Oneida Diabetes Prevention Program Program information Oneida Tribe of Indians of Wisconsin Oneida Diabetes Prevention Program Tina Jacobsen, RD, CD Oneida Health Promotion/Disease Prevention

Team Members DPP Director DPP Coordinator Primary Care Provider(s) Administrative Assistant III/Data Collector Health Educators Wellness Coaches Dietitian Fitness Specialist(s)

Lifestyle Goals for Individuals Weight loss – at least 7% loss and maintenance Physical activity – at least 150 minutes/week Nutritional goals Dietary fat goal: <25% of calories from fat Calorie intake goal: 1200-1800 calories/day

Elements of the Program Intensive Activities Recruitment/Screening Eligibility Diabetes Prevention Program (DPP) Curriculum Coaching Retention Less Intensive Activities Just Move It-Oneida After-Core Quarterly Events

Core Element INTENSIVE ACTIVITIES

Recruitment/Screening Eligibility Goal: 48/year Screening at monthly Just Move It-Oneida events Pre-diabetes diagnosis – Not eligible: pregnant women, active alcohol/substance abuse, End Stage Renal Disease on dialysis, cancer OCHC Medical Referral Assessment/Data Collection Readiness Assessment Wellness Vision

Assessments Medical clearance Clinical measures (weight, height, waist circumference, and blood pressure) Lab tests (lipid profile, glycemic measurement – A1C, urine albumin:creatinine ratio) Clinical history Prescribed medications

Diabetes Prevention Program Curriculum 16-week sessions with emphasis on: Self monitoring techniques Problem solving Individualizing programs Empowerment and social support Frequent contact with coach and DPP support staff

DPP Core Class Sessions Welcome & Getting Started Losing Weight Be a Fat and Calorie Detective Three Ways to Eat Less Fat Healthy Eating Move Those Muscles Being Active: A Way of Life Tip the Calorie Balance Take Charge of What’s Around You Problem Solving Four Keys to Healthy Eating Out Talk Back to Negative Thoughts The Slippery Slope of Lifestyle Change Jump Start Your Activity Plan Make Social Cues Work for You You Can Manage Stress Ways to Stay Motivated

Individual Coaching Sessions Wellness Vision/Baseline Assessment Meet biweekly or monthly during curriculum and quarterly thereafter Assessment of patient needs, goals, problem solving skills Individualized nutrition and/or physical activity as needed Motivational support

Retention Personal Training Incentive Plan Points system for participation in all components of the program Points value: For every 25 points = $5.00 Oneida Retail Card

LESS INTENSIVE ACTIVITIES Core Element LESS INTENSIVE ACTIVITIES

Just Move It - Oneida September '11: Oneida Diabetes Walk. 09/17/11 at 10 am (NHC) October '11: JMI "Spooktacular" Walk. 10/29/11 at 10 am November '11: JMI Fall Walk 11/12/11 at 10 am December '11: JMI Jingle Walk 12/28/11 at 10 am January '12: New Year Walk 01/14/12 at 10 am February '12: Healthy Heart Walk 02/11/12 at 10 am March '12: Family Fun Night 02/29/12 at 4:30 pm (ONES) April '12: Spring into Action 04/14/12 at 10 am May '12: Nat'l Employee Health & Fitness 05/16/12 at 6 pm June '12: Family Frenzy Walk 06/13/12 at 6 pm July '12: JMI Summer Walk. 07/11/12 at 6 pm August '12: Beat the Heat Walk 08/08/12 at 6 pm September '12: Oneida Diabetes Walk 09/15/12 at 10 am October '12: Spooktacular Walk 10/27/12 at 10 am November '12: Fall Walk 11/10/12 at 10 am December '12: Jingle Walk 12/15/12 at 10 am

Core Element AFTER CORE ACTIVITIES

Quarterly Events All participants AND family members welcome Food Demonstrations Group Fitness Classes

Program Details Recruitment Curriculum/Coaching July/August 2011 Ongoing at monthly Just Move It-Oneida events Curriculum/Coaching September 5, 2011 New program starts 1st week of every month

Oneida Health Promotion/Disease Prevention tjacobs1@oneidanation.org Questions? Contact Information: Tina Jacobsen, RD, CD Oneida Health Promotion/Disease Prevention tjacobs1@oneidanation.org (920) 490-3927