1. DPP Overview Lifestyle Balance Program
Native American Participant Perspectives Gale Marshall Consultant IHS Division of Diabetes Treatment and Prevention
WHY AM I HERE? MARY HOSKIN COULDN’T BE. She will definitely be here in
HOW MANY OF YOU ARE INVOLVED WITH SDPI FOR THE FIRST TIME?
HOW

2. Why did you join the DPP? I wanted to help find a cure!
It wasn’t a contract. I could quit.
I found out I was at risk and said… Okay I need to do this for my family.
I wanted to be in the lifestyle group. I didn’t want to take medicine. I wanted to be in the lifestyle arm but would have stayed in if I had been put on medication.
Certainly everyone wanted to delay or prevent the onset of diabetes, they wanted to contribute to their community as well as a sense that the were contributing to the greater Indian Community.

3. TO CONTRIBUTE TO THEIR COMMUNITY AND TO THE GREATER INDIAN COMMUNITY

4. What Did You Do? Exercised! I didn’t think I could!
I started with food on a scale. It showed me portion sizes.
Logging in what I ate and keeping track of activity.
Having accountability, I had to answer to someone.
Many were concerned about being able to do the exercise but were pleasantly surprised. Food records and measuring (DPP provided the tools)
ACCOUNTABILITY ACCOUNTABILITY CASE MANAGERS, PERSONLA & GROUP.

5. What were the highlights?
Meeting different people (Met tons of people!)
Cooking class
The group
The cups, T-shirts, bookmarks, magnets, postcards, shoelaces, reminders
Still write letters to one of the Salt River Sisters!
I FELT BETTER the first week
SOCIAL ASPECT-Getting together
HIDDEN HIGHLIGHT EXCUSE TO PARTICIPATE
You can’t be too different or people might make fun-
Group challenges
THERE WAS ALMOST A SENSE THAT

6. Highlights (cont’d) Health Coaches
It became very clear that the case managers techniques were a critical factor.
Something else was clearly going on with these participants. There was something almost magical. There lives were better.
HOW MANY OF YOU HAVE ALREADY GONE TO THE WEBSITE AND DOWNLOADED MATERIALS?

7. HEALTH COACHING IS THE “MAGIC” THE CURRICULUM IS NOT “MAGIC”
Please be sure and take advantage of the case management training materials
How else do I know about the power of the magic

8. What was the KEY to your success?
“This may not be related to the program but just being able to talk to someone. They were a sounding board.”
“Being able to talk to someone who cared. They NEVER gave up on me.”
“No matter what, I never heard the word fail.”
“My coach always tried to find ways to motivate me. Exercise videos, recipes, walking tapes, but she was NEVER PUSHY.”

9. Lifestyle Coaching Consistent relationships
Work with the participant as a team
Hang in there- reinforcement
Be Supportive
Utilize multidisciplinary approach
Frequent Contact

10. Case Management Secrets
Structured and Flexible
Involved and Detached
It was quite a balancing act but clearly these case mamagers offered

11. Lifestyle Core Session #9: Problem Solving
The five steps to solving a problem:
Describe the problem in detail.
Brainstorm your options.
Pick one option to try.
Make a positive action plan.
Try it. See how it goes.

12. EXPECT SUCCESS! The case managers also EXPECTED SUCCESS
HOW MANY OF YOU EITHER HEARD OR SAID TO YOURSELF
Amazed how these participants who clearly had lots of “life issues” worked on their own plans for making lifestyle changes that fit into what they were able to do - INDEPENDENT of those life issues!!
Everyone

13. Retention After 10 years for some: 30% regular attendance
98%+ attending data visits
70% below their baseline weight (Lifestyle)
2005 “Amnesty Class” 100%!!
Still Connected to those who don’t regularly attend class to get them in when we need to-No broken arms needed. Many participants attend when they can.

18. Native Life

19. Website Resources Pedometer at group rate (start 24.95) 888.954.6666
Diabetes Prevention Program Website
Pedometer at group rate (start 24.95)
Nutrition in the Fast Lane booklets (5.95 plus 2.50 S&H)
May be able to et condensed version from Eli & Lilly Company
Order or download “Small Steps Big Rewards” materials.
Game Plan Food and Activity Tracker/Fat and Calorie Counter, Health Care Provider Game Plan Packet, Game Plan Overview (for most handouts you get one free and can order 3 more for $4-$5.

20. Website Resources (cont’d)
DHHS Website-great information. Links to the ad council to view new weight loss messages.
New PSA’s New PSA’s produced by HHS and the ad council on ‘losing’ things like pot bellies and double chins, etc.
Indian Health Service- Medical Programs to Diabetes select browse catalog and Order Health for Native Life-DPP Edition.
“Aim for a Healthy Weight”
Take the portion distortion test
NDEP Game Plan-Food & Activity Tracker

21. Gale Marshall
Mary Hoskin