (49.2%) took one class • 62 participants (26.1%) took 2 classes • 36 participants (15.1%) took 3 classes • 19 participants (8.0%) took 4 classes • 4 participants (1.7%) took 5 classes • 21 participants were awarded certificates for attending all 4 classes
2013 Schedule of Classes * * All classes scheduled from 1-3 pm
Plans for 2013 • Improvement in group facilitation at participating sites; provided regional facilitator trainings for sites in January • Addition of libraries and use of health information specialists; provided training to librarians in Southside Virginia in February • Use of recorded sessions in addition to live, interactive sessions to offer flexibility in timing and to reach more people • Additional evaluation data - intent to change behavior; pilot data for behavior change outcomes