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Target Group. 255 deaths in Macon County in 2006 11 died due to complications of diabetes Nurse Practitioner explained that around 80% of the patients she sees have type 2 diabetes. Target age range: 40-80 year olds. Healthy People 2020. Healthy People 2020 goals relating to diabetes
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Target Group • 255 deaths in Macon County in 2006 • 11 died due to complications of diabetes • Nurse Practitioner explained that around 80% of the patients she sees have type 2 diabetes. • Target age range: 40-80 year olds
Healthy People 2020 • Healthy People 2020 goals relating to diabetes • “Increase prevention behaviors in persons at high risk for diabetes with pre-diabetes by increasing levels of activity, weight loss, and reducing the amount of fat and calories in the diet” • Community-oriented health diagnosis: • Risk of development of type 2 diabetes among 40-80 year olds in Notasulga, Alabama related to lack of healthy eating habits.
Objectives • To identify the population in Notasulga most at risk for developing type 2 diabetes or complications from type 2 diabetes • To increase prevention behaviors through educating the population on making healthier eating choices within a budget
Development of Intervention • Wal-mart • Food prices • Comparison with healthier options • Poster • Left at senior center for referencing • Brochure • Reference for future questions
Literature • “Can the onset of type 2 diabetes be delayed by a group-based lifestyle intervention? A randomised control trial.” • “Healthy eating and exercising to reduce diabetes: Exploring the potential of social determinants of health frameworks within the context of community-based participatory diabetes prevention.”
Intervention • Topic • Population • Method of delivery
Healthy Eating on a Budget IS Possible!!! Eat This....Not That • Healthier foods are cheaper than unhealthy foods! • Frozen beans and dry beans vs. canned • Ground turkey and chicken vs. ground beef • Nilla wafers and graham crackers vs. Oreos • Turkey bacon vs. pork bacon • Fresh bananas are CHEAP! • Healthy Eating Tips and Tricks • Try your food before you salt it • Cook or fry foods in canola or olive oil • Frozen can be cheaper than fresh when it comes to fruits and veggies • Drink skim or 1% milk instead of whole • Buy fruits and veggies in season • Make sure to watch you sugar and sodium intake • The fewer ingredients the better! • Buy 100% fruit juice, not juice from concentrate • Choose diet vs. regular soda • Price-$6.24 • Calories-460 • Sodium-545mg • Fat-13g • Carbs-52g • Fiber-7g • Protein-30g • Price-$5.48 • Calories-460 • Sodium-745mg • Fat-9.5g • Carbs-27g • Fiber-1g • Protein-24g Brought to you by:
Evaluation • Upon arrival, the members of the senior center told us that the majority of the people present already had type 2 diabetes • Seemed irritated that we were interrupting their Bingo game • “I’m not going to learn anything I don’t already know.” • Based on the feedback received by participants: • Processed knowledge and asked intelligent questions • Provided real-life situations
Future Recommendations • Because the main meal the seniors eat is provided by the Senior Center through the government, we would suggest taking this factor into account when planning future interventions • Because of the overall age of our audience, a program could be planned to increase exercise and an active lifestyle for seniors. • These seniors could also benefit from knowledge about different disease processes
References • American diabetes association. (n.d.). Retrieved from http://www.diabetes.org/diabetes-basics/type-2/?loc=DropDownDB-type2 • C, M. (2012, September 17). Interview by M L [Personal Interview]. in text = (C, 2012) • Diabetes. (2012, September 6). Retrieved from http://www.healthypeople.gov/2020/ topicsobjectives2020/overview.aspx?topicid=8 • Moore, S. M., Hardie, E. A., Hackworth, N. J., Critchley, C. R., Kyrios, M., Buzwell, S. A., & Crafti, N. A. (2011). Can the onset of type 2 diabetes be delayed by a group-based lifestyle intervention? a randomised control trial. Psychology and health, 26(4), 485-499. doi: 10.1080/08870440903548749 • Profile for notasulga, alabama, al. (n.d.). Retrieved from http://www.epodunk.com/cgi-bin/genInfo.php?locIndex=12115 • Schulz, A. J., Zenk, S., Odoms-Young, A., Hollis-Neely, T., Nwankwo, R., Lockett, M., Ridella, W., & Kannan, S. (2005). Healthy eating and exercising to reduce diabetes: Exploring the potential of social determinants of health frameworks within the context of community-based participatory diabetes prevention. American Journal of Public Health, 95(4), 645-651. doi: 10.2105/AJPH.2004.048256 • United States Census Bureau , (2010). Macon county quickfacts from the US census bureau. Retrieved from website: http://quickfacts.census.gov/qfd/states/01/01087.html • W,W. (2012, September 17). Interview by ML [Personal Interview]. in text = (W, 2012