Diabetes Prevention and Outreach Program DPOP

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Diabetes Prevention and Outreach Program (DPOP)

• Oklahoma City County Health Department
• Nancy Dayton, RN
• 405-425-4352
• Nancy_Dayton_at_occhd.org
• CDC Diabetes Translation
• May 5, 2008

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Vision

• Decrease the prevalence of diabetes by educating,
  motivating and empowering individuals to make
  behavioral and lifestyle changes.

Mission

• Improve the health of the underserved and
  uninsured of Oklahoma County by preventing or
  delaying the onset of Diabetes in those at risk.

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Prevalence

• 20.8 million people in the US have diabetes
• Hispanics are 1.7 times more likely to have
  diabetes than non-Hispanic Whites
• Approximately 190,000 Hispanics in Oklahoma
• 16,000 (9) diagnosed with diabetes in 2006
  (Citation)
• Approximately 55,000 Hispanics in Oklahoma County

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DPOP Classes

• Classes are based on the Diabetes Prevention
  Program (DPP) Core Curriculum
• Each class starts with the review of activity and
  food diaries
• How Am I Doing Graphs
• One hour class on selected topic
• Clients are invited to stay after class to
  exercise

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Developing Program

• 2 rolling 6 week periods within a 12 week program
  (minimum attendance)
• Clients are encouraged to complete 12 weeks
• Main Components
• Diet
• Activity
• Behavioral Modification

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Program Structure
Component
Diet
Activity
Behavior Modification
Diabetes
Cancer
Obesity
Diabetes
Cancer
Obesity
CVD
Plate M Act. Tobacco
Gluc.
Plate M Act. Tobacco
Gluc.
Wt.
Ht.
B.P. Chol. Trig.
Wt.
Ht.
BMI
BMI
Measurements and Labs can be collected at each
session.
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Class Goals

• Client Outcome Goals
• Reduce weight by 5
• Engage in 2 ½ hours of activity a week
• Program Goals
• 50 of clients have 5-7 weight loss
• 50 will lower fasting glucose by 3
• 90 reduction in Tobacco use
• 30 w/ cholesterol 200-250 will reduce below 200
• 50 w/ cholesterol 250-300 will reduce below 225
• 50 w/ cholesterol gt300 will reduce below 250
• 50 w/ BP gt140/90 will reduce by 10 mmHg

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DPOP Clinics

• At each screening a chart is opened for each
  client
• Anthropometrics and Lipid profile are collected
• Each client is given
• education regarding the results of labs collected
• referral for medical follow-up for abnormal lab
  values
• invitation to attend DPOP classes if found to be
  at risk or pre-diabetic
• Clients encouraged to return and volunteer

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Lessons Learned

• Community Based not Community Placed
• Trust of clients
• Need for abundant community resources
• Education must be understood and easily applied
• Information culturally friendly
• Allow for make-up sessions

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DPOP Future Development

• Prospective follow-up of clients 3, 6, 9, 12
  months post completion of program.
• Transfer operation of DPOP clinic site to
  community partner while maintaining QI by OCCHD
• Meet educational needs of other races and
  cultures.
• Seek needed resources to expand into other races
  and cultures

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Developing Partners

• Services
• Oklahoma University Health Sciences Center
• Oklahoma County Medical Society
• Medical
• Private Physicians
• Free and low cost clinics
• Community
• Hispanic Chamber of Commerce
• Health Alliance for the Uninsured
• AreaWide Aging Agency
• Area Churches