1. Healthy Living with Diabetes Presented by the Wisconsin Institute for Healthy Aging, Wisconsin Department of Health Services and their partners 12/2013

2. Why is Healthy Living with Diabetes Needed? 1 in 12 Americans affected by diabetes By 2050 there will be 40 million Americans with type 2 diabetes WI: 475,000 adults with diabetes and 1.45 million adults with pre-diabetes Even higher incidence in communities of color 25% of Wis. Medicare beneficiaries have type 2 diabetes 12/2013

3. Consequences of Diabetes Mortality is twice that of people without diabetes of similar age Leading cause of blindness, heart disease, and stroke – and lower extremity amputations Very expensive to treat - 2009 Wisconsin data – $4.07 billion in direct health costs – $2.7 billion in indirect costs 12/2013

4. The Healthy Living with Diabetes Program Community workshop For individuals with type 2 diabetes, pre- diabetes or either who live with or care for or about someone who does 2.5 hours/week for 6 weeks Led by 2 trained co-leaders, 1 with diabetes or has a connection to someone with diabetes (e.g., caregiver, CDE, etc.) 12/2013

5. The Healthy Living with Diabetes Program Evidence-based Meets AoA’s highest standard Developed by Stanford University’s Patient Education Research Center with CDEs Developed over years of: – pilot-testing – refinement – evaluative research http://patienteducation.stanford.edu/ 12/2013

7. Program’s Underlying Assumptions People with diabetes have similar concerns and problems They must deal with both physical symptoms and impact on lives/emotions Lay people can teach program as effectively, if not more effectively, than health care professionals The program process is as important, if not more, than substance 12/2013

8. Researched and Proven Study Results show: improved diabetes self-management self-efficacy decreased symptoms of hypo and hyperglycemia improved HbA1C decreased health distress improved communication with physicians improved self-rated health decreased emergency room visits 12/2013

9. Works well with Existing Diabetes Education Programs and Certified Diabetes Educators Group problem-solving compared to expert and student approach No individualized medical advice = more discussion time for daily living with diabetes Some similar topics; approach very different Peer-led education very motivating Health team prescribes “what” needs to be done; workshop gives peer support to “how” 12/2013

10. Target Population Adults with type 2 diabetes or pre-diabetes Adults who live with or care for or about someone who has type 2 diabetes or pre- diabetes Regardless of how long the person has been living with diabetes Cognitively able to participate in process 12/2013

11. Topics Techniques to deal with physical symptoms of diabetes Dealing with difficult emotions Appropriate exercise Meal planning for people with diabetes Appropriate use of medication Working more effectively with health care professionals 12/2013

13. Dissemination in Wisconsin Began in 2013 Diverse agencies offer the workshop Diverse sites host the workshops Diverse professionals or lay individuals who serve as leaders 12/2013

14. Leader Qualifications & Characteristics Health care, aging or disability network professionals, or lay volunteers At least one Leader has diabetes or close connection Experience with diabetes – personal or professional Comfortable leading groups of adults Comfortable following a script Past participants encouraged! 12/2013

15. Leader Expectations Attend all four* days of Leader trainings Work with a sponsoring organization Lead workshops in pairs, both trained Lead two workshops each year Follow program script Use required books and charts Follow WIHA administrative protocols * There is a separate two-day cross training for current Living Well Leaders 12/2013

16. Are You Ready? Identify the local sponsoring organization AND Identify your co-leader AND Communicate with local aging unit AND Together, review the Planning Guide (see next slides) * One or both Leaders must have diabetes or close connection 12/2013

17. Healthy Living with Diabetes Leader & Local Partner Organization Planning Guide Identify local sponsoring organization, e.g., county/tribal aging unit or hospital-based coordinator Obtain supervisor support from your place of employment (if applicable) Connect with a health care provider and any CDE Identify two Leaders – already trained or need training? Select dates and times for first workshop Decide whether workshop will be free or a fee Select and reserve site, room, room arrangement Who will submit workshop notification to WIHA? What agency will receive workshop registrations? Continued... 12/2013

18. Healthy Living with Diabetes Planning Guide, cont’d Outreach and Marketing – See WIHA website materials – Presentations – Where? Who will present? – Health Care providers, including CDEs – Individual recommendations – Who? Supplies needed – Copies of Living a Healthy Life with Chronic Conditions – Required charts – Easels, blank flipchart pads, tape, and markers – Participant handouts – Refreshments Data Collection Funding Needed? 12/2013

20. Website for Leaders www.wihealthyaging.org – Click on FOR LEADERS ONLY – Click on Healthy Living with Diabetes – username: leaders@wihealthyaging.org password: wihaleaders 12/2013

25. Support for Leaders Listserv WIHA Leader Newsletter Regular Leader conference calls or meeting where available Technical assistance Leader Coaching Healthy Aging Summit 12/2013

26. Leader Training Come in pairs, or solo if county already has a trained Leader Four* full days – must attend all to learn: – basics on diabetes – curriculum of Healthy Living with Diabetes program – group facilitation, including practice Learn WIHA protocols and support available During first workshop, may have coaching session *Two days if cross-training 12/2013

27. Leader Training – to apply Leader Application – link on WIHA website Complete application; pay fee Commit to requirements Attend in pairs, unless already a Leader in county With Sponsoring Organization, complete Planning Guide 20-person limit 12/2013

28. ? ? ? QUESTIONS ? ? ? Betsy Abramson 608-243-5691 betsy.abramson@wihealthyaging.org Sherri Ohly 414-687-1223 sherri.ohly@wihealthyaging.org Anne Hvizdak 715-677-3037 anne.hvizdak@dhs.wisconsin.gov 12/2013

29. THANK YOU! 12/2013