Diabetes Empowerment Education Program (DEEP) Presenter: William Carter & Danny CroxsonDate: August 20, 2015

 29.1 million people in the US have diabetes, with an estimated 86 million with pre-diabetes  Higher risk of blindness, kidney failure, heart disease, stroke and lower-limb amputations  People with diabetes spend 2.3 times more on health care costs than those without diabetes  7 th leading cause of death in the US UIC- Midwest Latino Health Research, Training and Policy Center

 The percent of adults living with diagnosed diabetes for Wichita County is 11% - US Health & Human Services  Among our clients 32% reported at least one member in the household that has diabetes – HIA 2014 Food Bank Report  The total civilian population without health insurance coverage…19% - US Census Bureau ◦ 31% of WIC clients indicated they did not have any insurance or any way to pay for healthcare – WIC client survey, 2015  Among citizens in Wichita County, 23% are functionally illiterate – North Texas Area United Way & Wichita Adult Literacy Council

 Some communities are affected more severely by diabetes than others  Racial and ethnic minority populations have a higher risk ◦ Suffering from chronic complications ◦ Increased hospitalizations for uncontrolled diabetes ◦ Increased mortality rate UIC- Midwest Latino Health Research, Training and Policy Center

Total Reach of InitiativeOutcomes Total number of people enrolled in DSME 11,607 Successful graduates8,755 % of people enrolled who have never had a class 51% - non-Medicare 61% - Medicare Average time since diagnosis7.5 years – non-Medicare 13.5 years - Medicare Increase access to DSME with new education 428 new DSME educators Engage physician practices43 participating practices TMF Health Quality Institute Health Disparities Team

Total Reach of InitiativeOutcomes Total number of people enrolled in DSME 6,292 Successful graduates4,763 % of people enrolled who have never had a class 66% among those who responded Average time since diagnosis12 years Increase access to DSME with new education 816 new DSME educators Engage physician practices15 participating practices TMF Health Quality Institute Health Disparities Team

 To reduce diabetes care disparities among minorities in the US  To prevent and/or reduce adverse health outcomes related to diabetes UIC- Midwest Latino Health Research, Training and Policy Center

 Empowerment DSME ◦ Focuses on building skills that motivate and empower people with diabetes to make small changes in their lives that will lead to a better life with diabetes  Traditional DSME ◦ Traditional, lecture-based classes where a person acquires knowledge but may not focus on goal- setting for behavior changes

 Developed by the Midwest Latino Health Research, Training and Policy Center at the University of Illinois at Chicago  Training of facilitators targets community health workers  Educational curriculum designed to engage community residents in self-management practices for prevention and control of diabetes  Very interactive and fun program UIC- Midwest Latino Health Research, Training and Policy Center

 Understanding the Human Body  Understanding diabetes and its Risk Factors  Monitoring Your Body  Get up and Move! Diabetes and Exercise  Managing Diabetes through Nutrition  Diabetes Complications: Identification and Prevention  Learning about Medications and Medical Care  Living with Diabetes: Mobilizing your Family and Friends UIC- Midwest Latino Health Research, Training and Policy Center

 Making group rules  Demonstrations  Discussions  Group learning activities and games  Brief lectures using visuals  Problem-solving activities  Practice: blood glucose self-monitoring, exercise UIC- Midwest Latino Health Research, Training and Policy Center

 6 – 10 weekly educational sessions conducted by a trained and certified Peer Trainer  Session duration: hours  Monthly follow-up encouraged: support groups, informational meetings; referrals to other health programs  Encourages involvement of family and friends of participants with diabetes UIC- Midwest Latino Health Research, Training and Policy Center

 County classes completed to date – 5  Participants who completed the program - 50  Classes in progress – 3 (2 English, 1 Spanish…38 participants)  DEEP Lunch and Learn – Last Thursday of the month at the Health District  Trained 10 additional educators in Wichita County (July 14-16, 2015)

 “I liked the activity but I also liked the discussion. We learn a lot from each other”  “Gives me a better understanding of why I should control my blood sugar”  “I am getting to understand the why of diabetes and how it affects the body”  “The class was so informative. I loved the fact that it is hands on and I was comfortable to ask any questions I needed answered!”  “Everyone with diabetes should go through this course”

 Identifying the signs and warnings that mean I should get medical help  Knowing enough about diabetes to make choices that are good/right for me  Knowing how to manage personal health  Feeling motivated to do what’s necessary to manage diabetes  Can count on family members, friends or neighbors to help with diabetes care.