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BARRIER: Lack of knowledge of Diabetes as a disease.

BARRIER: Lack of knowledge of Diabetes as a disease. Potential Solution #1: Blue Ribbon week on wellness/health awareness in local schools in April or November. Potential Solution #2: Agenda of activities for schools to implement thru PTA, superintendents, legislators, local govt. leaders.

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BARRIER: Lack of knowledge of Diabetes as a disease.

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  1. BARRIER: Lack of knowledge of Diabetes as a disease. Potential Solution #1: Blue Ribbon week on wellness/health awareness in local schools in April or November. Potential Solution #2: Agenda of activities for schools to implement thru PTA, superintendents, legislators, local govt. leaders. Potential Solution #3: Social media campaign ex: Facebook, Twitter, Linkedin. • Next Steps for Solution #1: • Advocate knowledge of Diabetes as a disease. • Next Steps for Solution #2: • Educate family, friends, and co-workers about Diabetes. • Teach healthy cooking habits/ portion control on meals. • Implement physical activity programs. • Generate positive research in the Rio Grande Valley and for their families. • Next Steps for Solution #3: • Promotional campaign • Bret Michael s concert. • Raffle for users of social media. Groups Involved Solution #1: Groups Involved Solution #3: Groups Involved Solution #2:

  2. BARRIER: Lack of knowledge of Diabetes as a disease. Potential Solution #4: Publicity thru govt. proclamations, legislative days/agenda, weekly article on diabetes, a Spanish TV show. • Challenges: • Community buy in. • Create networks and partnerships among community stakeholders. • Communicate on issues. • Empower with knowledge. • Next Steps for Solution #4: Groups Involved Solution #4:

  3. BARRIER 1: Lack of South Texas Bilingual/Bicultural Educational Programs Potential Solution #1: Reaching Children in the School System Potential Solution #2: Educate the Professionals Potential Solution #3: Reach Adults • Next Steps for Solution #1: • Target Audience and Age Appropriate • Policy Change in Schools • Implement Social Media Campaign • Require Health and Education Classes • Next Steps for Solution #2: • Legislative Changes to Require Hours for Diabetes Education • Financial Incentives through discounts / Research other Markets • Workshops/Conferences/Seminars • Local PSA/Media Stunt for Healthy Livestyle • Next Steps for Solution #3: • Adult Day Cares/ Community Centers • Media/ PSA / Radio • Integrating Social Health Workers/ Promotoras in the Community Groups Involved Solution #1: School Board – Policy Change Public Health Universities School Districts South Texas Juvenile Diabetes Association Groups Involved Solution #2: Elected Officials Corporate Business American Association of Diabetes Educators Other Public/Private Entities Groups Involved Solution #3: Medicare Expansion Agencies Local Radio/TV Faith Based Organizations

  4. BARRIER 2: Accessibility to Public Exercise and Health Programs Potential Solution #1: Parks Potential Solution #2: Community Exercise Centers Potential Solution #3: • Next Steps for Solution #1: • Legislation to allow school districts to use the facilities • Financial incentive to schools for use of facilities • Security/Lighting • Next Steps for Solution #2: • Raise awareness of current/existing programs • Centralized website/app/211 for public access w/ calendar of activities • Next Steps for Solution #3: Groups Involved Solution #1: Local/City/County/School Government Private Philanthropic Groups Groups Involved Solution #2: Local 211 Provider Council of Governments Sports Related Businesses Local Hospitals Groups Involved Solution #3:

  5. BARRIER 3: Poor Nutrition Education and Accessibility to Healthy Food Products Potential Solution #2: Work with Local Business to provide incentives for SNAP users and community members Potential Solution #1: Enhance current nutritional educational programs Potential Solution #3: • Next Steps for Solution #1: • Develop a basic education program • Expand children and adolescent involvement in nutrition education activities • Standardized employee education video on nutrition • Next Steps for Solution #2: • Encourage local participation with businesses that promote healthy lifestyle • Next Steps for Solution #3: Groups Involved Solution #1: American Association of Diabetes Educators USDA choosemyplate.gov Dieticians/ UTPA /STC Groups Involved Solution #2: Local Businesses Chamber of Commerce Food Bank USDA Local Farmer’s Markets/AgraLife Groups Involved Solution #3:

