Lions District 24-A and The American Diabetes Association National Capital Area Team up to Stop...
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Transcript of Lions District 24-A and The American Diabetes Association National Capital Area Team up to Stop...
Lions District 24-A and The American Diabetes Association National Capital
Area
Team up to
Stop Diabetes® and Blindness
1
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot ProgramLCIF Core 4 Diabetes GrantMay 2012-June 2013
Lions Core 4 Diabetes Project Lions Preventive Health Screenings and ADA Diabetes/Wellness Education for Underserved Northern Virginian Communities
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Project Team:
•American Diabetes Association•LCIF•Lions of District 24-A & C•Fairfax County Department of Health•Walgreens•Amerigroup of Virginia•Diabetes Research and Wellness Foundation•Fairfax County Department of Neighborhood and Community Services•Arlington County School and Community Health•United Community Ministries•Hispanic Institute for the Prevention of Blindness•Arcadia Mobile Market•Uno Translations
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The Lions Diabetes Awareness and Action Program Mission Statement is:
“To conduct and support local and large-scale effort leading to the control and treatment of diabetes and its complications through education, prevention and research.”
The Mission of the American Diabetes Association is:
“To prevent and cure diabetes and to improve the lives of all people affected by diabetes.”
90% of Adult Onset Blindness is caused by POORLY managed diabetes
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“The partnership between the Lions Clubs, ADA and the Fairfax County Health Department is an example of organizations that recognize that they have shared interests and goals and the way to achieve these goals is by working together”James Copeland, Former Director of Community Health Development and Preparedness at the Fairfax County Health Department
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From 1995 to 2007, the Virginia population increased by 16%...
Diabetes prevalence increased by 95%.
An estimated 466,883 adult Virginians had diagnosed diabetes and another estimated 233,441 had undiagnosed diabetes.
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http://www.vdh.virginia.gov/ofhs/prevention/diabetes/documents/2012/pdf/2008%20Diabetes%20Burden%20Rpt_rev%20FINAL.pdf
Why Start in Northern Virginia if Prevalence Rates are Higher Elsewhere?•Volunteer Supply•ADA Office•Connection to Fairfax County Department of Health•Concentrated network of non-profits•Black and Hispanic populations
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8http://www.vdh.state.va.us/healthpolicy/documents/health-equity-report-08.pdf
9http://www.vdh.state.va.us/healthpolicy/documents/health-equity-report-08.pdf
Lions Preventive Health Screenings
&
American Diabetes Association Diabetes/Wellness Education
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Lions Clubs Participating in The LCIF Core 4 Diabetes Pilot Project
Clubs Participating
Stafford County Lovettsville
Fairfax Host Greater Falls Run
Reston Lake Ridge
Manassas Lioness Lions Vienna Host
Aquia Harbor Evening Alexandria Asian American
Fort Belvoir Aquia Harbor Host
Arlington South Westmoreland
Bailey’s Cross Roads Alexandria Watergate
Clifton Burke
Sterling Tyson Corner
Gordonsville-24-C Lake of the Woods-24-C11
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot ProgramScreening Components– Consent– Diabetic Retinopathy Screening– Blood Pressure– Blood Glucose– Local medical and community services information,
follow-up reminder postcards– BMI
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Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot ProgramScreening Components– Type 2 Diabetes Risk Assessment Survey– Health Information: Nutrition, Exercise, Diabetes, Heart
Disease by ADA Diabetes Ambassadors– Drug Discount Cards and “I have diabetes” bracelets – Walgreens Free Flu Shots through 1/13– Amerigroup of Virginia activities for kids and prizes as of 2/13– After screenings, participants who were recommended to
care receive follow-up calls
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Non-Mydriatic Canon CR-2 Mobil Retinal Imaging Solution
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n n
The Need for Diabetes Education
“Diabetes is increasing at an alarming rate globally. It is a complex, chronic condition that affects all areas of a person’s life and that requires high quality care. To this end, diabetes education is of critical importance and should be considered an integral part of diabetes prevention and care. Unfortunately this is not the case in many countries of the world where diabetes education is, at best, in its infancy or non-existent. The combination of lack of access to quality medical management and diabetes education leads to poor clinical outcomes, reduced quality of life and high health-related costs due to service utilization and the costs of treatment.”– International Diabetes Federation
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Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot ProgramBecoming an Ambassador
Must sign a commitment contract agreeing to teach 2-8 workshops per year and complete a training course. Anyone over the age of 18 can lead these workshops. No medical background is required.
Training Process
Length of training process can vary
depending on trainee’s background.
For someone without any medical
background, the training is typically
a total of 4-6 hours.
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Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot ProgramAmbassador Responsibilities
–Become familiar the American Diabetes Association’s mission, programs, and events
–Complete diabetes/wellness volunteer ambassador training
–Organize schedule of 2-8 diabetes/wellness workshops and submit schedule
–Distribute promotional materials for workshops
–Conduct 2-8 diabetes/wellness workshops per year
–At each diabetes/wellness workshop, distribute and collect attendance sheet and relevant pre-/post- questionnaires.
–Submit attendance sheet and completed questionnaires after each workshop.
