1. Sharon A. Denham, DSN, RN Professor, Ohio University School of Nursing

2.  Centers for Disease Control and Prevention National Diabetes Education Program  Ohio Department of Health Diabetes Prevention and Control Program  Ohio University’s Appalachian Rural Health Institute (ARHI)  Ohio University, Diabetes Research Initiative (DRI).  Ohio University’s Office of Research and Sponsored Projects Challenge Grants

3. Dr. Frank Schwartz Chris Knisely Dr. Ann Rathbun

4. Dr. Margaret Manoogian, Dr. Kathy Rose-Grippa, Larry Hamel-Lambert, Amelia Krales, Steve Fetsch, Joshua Ramsey, Norm Bebee, Dana Formby, Nicholas Sgouros, William Zorn, Dr. Lynn Harter, Dr. Karen Remsberg, Dr. Larry Wood, Tara O’Brien, Patricia Harris, Kallia Wright, Tammy Collier, Cara Butcher, Stacey Hartman, Jeff Negrelli, Eimi Lev, Maria Averion, Joe Bass

5. Dr. Jay Shubrook, Barbara Nakanishi, Suzanna Theodoras, Carole Merckle, Diabetes Center’s Diabetes Coalition, Beth Pingle, Francie Astrom, Karen Bailey, Dr. Benjamin Bates, Dr. Darlene Berryman, Ruth Dudding, Dr. Jennifer Hinton, Dr. Mary de Groot, Susan Isaac, Dr. Jane Hamel-Lambert, Dr. Bruce Martin, Dr. David Mould, Deborah Murray, Dr. Rafael Obregon, Tracey O’Dell, Dr. Brian Quick, Nancy Schell, Jane Snider, Kathy Trace, Deanna Tribe

6.  Dr. Jane Kelly  Nancy Schaefer  Cheryl Branham  Kathy Chapman  Ellen Peterson

7.  Kimberly Malone  Michelle Malone  Leslie Malone  Antonio Keith (T.J.)  Teran Keith  Ann Rathbun

9.  Access  High costs and affordability  Lack of health care insurance  Increased numbers of seniors  Increases in chronic illness  Electronic medical records  Epidemic of diabetes & obesity

11.  Diabetes is a growing problem in Appalachian region.  Cultural uniqueness of the region.  Lack targeted diabetes education and teaching materials.  Family is important in lives for Appalachian people.  Lack family-focused diabetes education materials.  Primary care largely inadequate for holistic needs.

12.  Diabetes experts and other health practitioners are not readily accessible to many.  Need new approaches to address healthy lifestyle behaviors, diabetes prevention, and diabetes self- management.  Community programs and volunteers have been successful.

13.  Excellent diabetes education materials for health professionals already exist and is available.  Diabetes educators may not be knowledgeable about: * Community or population health * Working with coalitions * Volunteer programs * Development, implementation, and evaluation of sustainable community programs.

14.  Broadband access is not yet readily available, but availability continues to grow.  Social networking can be a valuable tool for mobilizing people and groups.

15.  Healthy lifestyles, diabetes prevention, and diabetes self-management  Type 2 diabetes (primarily)  Rural focus  Program for Appalachian communities

16.  Family-Focused versus Medical Model  Family Context (family history, genetics, place, culture)  Family Function (communication, caregiving, story-telling)  Family Routines

17.  Lived experience and biomedical accounts  Narrative competence and clinical care  Diabetes as a “Family Disease”  Diabetes more than individual problem (extended kin networks, place, faith, etc.)  Health legacies  Reconstruct new stories (e.g., not being “beholden to others”)

18.  Ecological context  Diversity  Geography  Multiple interacting sectors  More than traditional ideas of health care

19.  Low literacy and Health Literacy  Cultural identification (avoid stereotypes)  Empowerment  Living with diabetes

20.  Novel approaches/innovative ideas  Interdisciplinary input  Web 2.0 availability  Multiple types of audiences

21.  Give local people a voice.  Take personal actions to improve the quality of life of those that live in your community.  Work with others to positively mobilize the resources available in your community to address the health of local residents.  Empowerment and active involvement of all local residents.

22.  Train the trainer model  Community coalitions  SUGAR Helpers (Support to Unite Generations in the Appalachian Region)

23.  Diabetes Educator Manual  SUGAR Helper Manual  Series of brochures  Posters  Fotonovellas  Bookmarkers  Film  Plays

24.  www.diabetesfamily.net www.diabetesfamily.net  Toolkit section of website  Multiple activities  “Ask Me” Campaign