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FCS Program Focus Area – Healthy Eating/Active Lifestyles Dr. Virginie Zoumenou UMES/ Maryland Cooperative Extension 11/01/07.

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Presentation on theme: "FCS Program Focus Area – Healthy Eating/Active Lifestyles Dr. Virginie Zoumenou UMES/ Maryland Cooperative Extension 11/01/07."— Presentation transcript:

1 FCS Program Focus Area – Healthy Eating/Active Lifestyles Dr. Virginie Zoumenou UMES/ Maryland Cooperative Extension 11/01/07

2 Situation  Obesity and Diabetes are reaching epidemic proportions in US.  In 2006, diabetes prevalence was  8.0% in Maryland  above 10% in 10 counties

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5 Situation  High prevalence of diabetes among overweight Children aged 12 and 18 (Maryland BRFSS 2006)  Overweight individuals: Children, adolescents, youth, adults, are at risk  Half of overweight individuals may already have pre-diabetes or are at high risk (American Diabetes Association, 2005)

6 PRIORITIES 1- Reduce childhood obesity 2- Prevent or delay type 2 diabetes by: Early detection of people at risk (screening) Educate individuals at risk Educate individuals at risk 3- Prevent or reduce complications among persons with diabetes: Educate individuals diagnosed with diabetes. Focus area: Diabetes Prevention through Education Focus area: Diabetes Prevention through Education

7 Goals Increase participants’ Increase participants’  knowledge  ability to manage diabetes. Improve participants' health status Improve participants' health status Enhance the capacity of: Enhance the capacity of:  Extension Educators to impact diabetes education

8 Inputs Programs Interactive Diabetes Education Program –NDEP curriculum, –strength of commitment assessment tools, –low literacy learning diabetes tools Personnel Extension Educators (nutrition and finance) Extension Educators (nutrition and finance) Healthcare partners ( RD, CDE, Nurse, Social Worker etc) Healthcare partners ( RD, CDE, Nurse, Social Worker etc) Partnerships Community leaders (officials and unofficial) Community leaders (officials and unofficial) lay people from the community with diabetes lay people from the community with diabetes Health department Health department  After schools programs  Media  Faith-based organizations  Existing support groups  Other Community-based organizations;  Maryland Diabetes Council  Local diabetes alliances

9 Outputs What we will do Who we will reach  Conduct Training on NDEP curriculum  Assess participants self management barriers, strength of commitment, and learning needs.  Deliver 8 to 12 sessions  Conduct awareness activities  Plan collaborative activities (e.g. workshop)  Hold an annual in-service training  DIABETES FOCUS TEAM  Extension educators  Hard to reach adult learners  youth and adolescents  Healthcare professionals (RD, CDE, Social worker etc) Other extension educators

10 Outputs How to reach participants  Hard to reach adults learners with their families through:  Extension recruitment systems  Existing support groups  Faith-based organizations  Lay leaders/community unofficial leaders  Youth and adolescents through  After school program  Faith-based organizations  Other community organizations

11 Outcomes Short- term Outcomes Learning  Improvement in the knowledge regarding behavioral, clinical, and financial aspects of pre-diabetes, diabetes, and its complications of:  Extension educators  Participants  Family members or caregivers  Improvement in the basic knowledge of youth and adolescents regarding aspects of pre-diabetes, diabetes, and its complications.

12 Outcomes Medium- term Outcomes Action  Improvement in health behaviors and financial skills regarding foods selection, portion size, food cooking, and exercise of  Participants  Family member and or caregivers  Improvement in strength of commitment to following diabetes self-management lifestyle recommendations of  Participants  Improve youth and adolescents awareness regarding aspects of pre-diabetes, diabetes, and its complications.  Overall participants will gain self-confidence in their ability to control their symptoms and how their health problems affect their lives.

13 Outcomes Long-term Outcomes Conditions  Reduced prevalence of  pre-diabetes.  complications from diabetes.  Improve through positive lifestyle changes the health status of : the health status of :  individuals with diabetes  Individuals at risk  youth and adolescents  Increase diabetes and its complications awareness  in the community  among individuals at risk.

14 Assumptions Assumptions Funding may be available : Funding may be available : MCE MCE Dairy council Dairy council CDC CDC Pharmaceutical companies Pharmaceutical companies Foundations Foundations External Factors External Factors Funds availability Funds availability collaboration with: collaboration with: existing support groups other extension educators Healthcare educators A collaborative program will be the ideal and beneficial for the clients Access to the school systems Access to the school systems

15 Evaluation Methods Methods Pre-post tests in NDEP curriculum (end of sessions) Pre-post tests in NDEP curriculum (end of sessions) Pre-post test using strength of commitment tool (scores) Pre-post test using strength of commitment tool (scores) Pre and post of clinical test (if collaboration with healthcare professionals) Pre and post of clinical test (if collaboration with healthcare professionals) Indicators Indicators # or % of individuals (adult or youth) who demonstrate improvement in:  Knowledge  Healthy lifestyle (eating and exercise)  Strength of commitment  Clinical values

16 Scholarship/Research Compare results by age group or race or between two counties Compare results by age group or race or between two counties Evaluation results may be used for future publications or abstracts Evaluation results may be used for future publications or abstracts  Present abstract at diverse annual conferences such as  CDC  American Diabetes Association  American Dietetics Association  SNE  National FCS conference. However, an IRB will be mandatory if these results have to be published. However, an IRB will be mandatory if these results have to be published.

17 Other Suggestion: Childhood Obesity Assess the environmental factors that may impact healthy and active lifestyle among children Assess the environmental factors that may impact healthy and active lifestyle among children Identify priorities in your community using ENACT tool. Identify priorities in your community using ENACT tool. ENACT: Environmental Nutrition and Activity Community Tool ENACT: Environmental Nutrition and Activity Community Tool (The Strategic Alliance for Healthy Food and Activity Environments; (The Strategic Alliance for Healthy Food and Activity Environments; (www.preventioninstitute.org/sa/enact/members/index.php ) (www.preventioninstitute.org/sa/enact/members/index.php ) ENACT : strategies designed to help improve nutrition and activity environments on a local level. ENACT : strategies designed to help improve nutrition and activity environments on a local level. These strategies have been organized into seven environments These strategies have been organized into seven environments selected for their importance in individual and community health. selected for their importance in individual and community health. Develop a program focusing on environmental factors. Develop a program focusing on environmental factors.

18 Thank you Questions? Questions?


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