BARRIER:Lack of knowledge of Diabetes as a disease.

Next Steps for Solution #1:• Advocate knowledge of Diabetes as a disease.

Next Steps for Solution #2:

• Educate family, friends, and co-workers about Diabetes.• Teach healthy cooking habits/ portion control on meals.• Implement physical activity programs. • Generate positive research in the Rio Grande Valley and for their families.

Next Steps for Solution #3:• Promotional campaign • Bret Michael s concert.• Raffle for users of social media.

Potential Solution #1:Blue Ribbon week on

wellness/health awareness in local schools in April or November.

Potential Solution #2:Agenda of activities for schools to

implement thru PTA, superintendents, legislators, local

govt. leaders.

Potential Solution #3:Social media campaign ex:

Facebook, Twitter, Linkedin.

Groups Involved Solution #1:

Groups Involved Solution #2:

Groups Involved Solution #3:

BARRIER:Lack of knowledge of Diabetes as a disease.

Next Steps for Solution #4:

•

Challenges:1.Community buy in.

2.Create networks and partnerships among community stakeholders.

3.Communicate on issues. 4.Empower with knowledge.

Groups Involved Solution #4:

Potential Solution #4:Publicity thru govt. proclamations,

legislative days/agenda, weekly article on diabetes, a Spanish TV

show.

BARRIER 1: Lack of South Texas Bilingual/Bicultural Educational Programs

Next Steps for Solution #1:

• Target Audience and Age Appropriate

• Policy Change in Schools

• Implement Social Media Campaign

•Require Health and Education Classes

Next Steps for Solution #2:

• Legislative Changes to Require Hours for Diabetes Education

• Financial Incentives through discounts / Research other Markets

• Workshops/Conferences/Seminars

•Local PSA/Media Stunt for Healthy Livestyle

Next Steps for Solution #3:

• Adult Day Cares/ Community Centers

• Media/ PSA / Radio

•Integrating Social Health Workers/ Promotoras in the Community

Potential Solution #1:Reaching Children in the

School System

Potential Solution #2:Educate the Professionals

Potential Solution #3:Reach Adults

Groups Involved Solution #1:School Board – Policy Change

Public HealthUniversities

School DistrictsSouth Texas Juvenile Diabetes

Association

Groups Involved Solution #2:Elected Officials

Corporate BusinessAmerican Association of Diabetes

EducatorsOther Public/Private Entities

Groups Involved Solution #3:Medicare Expansion Agencies

Local Radio/TVFaith Based Organizations

BARRIER 2: Accessibility to Public Exercise and Health Programs

Next Steps for Solution #1:

• Legislation to allow school districts to use the facilities

• Financial incentive to schools for use of facilities

• Security/Lighting

Next Steps for Solution #2:

• Raise awareness of current/existing programs

• Centralized website/app/211 for public access w/ calendar of activities

•

Next Steps for Solution #3:

•

•

•

Potential Solution #1:Parks

Potential Solution #2:Community Exercise

Centers

Potential Solution #3:

Groups Involved Solution #1:Local/City/County/School

GovernmentPrivate Philanthropic Groups

Groups Involved Solution #2:Local 211 Provider

Council of GovernmentsSports Related Businesses

Local Hospitals

Groups Involved Solution #3:

BARRIER 3: Poor Nutrition Education and Accessibility to Healthy Food Products

Next Steps for Solution #1:

• Develop a basic education program

• Expand children and adolescent involvement in nutrition education activities

• Standardized employee education video on nutrition

Next Steps for Solution #2:

• Encourage local participation with businesses that promote healthy lifestyle

•

Next Steps for Solution #3:

•

•

•

Potential Solution #1:Enhance current nutritional

educational programs

Potential Solution #2:Work with Local Business to provide incentives for SNAP

users and community members

Potential Solution #3:

Groups Involved Solution #1:American Association of

Diabetes EducatorsUSDA choosemyplate.gov

Dieticians/ UTPA /STC

Groups Involved Solution #2:Local Businesses

Chamber of CommerceFood Bank

USDALocal Farmer’s Markets/AgraLife

Groups Involved Solution #3:

BARRIER 4: Lack of Funding for Sustaining Programs and/or other Funding Alternatives

Next Steps for Solution #1:

• Educate participants to expand the program

• Supporting secondary facilities

• Community recognition of current participants and developing a program for future leaders

Next Steps for Solution #2:

• Develop referral materials

• Develop a health/nutrition youth mentoring program

• UTPA/STCC practicum programs

Next Steps for Solution #3:

•

•

•

Potential Solution #1:Empower program

participants to sustain the program

Potential Solution #2:Low Cost/No Cost Youth Involvement Programs

Potential Solution #3:

Groups Involved Solution #1:Migrant Health PromotionPublic Health Department

WIC

Groups Involved Solution #2:Boys/Girls ScoutsBoys/Girls Clubs

Faith Based Groups4H Clubs

Groups Involved Solution #3:

BARRIER: Lack of intra/inter professional collaboration

Next Steps for Solution #1:

• Projects to generate first-hand data

• Form community advisory boards •Create community based participatory research project

Next Steps for Solution #2:

• Build on diabetes care project website.

Next Steps for Solution #3:

• Create mentoring program• Create public forums for dissemination• Design innovative dissemination strategies beyond publishing

Potential Solution #1:Community/Researcher

collaboration.

Potential Solution #2:Creation of an electronic

database/registry to share ongoing efforts in research.

Potential Solution #3:Disseminate results to the general public (all sectors).

Groups Involved Solution #1:

Community partners.

Groups Involved Solution #2:Academic institutions (UTPA, UTB, AM SPH, UT SPH etc.), clinics, hospitals, researchers

Groups Involved Solution #3:Future health care profession students, researches, clinics, work sites and policy makers.

BARRIER: Participation-Employer and Employee

Next Steps for Solution #1:• Identify employers that are offering a wellness/disease management program

Next Steps for Solution #2:• Decide what works best for your company(costs v benefits) • Provide basic health screenings • Highlight current employee wellness resources and benefits

Next Steps for Solution #3:•Create employee task force• Customize for each employer based on employee feedback•Team focused challenges-weight loss?• Provide incentives for participation•Set timelines •Measure progress

Potential Solution #1:Identify best practices

among local employers (5-10)

Potential Solution #2:Help employers plan and

run a successful Health Fair as a starting point

Potential Solution #3:Engage members to

participate in their care

Groups Involved Solution #1:•Public employers•Private employers

Groups Involved Solution #2:•Local providers•Local Non-profits•Industry related partners

Groups Involved Solution #3:•Local education partners•Gyms and fitness centers•Sports leagues

BARRIERS: Lack of Education, food choices, sedentary lifestyles. Stereotyping Diabetics as different. Cause & Effect – behavior modification. Cost of healthy food? Access to adequate healthcare. Poverty, Patient Engagement Underinsured/Uninsured.

Modify the way children & adults are educated (tech)• How do we coordinate & collaborate with interest groups.•Portable healthcare/ID card with patient medical record •Educate healthcare providers (refer patients to free seminars)

Next Steps for Solution #2:• Teach food exchanges/ choices including starches and decrease empty calories, soda, sugar.• Appropriate calorie intake a day. Portion control• Organic produce, nuts, vegetables/calabacita•More community involvement (HEB, Farmers Market)

Next Steps for Solution #3:• Instead of an extra shot of insulin, Exercise/Muevete!• Awareness Campaign -Muevete• Media coverage on the consequences

Potential Solutions #1:Educate children at home

Parents must enforce healthy choices

Need cultural sensitive ED. To our region. Take message to patient in

their own language for direct communication – 1 on 1(Colonias)

Potential Solutions #2:Choose food selections wisely

Potential Solutions #3:Exercise

Groups Involved Solution #1:Weight Watchers

Support Groups, School AdministratorsDieticians – Food ExchangesCertified Diabetes Educator

Pharmaceutical Co’s.UTPA

Groups Involved Solution #2:Physicians, Research Centers,

Family members must be accountable to each other

Reward good behavior

Groups Involved Solution #3:Local T.V., Print, Diabetes Assn.,

City, County, State & Washington D.C.