Diabetes Tele-Education Programs

Virginia Center for Diabetes Professional EducationUniversity of Virginia Health System

2008 - 2013

J. Terry Saunders, Ph.D.Joyce Green Pastors, M.S., R.D., C.D.E.

Virginia - Percentage of Adults (aged 18 years or older) with Diagnosed Diabetes, 1994 – 2010

Estimated Diabetes Prevalence in Virginia, 2010

2,145,074 11,443

4,868

312,568

531,366

PrediabetesGestationalChildren, Adolescents (<20 yrs)Undiagnosed AdultsDiagnosed Adults

2009 Age-Adjusted Estimates of the Percentage of Adults† with Diagnosed Diabetes in Virginia

Virginia - Percentage of Adults(aged 18 years or older) with Diabetes Ever Attending a Diabetes Self-Management Class, 2000 – 2010

Rationale for Diabetes Tele-Education

• Epidemic of diabetes statewide• It is estimated that only 60% of those who have diabetes in

Virginia have had ANY education (BRFSS data)• Shortage of diabetes educators and ADA recognized education

programs in rural and underserved areas of the state• Lack of adequate reimbursement for diabetes patient education• Difficulty and expense of providing face-to-face professional

education• Efficiency of using existing telemedicine equipment for

education

Diabetes Tele-education Partners, 2012

• University of Virginia Diabetes Education and Management Program

• University of Virginia Office of Telemedicine• Virginia Department of Health, Office of Minority

Health and Health Equity• Virginia Information Technology Agency (VITA)• Harry L. Coomes Recreation Center, Abingdon, VA

Comparison of Participation by Type of Site, 2008-2012Total Number of Sites: 43

2008 2009 2010 2011 20120

2

4

6

8

10

12

14

16

Critical Access/Small Rural HospitalsCommunity Health CentersHealth DepartmentsFree ClinicsSenior CentersLibraries

Num

ber o

f Site

s Pa

rtici

patin

g

Number of Program Participants, 2008-2012Total Number of Participants = 1610

2008 2009 2010 2011 20120

50

100

150

200

250

300

350

400

450

500

390

228

179

369

444

Review of Accomplishments for 2012

Nottoway

Cumber-land

AmeliaAppomattox

Charlotte

CharlesCity

NewKent

Henrico

KingAnd

Queen

JamesCity

YorkSurry

Gloucester (7)PrinceGeorge

Essex

Hanover

Richmond &TappahannockFree Clinic (36)

KingGeorge

Northumberland (8)

Buckingham

Blue Ridge Medical Center (65)

Rockbridge

Powhatan

Goochland

Rockingham

Greene

Rappa-hannock

Page

Culpeper

Henry/Martinsville (20)

Albemarle

Hampton

Mathews

VirginiaBeachSuffolk

Louisa

Fairfax

PrinceWilliam

Fauquier

Loudoun

Warren

Alleghany

BedfordRoanoke

Clarke

GreensvilleMecklenburg

Franklin

Patrick

MontgomeryBland

Wise (32)

Lee (4)

Frederick

Shenandoah

Madison StaffordHighland

AugustaOrange

Spotsylvania

Bath Community Hospital (1)

Caroline

Fluvanna

AmherstBotetourt

Craig

Chesterfield Northampton

BuchananGiles

CampbellDickenson

DinwiddiePulaski

Russell

Pittsylvania

FloydLunenburg SussexWythe

BrunswickCarrollGrayson

Sites Participating in 2012Health Districts and Number of Patients Per Site

Lancaster

KingWilliam

Onley (140)

Petersburg (7)

Southampton

Prince Edward (33)

Halifax

Health Wagon (4)

Washington

Tri-Area CHC (55)

Smyth

Scott

Tazewell

Highland MedicalCenter (1)

Chesapeake

Middlesex

Northumberland

Westmoreland

Nottoway Public Library (40)

Lenowisco Mount Rogers West Piedmont Piedmont Crater

Eastern Shore

Three Rivers

Thomas Jefferson

Central Shenandoah

Total Number of Participants by Site

0 20 40 60 80 100 120 140 160

165

7140

720

440

3336

14

5532Wise Co HD

Tri-Area Comm Hlth CntrHealth Wagon (Wise)Highland Med CntrRichmond Co HDPrince Edward Co HDNottoway Co HDLee Co HDHenry/Martinsville HDGloucester Co HDOnley Comm Hlth CntrPetersburg HDBlue Ridge Med CntrBath Community Hospital

Number of Participants

Number of Participants Attending Each Broadcast

17-Apr 25-Apr 15-May 29-May 19-Jun 26-Jun 17-Jul 24-Jul 21-Aug 28-Aug 18-Sep 25-Sep 16-Oct 23-Oct 20-Nov 27-Nov0

10

20

30

40

50

60

Summary Attendance Statistics for 2012

• 444 program participants• 238 individual participants

– Average age: 66.7 y.o.– 169 females, 69 males

• 1.87 average classes per participant• 117 participants (49.2%) took one class• 62 participants (26.1%) took 2 classes• 36 participants (15.1%) took 3 classes• 19 participants (8.0%) took 4 classes• 4 participants (1.7%) took 5 classes• 21 participants were awarded certificates for attending all 4 classes

Participant Reports of Type of Diabetes

Type 112%

Type 261%

Pre-diabetes8%

Don't know2%

None16%

Participant Ratings of Usefulness of Classes

Living Well_x000d_with Diabetes

I Have Diabetes_x000d_Now

What Do I Eat?

Improve Your Blood Glucose,_x000d_Get Ac-

tive,_x000d_Manage Your Stress

Eat Smart1.00

1.50

2.00

2.50

3.00

3.50

4.00

4.50

5.00

4.28 4.32 4.254.43

Leve

l of U

sefu

lnes

s (1

-5)

2013 Schedule of Classes *

* All classes scheduled from 1-3 pm

Plans for 2013

• Improvement in group facilitation at participating sites; provided regional facilitator trainings for sites in January

• Addition of libraries and use of health information specialists; provided training to librarians in Southside Virginia in February

• Use of recorded sessions in addition to live, interactive sessions to offer flexibility in timing and to reach more people

• Additional evaluation data - intent to change behavior; pilot data for behavior change outcomes