Erica Barrett, MOT, MBA CDCs Steps Program

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The Community Health Promotion Handbook
Action Guides to Improve Community
Health Establishing a Community-Based DSME
Program for Adults with Type 2 Diabetes to
Improve Glycemic ControlAn Action Guide
Erica Barrett, MOT, MBA CDCs Steps
Program Translation and Dissemination Team Ginn
Group Contractor
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Presentation

• Provide overview of Handbook project
• Provide an orientation to the DSME Action Guides
  content and design
• Highlight how the DSME Action Guide can serve as
  a valuable resource

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The Community Health Promotion Handbook Action
Guides to Improve Community Health
DIABETES MANAGEMENT

• Diabetes Self-Management Education (DSME)
  Establishing a Community-Based DSME Program for
  Adults with Type 2 Diabetes to Improve Glycemic
  Control

• PHYSICAL ACTIVITY
• Places for Physical Activity Facilitating
  Development of a Community Trail and Promoting
  Its Use to Increase Physical Activity Among Youth
  and Adults
• School-Based Physical Education Working with
  Schools to Increase Physical Activity Among
  Children and Adolescents in Physical Education
  Classes
• Social Support for Physical Activity
  Establishing a Community-Based Walking Group
  Program to Increase Physical Activity Among Youth
  and Adults
• TOBACCO-USE TREATMENT
• Healthcare Provider Reminder Systems, Provider
  Education, and Patient Education Working with
  Healthcare Delivery Systems to Improve the
  Delivery of Tobacco-Use Treatment to Patients

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(No Transcript)
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Publication/Distribution

• Published April 2008
• Free, public access to Handbook and its
  individual Action Guides at www.prevent.org/action
  guides
• Complete Handbook or individual Action Guides can
  also be purchased at same Web site

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Handbook Project Overview

• Collaboration between CDCs Steps Program and
  Partnership for Prevention
• Translates evidence-based recommendations into
  practice
• The Guide to Community Preventive Services What
  Works to Promote Health? (Community Guide)
• Audience Public health practitioners and others
  interested in community-level health promotion
  strategies

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• Highlights of Community Guide's Recommendation
• Recommendation
• Diabetes Self-Management Education in Community
  Gathering Places for Adults with Type 2
  DiabetesSufficient Evidence of Effectiveness
• Findings
• Can be provided in such community gathering
  places as community centers, libraries, private
  facilities (e.g., cardiovascular risk reduction
  centers), and faith-based institutions.
• Should be coordinated with the individuals
  primary care provider and not meant to replace
  education delivered in the clinical setting.
• Effectiveness
• Effective in decreasing glycohemoglobin (GHb) by
  approximately 2 percentage points.
• Applicability
• These findings should be applicable to adults
  with type 2 diabetes, with a range of racial and
  ethnic backgrounds, in a variety of settings.
• Excerpts taken from Task Force on Community
  Preventive Services. The Guide to Community
  Preventive Services What Works to Promote
  Health? New York, NY Oxford University Press
  2005201203. Available at http//www.thecommunit
  yguide.org/library/book (Chapter 5 Diabetes).

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Development of DSME Action Guide

• Written by Partnership for Prevention in
  consultation with content experts and reviewed
  by CDCs Steps Program

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DSME Action Guide Contributors

• Lawrence Barker, PhD Carl Caspersen, PhD, MPH
  Dawn Satterfield, RN, PhD and Darlene Thomas
  CDC's Division of Diabetes Translation
• Russell Glasgow, PhD Colorado Institute for
  Health Research Kaiser Permanente
• Martha Funnell, MS, RN, CDE Michigan
  Diabetes Research and Training Center
• Susan Norris, MD, MPH Oregon Health and
  Sciences University
• Carol Brownson, MSPH Edwin Fisher, PhD and Mary
  O'Toole, PhD Robert Wood Johnson Foundation
  Diabetes Initiative
• Sharon Brown, PhD, RN, FAAN University of
  Texas at Austin
• Chen-Yen Wang, PhD, CDE, ANP-BC University of
  Hawaii at Manoa
• Jan Norman, RD, CDE Washington State
  Department of Health

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• DSME Action Guide
• Content and Design

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Table of Contents

• Introduction (condensed version of Handbook's
  introduction)
• Section 1 Overview of the Approach
• Section 2 Implementing the Approach
• Appendix A Determining Your Resource Needs
• Appendix B Evaluating Your Activities
• Appendix C References and Resources
• Appendix D Glossary of Selected Terms
• Feedback Form (by fax or online)

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Section I Overview of the Approach

• The evidence
• Expected outcomes
• Role of DSME program coordinator

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Section 2 Implementing the Approach

• Action Steps
• Who, what, when, where, and how
• Bulleted tasks in each step
• Tip boxes and hurdler boxes
• Presents suggestions and additional information
  and resources
• Describes possible obstacles and provides
  suggestions on successfully overcoming these
  hurdles
• Latest National Standards for Diabetes
  Self-Management Education

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• Action Steps for Establishing a Community-Based
  DSME Program for Adults with Type 2 Diabetes
• Getting Started
• Conduct community assessment.
• Begin organizing personnel, material, and
  financial resources.
• Engage partners and key stakeholders.
• Form an advisory board.
• Make decisions about structure and scope of
  program.
• Recruit instructional and administrative
  staff.
• Develop, review, and refine curriculum.
• Secure a community gathering place for
  classes.

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• Action Steps for Establishing a Community-Based
  DSME Program for Adults with Type 2 Diabetes
  (cont'd)
• Moving Forward
• Develop evaluation and continuous quality
  improvement plans.
• Publicize program and register participants.
• Organize orientation session for program
  staff.
• Begin providing classes.
• Looking Beyond
• Ensure that instructional staff receive
  ongoing training.
• Explore methods for sustaining and
  disseminating program.

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Appendix A Determining Resource Needs

• Personnel, material, and financial resources

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Appendix B Evaluating Your Activities

• Questions to guide data collection for process
  and outcome evaluation
• Potential sources of data

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Appendix C References and Resources

• References used in development of guide
• Resources and tools for planning, implementation,
  and evaluation

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Appendix D Glossary of Selected Terms

• Definitions for words italicized in guide

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Centers for Disease Control and
PreventionNational Center for Chronic Disease
Prevention and Health Promotion Division of
Adult and Community HealthSteps Program4770
Buford Highway, N.E., Mailstop K-93Atlanta, GA
30341
Contact PersonErica BarrettSteps Program
Translation and Dissemination TeamGinn Group
ContractorTelephone [phone]E-mail
fwm4_at_cdc.govwww.cdc.gov/steps
www.prevent.org/actiong
uides