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Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot ProgramADA Provides–Initial and ongoing training (as necessary)–Workshop implementation guides–Powerpoint presentations for each diabetes/wellness educational workshop in English and/or Spanish–Detailed curricula for each diabetes/wellness educational workshop in English and/or Spanish–Promotional items for workshops (flyers to advertise each workshop)–Educational materials for workshop participants–Pre-/post-questionnaires and attendance sheets for each workshop
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Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot ProgramADA Diabetes Ambassador Program Curricula
Por tu Familia• Latino population• All materials available in English and Spanish• 6 workshops• Community centers, churches, schools
http://www.diabetes.org/in-my-community/programs/latino-programs/por-tu-familia.html
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Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot ProgramADA Diabetes Ambassador Program Curricula
Project Power• African American population• Faith-based curricula to guide conversations about diabetes
and healthy living within church community• Curricula incorporates biblical passages• 6 workshops, ea. 1-1.5 hrs
http://www.diabetes.org/in-my-community/programs/african-american-programs/project-power.html
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Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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ADA Diabetes Education Implementation
•Completed 10 ADA Ambassador training sessions•5 ADA workshops taught•3 more Ambassador training sessions scheduled•Monthly/weekly workshops to be taught by trained ADA Ambassadors starting in April:
• Bailey’s Community Center• Wilson Community Center• Lincolnia Senior Center• James Lee Community Center• Lovettsville Schools• Arlington County Clinic• UCM Creekside• Christ the Redeemer Church• InterChurch Community Health Initiative Churches
Completed screenings
Place Population Town County Date
24-A Fall Conference (trial-run)
District 24-A Lions Herndon Fairfax 10-6-2012
United Community Ministries
UCM Clients-Primarily Latino
Alexandria Fairfax 10-20-2012
FACETS FACETS Clients- Primarily Asian
Fairfax Fairfax 11-3-2012
Carlin Springs Elementary
Arl County Parents- Primarily Latino and African
Arlington Arlington 12-1-2012
Knights of Columbus Hall
Latino church-members Manassas Prince William 12-8-2012
Westmoreland Dept Health and Human Services
Rural community Montross Westmoreland 1-5-2013
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Results at Halfway Point
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Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Participant Age
***no data collected at District 24-A Conference screening
27http://cj-network.org/cj/wp-content/uploads/2011/05/VALatinos2011WelCoopCenter.pdf
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Participant Gender
***no data collected at District 24-A Conference screening
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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http://www.vdh.state.va.us/ofhs/prevention/diabetes/documents/2011/pdf/factsheets/Diabetes%20Prevalence/Prevalence%20of%20Diabetes%20in%20VA.pdf
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Gestational Diabetes
***no data collected at District 24-A Conference screening
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Family History of Diabetes(mother, father, sister, brother)
***no data collected at District 24-A Conference screening
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Hypertension Diagnosed by Physician
***no data collected at District 24-A Conference screening
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Prehypertensive/Hypertensive Range with No Known History of Hypertension
***hypertension=140+systolic or 100+diastolic (AHA)***prehypertension=120-139systolic or 80-89 diastolic (AHA)
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Blood Pressure Results
***hypertension=140+systolic or 100+diastolic (AHA)***prehypertension=120-139systolic or 80-89 diastolic (AHA)
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Participant Blood Sugar Levels
***Random Blood Sugar Normal: 80-139 mg/dl Diabetes: 200mg/dl and above (Diabetes Research and Wellness Foundation)
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Physical Activity Participation
***no data collected at District 24-A Conference screening
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Weight Ranges from Risk Assessment Survey
***no data collected at District 24-A Conference screening
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Participant BMI Results
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Participant Type 2 Diabetes Risk Test Results
***score of 5 or higher qualified for being at increased risk for type 2 diabetes
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Diabetic Retinopathy Screening Results
Image Type Quantity
Excellent/good images 27
Fair/poor images 14
Inconclusive findings 10
Diabetic retinopathy 3
Macular degeneration 6
Hypertensive retinopathy 3
Normal 16
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Diabetic Retinopathy Screening Results
• 25 individuals were referred for further evaluation. • Lack of quality in 10 images could be the result of
inadequate skill of the photographer or a lack of clarity due to an eye problem or pupil size.
• 20% of known diabetics being screened by the camera have diabetic or related complications in the eye.
• Other eye problems (i.e. optic nerve atrophy, retinal infarcts, macular degeneration, and glaucoma) were found.
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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Follow-up Calls Results (Data is Incomplete at this Time—34 of 106)
Diabetes Association Diabetes and Outreach Pilot Outreach
Pilot Program
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What We’ve Learned So Far• Flu shots are a great incentive for early fall screenings—pre-November• Strong partnerships with county governments, businesses, and local
charities are critical for project success• Turnout diminishes in colder months (not a surprise)• If no incentives are offered outside of medical services in more rural
areas, turnout is very low• Monthly ADA workshops are most-feasible for volunteers• Host-organization community influence and trust is critical to good
turnout• Spanish-speaking volunteers are highly valuable• Turnout is greatest in Hispanic communities• Kid-friendly activities needed to attract families• Direct referral system would be highly beneficial to participants with
abnormal results at screenings• Postcards have not been an effective way of tracking participant follow-
up, calls most effective
Future screenings
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Place Population Town County Date
Lincolnia Senior Center
Seniors, Latino Population, Uninsured
Alexandria Fairfax 3-30-2013
Our Lady of Angels Catholic Church
Latino congregation Woodbridge Fairfax 4-20-2013
Huntington Community Center
Latino clients Alexandria Fairfax 4-27-2013
Lovettsville Game Club-Lovettsville Cares
Rural community Lovettsville Loudon 5-4-2013
Arlington Arlington Arlington 5-11-2013
United Community Ministries-Creekside Community Center
Latino community Alexandria Fairfax 5-18-2013
Year-end Project EvaluationHow many people were screened?
What was the health profile of screening participants?
How many people were referred to see a health care provider due to abnormal screening results?
How many people followed-up with a health care provider?
How many diabetes education programs were held? How many people attended?
Final Report to LCIF due on 6-22-2013
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What does this all mean?
What do we do from here?
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Resources:
Our Blog: www.lc4dp.org
www.valions.org
www.diabetes.org
Like us on Facebook and follow us on Twitter!
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Questions
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