  6. BARRIER 4: Lack of Funding for Sustaining Programs and/or other Funding Alternatives Potential Solution #1: Empower program participants to sustain the program Potential Solution #2: Low Cost/No Cost Youth Involvement Programs Potential Solution #3: • Next Steps for Solution #1: • Educate participants to expand the program • Supporting secondary facilities • Community recognition of current participants and developing a program for future leaders • Next Steps for Solution #2: • Develop referral materials • Develop a health/nutrition youth mentoring program • UTPA/STCC practicum programs • Next Steps for Solution #3: Groups Involved Solution #2: Boys/Girls Scouts Boys/Girls Clubs Faith Based Groups 4H Clubs Groups Involved Solution #3: Groups Involved Solution #1: Migrant Health Promotion Public Health Department WIC

  7. BARRIER: Lack of intra/inter professional collaboration Potential Solution #1: Community/Researcher collaboration. Potential Solution #2: Creation of an electronic database/registry to share ongoing efforts in research. Potential Solution #3: Disseminate results to the general public (all sectors). • Next Steps for Solution #1: • Projects to generate first-hand data • Form community advisory boards • Create community based participatory research project • Next Steps for Solution #2: • Build on diabetes care project website. • Next Steps for Solution #3: • Create mentoring program • Create public forums for dissemination • Design innovative dissemination strategies beyond publishing Groups Involved Solution #1: Community partners. Groups Involved Solution #2: Academic institutions (UTPA, UTB, AM SPH, UT SPH etc.), clinics, hospitals, researchers Groups Involved Solution #3: Future health care profession students, researches, clinics, work sites and policy makers.

  8. BARRIER: Participation-Employer and Employee Potential Solution #1: Identify best practices among local employers (5-10) Potential Solution #2: Help employers plan and run a successful Health Fair as a starting point Potential Solution #3: Engage members to participate in their care • Next Steps for Solution #1: • Identify employers that are offering a wellness/disease management program • Next Steps for Solution #2: • Decide what works best for your company(costs v benefits) • Provide basic health screenings • Highlight current employee wellness resources and benefits • Next Steps for Solution #3: • Create employee task force • Customize for each employer based on employee feedback • Team focused challenges-weight loss? • Provide incentives for participation • Set timelines • Measure progress • Groups Involved Solution #1: • Public employers • Private employers • Groups Involved Solution #2: • Local providers • Local Non-profits • Industry related partners • Groups Involved Solution #3: • Local education partners • Gyms and fitness centers • Sports leagues

  9. BARRIERS: Lack of Education, food choices, sedentary lifestyles. Stereotyping Diabetics as different. Cause & Effect – behavior modification. Cost of healthy food? Access to adequate healthcare. Poverty, Patient Engagement Underinsured/Uninsured. Potential Solutions #2: Choose food selections wisely Potential Solutions #3: Exercise Potential Solutions #1: Educate children at home Parents must enforce healthy choices Need cultural sensitive ED. To our region. Take message to patient in their own language for direct communication – 1 on 1(Colonias) • Next Steps for Solution #2: • Teach food exchanges/ choices including starches and decrease empty calories, soda, sugar. • Appropriate calorie intake a day. Portion control • Organic produce, nuts, vegetables/calabacita • More community involvement (HEB, Farmers Market) • Next Steps for Solution #3: • Instead of an extra shot of insulin, Exercise/Muevete! • Awareness Campaign -Muevete • Media coverage on the consequences • Modify the way children & adults are educated (tech) • How do we coordinate & collaborate with interest groups. • Portable healthcare/ID card with patient medical record • Educate healthcare providers (refer patients to free seminars) Groups Involved Solution #3: Local T.V., Print, Diabetes Assn., City, County, State & Washington D.C. Groups Involved Solution #2: Physicians, Research Centers, Family members must be accountable to each other Reward good behavior Groups Involved Solution #1: Weight Watchers Support Groups, School Administrators Dieticians – Food Exchanges Certified Diabetes Educator Pharmaceutical Co’s. UTPA

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