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Implementing Evidence-Based Diabetes Programs

Implementing Evidence-Based Diabetes Programs. Sarah Childers-Strawbridge, BS, CHES Indiana Rural Health Association Annual Rural Health Conference Indianapolis, IN June 10, 2009. Agenda . Explore the importance of patient empowerment

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Implementing Evidence-Based Diabetes Programs

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  1. Implementing Evidence-Based Diabetes Programs Sarah Childers-Strawbridge, BS, CHES Indiana Rural Health Association Annual Rural Health Conference Indianapolis, IN June 10, 2009

  2. Agenda • Explore the importance of patient empowerment • Discuss the evidence-based diabetes prevention and control programs being implemented in Indiana • Review the Indiana Consensus Guidelines for Diabetes Care • Introduce the Indiana Diabetes Advisory Council • Share the new direction for the Diabetes Prevention and Control Program (DPCP)

  3. Patient Empowerment • Self-management is key • “The individual’s ability to manage the symptoms, treatment, physical and social consequences and lifestyle changes inherent in living with a chronic condition.”Barlow et al, Patient Education Counseling. 2002; 48: 177-187 • Self-efficacy drives self-management • “Self-efficacy focuses on the individual’s personal confidence beliefs about his or her capacity to undertake behavior or behaviors that may lead to desired outcomes such as improved health…” Marks, Allegrante 2005, p. 148

  4. Why do we need self-management?

  5. Chronic Diseases are Reaching Epidemic Proportions • Chronic Diseases are the leading causes of death and disability in the United States • >1.7 million Americans die of a chronic illness annually • One of every 10 Americans (25 million people) experiences activity limitations because of chronic diseases • 80% of individuals 65+ years have 1 chronic condition • ~50% have 2 chronic conditions • Numbers are even higher within minority populations • 95% of health care $’s for older adults go to treat chronic conditions Mensah: www.nga.org/Files/ppt/0412academyMensah.ppt#18 State of Aging and Health in America 2007: www.cdc.gov/aging http://www.cdc.gov/nccdphp/

  6. $245 billionan average of $1,066 per person 1980 $1.4 trillionan average of $5,039 per person 2001 $2.8 trillionan average of $9,216 per person 2011 Health Care Spending is on the Rise Our nation spends more on health care than any other country in the world!

  7. Evidence-Based Programs Promoted by the DPCP • Living a Healthy Life with Chronic Conditions • Enhance Fitness • Power to Prevent • Small Steps, Big Rewards • Diabetes at Work • The Road to Health Toolkit • Diabetes Prevention Program

  8. Evidence-Based Programs Promoted by the DPCP • Living a Healthy Life • Chronic Disease Self-Management Program (CDSMP) • Enhance Fitness

  9. National Diabetes Education Program (NDEP) • Power to Prevent • Small Steps, Big Rewards • Diabetes at Work ( http://diabetesatwork.org/ ) • The Road to Health Toolkit

  10. Evidence-Based Programs Promoted by the DPCP • Diabetes Prevention Program

  11. Indiana Consensus Guidelines for Diabetes Care www.diabetes.in.gov Left hand side navigation bar: Data and Statistics

  12. Indiana Diabetes Advisory Council • The mission of the Indiana Diabetes Advisory Council (DAC) is to increase public awareness of the impact of diabetes in Indiana; to improve the quality of life for Indiana residents who are affected by diabetes; to improve the quality of care for patients with diabetes; and to reduce the burdens imposed by diabetes in Indiana. • The vision for Indiana’s DPCP is to have a state where the public is fully aware of the impact of diabetes; all patients with diabetes are receiving high quality of care wherever they are in the state regardless of race, ethnicity, and socioeconomic status; and patients with diabetes enjoy the best quality of life possible.

  13. New Direction • Collaborative Funding Opportunity Announcement • Behavioral Risk Factor Surveillance System (BRFSS) • Indiana Tobacco Prevention and Cessation Agency • Healthy Communities Program • Five year funding • Long-term objectives

  14. References • Barlow et al, Patient Education Counseling. 2002; 48: 177-187 • Heffler et al., Health Affairs., Health Spending Projections For 2001-2011: The Latest Outlook, March/April 2002. • Marks R, Allegrante JP. A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: Implications for health education (Part II). Health Promotion Practice. 2005; 6: 148-156 • Mensah: www.nga.org/Files/ppt/0412academyMensah.ppt#18State of Aging and Health in America 2007: www.cdc.gov/aging • National Diabetes Education Program www.YourDiabetesInfo.org • http://www.cdc.gov/nccdphp/

  15. Thank you! Sarah Childers-Strawbridge, BS, CHES Program Coordinator Diabetes Prevention and Control Program sstrawbridge@isdh.in.gov 317-233-7371 www.diabetes.in.gov

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